441.305—Replacement of recipients in approved waiver programs.
(a) Regular waivers.
A State's estimate of the number of individuals who may receive home and community-based services must include those who will replace recipients who leave the program for any reason. A State may replace recipients who leave the program due to death or loss of eligibility under the State plan without regard to any federally-imposed limit on utilization, but must maintain a record of recipients replaced on this basis.
(b) Model waivers.
(1)
The number of individuals who may receive home and community-based services under a model waiver may not exceed 200 recipients at any one time.
(2)
The agency may replace any individuals who die or become ineligible for State plan services to maintain a count up to the number specified by the State and approved by CMS within the 200-maximum limit.
[59 FR 37719, July 25, 1994]