Section 682.520  Exceptions to Service Cost Maximums

a)         If the established SCM for a case is exceeded due to a DHS-ORS approved  provider rate increase, the customer may continue to receive the same amount of services even though the SCM will be exceeded.

b)         If an increase in services is indicated, services must stay within the established SCM for the case, regardless of the impact of provider rates.

c)         Cases involving ventilator dependent customers and other customers with exceptional care needs whose need for care cannot be met by the SCM may have a rate established by Department of Public Aid (DPA) per 89 Ill. Adm. Code 684.70(c).

(Source:  Amended at 24 Ill. Reg. 7724, effective May 12, 2000)