Adult Day Support
Provision of regularly scheduled activities in a no-residential setting, such as assistance with acquisition, retention, or improvement of self-help, socialization, and adaptive skills that enhance the individual's social development and performance of daily community living. Adult day support shall be designed to foster the acquisition of skills, build community membership and independence, and expand personal choice. Adult day support enables the individual to attain and maintain his or her maximum potential.
Adult Family Living
Personal care and support services provided to an adult by a caregiver who is related to and lives with the individual receiving the services.
Services provided to individuals unable to care for themselves that are furnished on a short-term (60-day) basis because of the absence of or need for relief of those persons who normally care for the individuals. Community Respite shall be provided only outside of an individual's home in a camp, recreation center, or other place where an organized community program or activity occurs.
Environmental Accessibility Adaptations
Changes to a home that enable a person to function with greater independence. Examples include installing ramps or grab-bars, widening doorways, modifying bathrooms to be wheelchair-accessible, and, installing specialized electrical or plumbing systems to accommodate medical equipment.
Homemaker Personal Care
Homemaker/Personal Care is provided to help a person with daily living activities such as personal hygiene, dressing and eating. These services include:
Basic personal care and grooming, including bathing, hair care, and help with clothing.
Help with medications that are usually self-administered when ordered by a doctor.
Household services essential to a person's good health and comfort, such as changing bed linens.
Light cleaning in areas of the home used by the person.
Preparation of a shopping list, grocery shopping and meal preparation.
Other neighborhood errands including going to medical appointments or taking short walks.
Interpreter Services (IO only) help a person communicate. People who provide this service help the individual who has a disability (for example, an individual who is deaf) to convey a message as well as feelings or attitudes.
Non-Medical Transportation – Mileage
Transportation that is used by individuals solely to get to and/or from a place of employment or to access adult day support, integrated employment, supported employment-community, supported employment-enclave, and/or vocational habilitation. Non-medical transportation at the mileage rate shall be provided in a non-modified vehicle with a passenger capacity of eight or fewer.
Non-Medical Transportation – Trip
Transportation that is used by individuals solely to get to and/or from a place of employment or to access adult day support, integrated employment, supported employment-community, supported employment-enclave, and/or vocational habilitation. Non-medical transportation at the per-trip rate shall be provided in a non-modified vehicle with a passenger capacity of nine or more or a modified vehicle that has permanent fasteners to secure wheelchairs to the floor or side of the vehicle to prevent wheelchair movement, has safety restraints in the vehicle for the purpose of restraining individuals in wheelchairs, and is equipped with a stable access ramp or hydraulic lift.
Used when people need direction to ensure they are eating the right foods to be healthy. A nutritionist can provide a nutrition care plan that could include an outline of foods to be eaten, conversations about the importance of the foods and counseling about the need for proper nutrition. The nutritionist can be used to teach the person with disabilities, their family, guardian, or others who help with meals.
The monitoring of an individual in his or her residence by staff using one or more of the following systems: live video feed, live audio feed, motion sensing system, radio frequency identification, web-based monitoring system, or other device approved by the department. The system shall include devices to engage in live two-way communication with the individual being monitored as described in the individual service plan.
Remote Monitoring Equipment
The equipment used to operate systems such as live video feed, live audio feed, motion sensing system, radio frequency identification, web-based monitoring system, or other device approved by the department. It also means the equipment used to engage in live two-way communication with the individual being monitored.
Services provided to individuals unable to care for themselves that are furnished on a short-term (90-day) basis due to the absence of or need for relief of those persons who normally provide care for the individuals. Residential Respite can be provided in an ICF/DD; in a licensed facility; or in a residence (if the provider is an agency provider.)
Social Work (IO only) helps a person and their family with emotional problems or social needs that will allow them to live in the community. The counselor or social worker may work on problem-solving, help a person to develop self-help or adaptive skills, or arrange for counseling, or other support services to help ease stress that may be caused by such things as work, families or living situations.
Specialized Medical Equipment and Supplies
Devices, controls or appliances that allow people to do daily living activities or to help them communicate; items necessary for life support and the supplies and equipment necessary for upkeep; and, durable and non-durable equipment that is not paid for by the Medicaid State Plan.
