Section 460IAC6-10-8. Resolution of disputes  


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  •    (a) If a dispute arises between or among providers, the dispute resolution process set out in this section shall be implemented.

      (b) The resolution of a dispute shall be designed to address an individual's needs.

      (c) The parties to the dispute shall attempt to resolve the dispute informally through an exchange of information and possible resolution.

      (d) If the parties are not able to resolve the dispute within fifteen (15) days:

    (1) each party shall document:

    (A) the issues in the dispute;

    (B) their positions; and

    (C) their efforts to resolve the dispute; and

    (2) the parties shall refer the dispute to the individual's support team for resolution.

      (e) The parties shall abide by the decision of the individual's support team.

      (f) If an individual's support team cannot resolve the matter within fifteen (15) days after the dispute is referred to the individual's support team, then the parties shall refer the matter to the individual's service coordinator for resolution of the dispute.

      (g) The service coordinator shall make a decision within fifteen (15) days after the dispute is referred to the service coordinator and give the parties notice of the service coordinator's decision pursuant to IC 4-21.5.

      (h) Any party adversely affected or aggrieved by the service coordinator's decision may request administrative review of the service coordinator's decision within fifteen (15) days after the party receives written notice of the service coordinator's decision.

      (i) Administrative review shall be conducted pursuant to IC 4-21.5. (Division of Disability and Rehabilitative Services; 460 IAC 6-10-8; filed Nov 4, 2002, 12:04 p.m.: 26 IR 769; filed Aug 29, 2003, 10:30 a.m.: 27 IR 110; readopted filed Sep 26, 2008, 11:11 a.m.: 20081015-IR-460080618RFA; readopted filed Aug 11, 2014, 11:20 a.m.: 20140910-IR-460140241RFA)