SECTION 340:100-5-36. Community maintenance services

(a)   Supplemental property replacement. When funding is available, a maximum of $300 per service recipient per fiscal year is reimbursed for replacement of unusable, necessary furniture or appliances. Necessary furniture and appliances include refrigerators, stoves, washers, dryers, dining tables and chairs, sofas, love seats, chairs and recliners, beds, dressers, or chests of drawers. The Oklahoma Department of Human Services (DHS) provides a payment to the contracted residential provider agency to establish and maintain community households per Section 331 of Title 61 of the Oklahoma Statutes (61 O.S. § 331). To be eligible the service recipient must receive community residential supports services per Oklahoma Administrative Code 340:100-5-22.1.

(1)   The provider agency submits a written property replacement request to the case manager that includes:

(A)   the furniture or appliance to be purchased;

(B)   the reason the item is necessary;

(C)   the age of the furniture or appliance to be replaced; and

(D)   verification that other resources are not available to purchase the item.

(2)   The case manager reviews the written request, submits it to the area manager or designee within five-business days of receipt from the provider agency, and includes a statement of the need for the furniture or appliance.

(3)   The area manager or designee reviews the written request and when the request meets the criteria in this Section, submits it to the DDS director or designee within five-business days of receipt from the case manager.

(4)   The DDS director or designee reviews and responds to the request within five-business days of receipt from the area manager or designee after considering if:

(A)   funding is available;

(B)   the request includes the required information;

(C)   the case manager assessment indicates need;

(D)   the household unnecessarily disposed of usable items that may have otherwise met the need for which the payment is requested;

(E)   other resources are available to provide the necessary item; and

(F)   items less than five years old can feasibly be repaired.

(5)   No reimbursement for replacement of worn out furniture may occur during the first year of service.

(b)   Goods and services. When funding is available, DHS provides a payment to the contracted residential provider agency to purchase necessary goods and services to establish and maintain community households per 61 O.S. § 331. Goods and services are incidental, non-routine goods and services that promote the service recipients' health, safety, self-care, and daily living skills needed to reside successfully in the community, and do not duplicate other services authorized in the member's plan of care.

[Source: Added at 34 Ok Reg 1598, eff 9-15-17]