(1) Self-directed personal assistance services are medically necessary in-home services provided to medicaid consumers whose disability functionally limits performing activities of daily living, and who take the responsibility or have a representative to take the responsibility of managing the services. Self-directed personal assistance services are intended to provide control of service delivery to the consumer and to allow the consumer to direct health related tasks.

(2) Consumers will provide their physician or health care professional evidence of ability to manage their personal assistance services.

(a) The scope and detail of the evidence shall be determined by the physician or health care professional.

(3) Consumers who are unable to utilize self-directed personal assistance services may receive services through the personal assistance services program managed by provider agencies under agreement with medicaid.