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

Revision 18-0; Effective September 4, 2018


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 (ISP) cost limit and has needs that will require special services or service delivery, and the community support/resources have not been identified.