Supported Employment – community
Services provided in an integrated community work setting where individuals enrolled in a waiver and persons without disabilities are employed to perform the same or similar work tasks.
Supported Employment - Enclave
Services provided to individuals who work as a team, generally at a single worksite of a host community business or industry, with initial training, supervision, and ongoing support provided by on-site staff.
A service that enables individuals to access waiver and other community services, activities, and resources. Used in conjunction with the Homemaker Personal Care service.
Services that provide learning and work experiences, including volunteer work, where the individual develops general skills that lead to competitive integrated employment such as ability to communicate effectively with supervisors, coworkers, and customers; generally-accepted community workplace conduct and dress; ability to follow directions; ability to attend to tasks; workplace problem-solving skills and strategies; and workplace safety and mobility training.
(SELF ONLY) Services that assist unpaid caregivers and/or paid support staff in carrying out individual treatment/support plans; and are necessary to improve the individual's independence and inclusion in their community. The service includes consultation activities that are provided by professionals in psychology, counseling, and behavior management; development of a home treatment/support plan, training and technical assistance to carry out the plan and delivery of the services; monitoring plan implementation.
Community Inclusion – Personal Assistance
(Self Only)Includes supports that promote the individual's participation in his/her community. The service includes opportunities and experiences that focus on socialization and/or therapeutic recreational activities, as well as personal growth in the home and/or community. Community Inclusion also can include peer support activities and organization of self-advocacy events. It is not meant to cover employment-related services. The scope of this service includes personal assistance in the home and/or the community with life activities.
Community Inclusion – Transportation
(Self-Only) Includes supports that promote the individual's participation in his/her community. The service includes opportunities and experiences that focus on socialization and/or therapeutic recreational activities, as well as personal growth in the home and/or community. Community Inclusion also can include peer support activities and organization of self-advocacy events. It is not meant to cover employment-related services. The scope of this service includes transportation including, but not limited to, transportation in a modified vehicle; transportation provided by operators of commercial vehicles, and mileage reimbursement for an amount up to the federal reimbursable mileage rate.
Functional Behavioral Assessment
Helps to determine why an individual engages in challenging behavior and how the individual's behavior relates to the environment. Functional behavioral assessments can provide information to identify why the individual engages in the behavior, when the individual is most likely to demonstrate the behavior, situations in which the behavior is least likely to occur.
Includes supports needed by a participant to acquire and maintain a job in the general workforce at or above the state's minimum wage. The service also can provide supports needed by an individual to acquire and maintain an internship or apprenticeship of limited duration. The service has two distinct components:
Initial Supports to gain employment and Retention supports to stay employed. The service may include supports for an individual to achieve self-employment through the operation of a business, but will not provide funding for start-up or business operation expenses.
Participant/Family Stability Assistance
A service that enables the individual to understand how best to support the individual in their home and/or to enhance the individual's ability to direct their own services. The service only can be utilized by the individual or by family members who reside with the individual. Participant/Family Stability Assistance includes counseling and/or training to accommodate the participant's disability in the home and to access supports offered in the community.
A Support Broker assists the individual with the individual's responsibilities regarding participant direction. A Support Broker is chosen by the individual and may be paid or unpaid. A Support Broker must have at least an associate's degree or two year of experience providing support to someone with developmental disabilities.
Support Brokers are considered an "agent of the individual." A Support Broker's duties include: assisting the individual with negotiating rates for independent providers (where applicable); helping the individual to select providers; and assisting with communication/coordination between the individual, their Service and Support Administrator, and the Financial Management Services entity.
(Level 1 only)Services provided to an individual unable to care for himself or herself, furnished by a person known to the individual, on a short-term basis because of the absence or need for relief of those persons normally providing the care. Informal respite may be provided in the individual's home or place of residence, home of a friend or family member, or at sites of community activities.
