Appendix XIV, Determination of High Needs Status for the STAR+PLUS HCBS Program

An individual entering the STAR+PLUS Home and Community Based Services (HCBS) program is designated as having high needs status if:

• the individual is on ventilator care;
• the individual has high-skilled nursing needs, such as tracheotomy care, wound care, suctioning or feeding tubes; and/or
• the individual will exceed the individual service plan cost limit and has needs that will require special services or service delivery, and the community support/resources have not been identified.