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Please explain the impact of the intensive in-home requirement to provide case management has on MR Case Management and DD Waiver Support Coordinators billing?

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Please explain the impact of the intensive in-home requirement to provide case management has on MR Case Management and DD Waiver Support Coordinators billing?

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Please see response to Question #8. In addition, Regulation 12VAC30-50-420.G states the following: “Payment for case management services under the plan does not duplicate payments made to public agencies or private entities under other program authorities for this same purpose.” Therefore, in the event a recipient is participating in Intensive In-home Services, no other case management entity may bill/be reimbursed by Medicaid for case management services.

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