The effect of the amended rule will be to allow providers of CHOICES waiver services to cease providing services to participants appealing a termination notice after a decision is issued, or ninety days from the date of the termination notice, whichever is sooner; to clarify who may appeal; and to clarify what is reviewed during appeal hearings. The reason for adopting the proposed amended rule is to provide certainty to providers as to the maximum amount of time services must be provided after issuing a termination notice, balanced with participants’ rights to due process; and to provide clarity about the appeal process.