How can a service be reduced that has been determined to be medically necessary?
• Once placed in a waiver with a cap for spending, the cost of services cannot exceed the cap level. This is the same as the current Family and Supported Living (FSL) waiver with a $14,792 cap on expenditures. The WSC will not reduce the cost plan or services. The WSC will assist the individual and/or their family to reprioritize services so that the total cost falls within the cap for the waiver. The individual and/or family should decide what services are most important to them.
Related Questions
- I understand the discount applies to uninsured patients for medically necessary health care services. What exactly does that mean?
- How do I report medically reasonable and necessary units of service in excess of a Medically Unlikely Edit (MUE) value?
- What is necessary to participate in the service or communion?
