|(a) The contractor must suspend IFSP services subject
to an out-of-pocket payment as identified in §108.1413 of this
title (relating to IFSP Services Subject to Out-of-Pocket Payment
from the Family) when the balance remains delinquent for 90 days.
If the parent uses their public or private insurance, the 90-day time
period begins the date the contractor receives notice that the claims
are denied for reimbursement and all appeals are exhausted.
(b) Before suspending IFSP services, the contractor
must inform the parent that:
(1) he or she has the option to request a:
(A) review of the family cost share agreement, as described
in §108.1417 of this title (relating to Family Cost Share Agreement);
(B) a reconsideration and adjustment of the family
cost share obligation, as described in §108.1437 of this title
(relating to Extraordinary Circumstances);
(2) IFSP services subject to an out-of-pocket payment
will be suspended when a balance is delinquent for 90 days; and
(3) the contractor cannot guarantee the same schedule
or the same individual service provider if IFSP services are later
(c) Respite vouchers will be denied during a suspension
(d) A notation must be made on the family cost share
agreement that IFSP services subject to an out-of-pocket payment have
been suspended due to non-payment.
(e) The contractor must reinstate suspended IFSP services
when the family's account is paid in full or the family negotiates
an acceptable payment plan with the contractor. The IFSP team must
reassess the appropriateness of the IFSP before reinstating IFSP services
if IFSP services are suspended for more than six months. The contractor
must document the reinstatement of IFSP services date on the IFSP
and the family cost share agreement.
(f) The contractor must maintain written local policy
for collecting delinquent family cost share accounts. Documentation
must reflect all reasonable attempts to collect unpaid balances. Reasonable
attempts include multiple attempts at written notification, phone
notification, and e-mail.