The comprehensive PCSP will be sent the waiver participant to and all providers included on the PCSP after completion thereof.

The comprehensive PCSP expiration date will be twelve (12) months from the earliest date of approval by DCO of medical and/or financial eligibility.

Prior to the expiration of the twelve (12) months, financial and medical eligibility will be reviewed.

The DHS-703 form (Evaluation of Medical Need Criteria) is used at a minimum of every 12 months, or more frequently based on reported changes in medical condition, by registered nurses employed by the Division of Aging, Adult and Behavioral Health Services to determine continued evidence of established medical eligibility or a change in medical condition that may impact continued medical eligibility.

If there is evidence of a change in medical condition that may impact continued medical eligibility, based on the evaluation completed using the DHS-703 form, a referral may be made for an independent assessment utilizing the ARIA instrument. The information collected through the reassessment process, utilizing the ARIA instrument along with the tier determination, and any additional information are utilized by registered nurses within the Division of County Operations to evaluate whether the individual continues to meet the states level of care criteria and to determine any changes to the level of care. No change in level of care will occur without the use of the approved assessment instrument.