Are you worried you might lose Section 17 services because of the recent changes? Have you gotten a notice that you are no longer eligible for Section 17 services? This guide answers some common questions and explains the changes to Section 17 eligibility.
There was a lot of incorrect information in the news when these changes were first announced in March 2016. Many reports said that only people with schizophrenia or schizoaffective disorder would be eligible for services under Section 17. This is not true. Section 17 eligibility rules have changed, but they are not that limited.
First, you might want to try our Section 17 Eligibility Tool (below) if:
You can answer these questions:
If you have this information, it will help you answer the questions:
Don’t worry if you don’t have all of this information. The tool can still help you figure out what to do.
We have done our best to break down the new rules correctly. This tool may not be perfect. No matter what result you get from the Eligibility Tool, you should talk with your healthcare provider.
If you want to learn more about the new eligibility requirements, we’ve broken them down below. You can also find the Section 17 Eligibility Form here. You can print this form out and take it to your healthcare provider. They can use it to help you get or keep Section 17 services.
1. You are 18 or older (or an emancipated minor).
2.You have a primary diagnosis of Schizophrenia OR Schizoaffective Disorder (If yes, skip to 3)
You have a different primary diagnosis (other than: Neurocognitive Disorders, Neurodevelopmental Disorders, Antisocial Personality Disorder or Substance Use Disorder) AND you have at least one of these risk factors:
3. You have a LOCUS score of at least 17 (or at least 20 if you need a case worker/Community Rehabilitation Services).
If DHHS thinks you are not eligible for Section 17 services then both you and your caseworker should get a letter from DHHS explaining why they think you are not eligible.
You have the right to an appeal if you are denied, or if your services are terminated. If you get a letter saying you are not eligible, get in touch with your healthcare provider or caseworker as soon as you can. It is important to get in touch with them because if you appeal the cut off within 10 days, you will continue to get your regular care until the issue is worked out. If you are worried that this will happen to you, tell your healthcare provider or caseworker ahead of time that you want to be contacted immediately if they get a notice that you are cut off from these services.
Contact PTLA if you think you should be receiving these services and: