After enrolling in the waiver, can a waiver-covered service be denied?
There are two situations under which waiver covered services could be denied. First, if the need for a particular service is not agreed to and documented in the individual plan of care developed by the team, requested service cannot be approved. Second, if the additional service requested is one that is considered to duplicate the service currently received, only one of the services will be approved. Any decision made regarding a waiver recipient’s service(s) may be appealed and Maryland is required to give waiver participants information on how to make such appeals.
Related Questions
- Is there an HPRP process for handling appeals if a potential client is denied service by a grantee/subgrantee and wants to file an appeal?
- Are capacity assessments mandatory for service recipients who are on the In Home Supports Waiver (IHSW)?
- My Premium Waiver Status shows Denied - Permanent Total Disability only. What does this mean?
