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| 2.__Program administration.__The bureau shall administer the | | program under this section.__Within available funds, the bureau | | shall ensure that services are delivered in the most comprehensive | | manner possible, shall strive to maximize the participation of | | adults with disabilities and shall coordinate with programs for | | persons with disabilities administered by the Department of Human | | Services. |
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| | | 3.__Eligibility.__An applicant is eligible for personal care | | assistance services under the program if the bureau or its | | designee determines that the person is an adult who: |
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| | | A.__Has a severe disability; |
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| | | B.__Needs personal care assistance services or an attendant | | at night or both to prevent or remove the adult from | | inappropriate placement in an institutional setting; and |
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| | | C.__Has no or insufficient personal income or other support | | from public services, family members or neighbors. |
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| | | 4.__Consumer cost sharing.__The bureau shall establish a | | sliding scale for consumer cost sharing for services provided | | under the program.__The sliding scale must be based on the net | | income of the consumer, factoring in the expenses associated with | | the consumer's disability, and may take assets into | | consideration. |
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| | | 5.__Evaluation teams.__The commissioner shall designate | | evaluation teams to assist the department with evaluations of | | applicants and consumers. |
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| | | A.__Each evaluation team must include the applicant or | | consumer and at least one registered nurse or registered | | occupational therapist. |
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| | | B.__For each applicant or consumer evaluated by an | | evaluation team, the team shall assist the bureau to: |
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| | | (1)__Determine the eligibility of the applicant or | | consumer for services under the program; |
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| | | (2)__Determine the capability of the applicant or | | consumer, at the time of evaluation or after skills | | training provided pursuant to subsection 6, to hire and | | direct a personal care assistant; and |
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| | | (3)__Reevaluate the applicant or consumer periodically | | to determine continuing need for the services. |
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