Personal Emergency Response Systems
An electronic device which enables an individual at high risk of institutionalization to secure help in an emergency and may include a portable "help" button to allow for mobility. The system is connected to the individual's phone and programmed to signal a response center staffed by trained professionals once a "help" button is activated. Personal emergency response systems is available only to individuals who live alone or who are alone for significant parts of the day and have no regular caregiver for extended periods of time and who would otherwise require extensive routine supervision.
Adaptive and Assistive Equipment
Adaptive and Assistive Equipment (Individual Options, or IO) / Specialized Medical Equipment and Supplies (Level One) are:
•Devices, controls or appliances that allow people to do daily living activities or to help them communicate;
•Items necessary for life support and the supplies and equipment necessary for upkeep; and,
•Durable and non-durable equipment that is not paid for by the Medicaid State Plan.
DD Waiver Nursing
Individualized, person-centered, comprehensive employment planning and support that provides assistance for individuals to achieve or advance in competitive integrated employment. Career planning is a focused and time-limited engagement of an individual in identification of a career direction and development of a plan for achieving competitive integrated employment and the supports needed to achieve that employment.
Individual Employment Support
Individualized support for an individual to maintain competitive integrated employment.
Group Employment Support
Services and training activities provided in regular business, industry, and community settings for groups of two or more workers with disabilities.
Services that provide assistance to individuals who need support managing personal and financial affairs, including training to assist an individual to acquire, retain, or improve related skills. The services meet a continuum of individualized needs, from organizing and keeping track of financial records and health insurance documentation, to assisting with bill-paying and maintaining bank accounts.
Participant-Directed Goods and Services
Participant-Directed Goods and Services (SELF only) are services, equipment, or supplies not otherwise provided through this waiver or through the Medicaid State Plan that address an identified need on the ISP (including improving and maintaining the individual's opportunity for membership in the community). Examples include installing ramps or grab-bars, widening doorways, modifying bathrooms to be wheelchair-accessible, and installing specialized electrical or plumbing systems to accommodate medical equipment. The item or service must:
•Decrease the need for other Medicaid services;
•Promote inclusion in the community; or
•Increase the participant's safety in the home environment.
Providers of this service do not need to become certified.
Participant/Family Stability Assistance
Participant/Family Stability Assistance (SELF only) is a service that enables the individual to understand how best to support the individual in their home and/or to enhance the individual's ability to direct their own services. The service only can be utilized by the individual or by family members who reside with the individual. Participant/Family Stability Assistance includes counseling and/or training to accommodate the participant's disability in the home and to access supports offered in the community.
Shared Living (IO only) means personal care and supportive services (e.g., homemaker, chore, and medication oversight to the extent permitted under state law) provided in a private home by an unrelated, principal care provider who lives in the home and whose primary, legal residence is that home.
Supported Living is a service model based on principles that emphasize a person’s choice, self-determination and community integration.
Participant Directed HPC
Waiver Nursing Delegation
Non Medical Trans.-Commercial
"Remote support" means the provision of supports by staff of an agency provider
at a remote location who are engaged with an individual through equipment
with the capability for live two-way communication. Equipment used to meet
this requirement shall include one or more of the following components:
(a) Motion sensing system;
(b) Radio frequency identification;
(c) Live video feed;
(d) Live audio feed;
(e) Web-based monitoring system; or
(f) Another device that facilitates live two-way communication.
Assistive Technology Equipment & Supports
"Assistive technology equipment" means equipment comprising
the assistive technology and may include engineering, designing, fitting,
customizing, or otherwise adapting the equipment to meet an individual's
specific needs and internet service necessary for operation of the
equipment comprising the assistive technology. Assistive technology
equipment may include equipment used for remote support such as
motion sensing system, radio frequency identification, live video feed,
live audio feed, web-based monitoring, or other device that meets
the requirements set forth in the rule.
"Assistive technology support" means education and training that aids an
individual in the use of assistive technology equipment as well as training
for the individual's family members, guardian, staff, or other persons
who provide natural supports or paid services, employ the individual, or
who are otherwise substantially involved in activities being supported by
the assistive technology equipment. Assistive technology support may
include, when necessary, coordination with complementary therapies or
interventions and adjustments to existing assistive technology to ensure
its ongoing effectiveness.