441—83.70 (249A) County reimbursement. The county board of supervisors of the consumer’s county of legal settlement shall reimburse the department for all the nonfederal share of the HCBS intellectual disability waiver service expenses to adults. The county shall enter into a payment agreement with the department for reimbursement of the nonfederal share of the cost of service provided to HCBS intellectual disability waiver adults by input through the Individualized Services Information System (ISIS).
	 83.70(1) County agreement. The county shall enter into the agreement using the criteria in subrules 83.61(2) and 83.62(1).
	 83.70(2) Continuation of waiver services. The county shall continue to provide HCBS intellectual disability waiver services to members with mental retardation who were enrolled in the HCBS MR program on August 1, 1996. The county shall provide HCBS intellectual disability waiver services to children who are enrolled in the HCBS intellectual disability waiver after the children turn 18. The state slot for a child in the HCBS intellectual disability waiver will transfer to the county of legal settlement when the child turns 18.
	 83.70(3) Continuation of services for children receiving residential-based supported community living services. The county of legal settlement shall be given the option to continue to provide funding for appropriate services to a child 18 to 21 years of age who is receiving residential-based supported community living services after the child turns 18. The case manager shall notify the county of legal settlement when the child in placement turns 16. For children placed after the age of 16, the case manager shall notify the county of legal settlement at the time of placement.
[ARC 9650B, IAB 8/10/11, effective 10/1/11]