Services Provided

• Behavioral Support Services are provided as a means for training, supervision, or assistance in appropriate expression of emotions and desires, compliance, assertiveness, acquisition of socially appropriate behaviors, and the reduction of inappropriate behaviors

• Intended to address needs identified in the person centered planning process and be outlined in the ISP as well as a developed BSP

• Available through the Community Integration and Habilitation (C.I.H.) Waiver and the Family Support (F.S.) Waiver

• Can be utilized for observation of the individual and environment for purposes of development of a plan to determine baseline, development of a support plan and revisions, training in assertiveness, stress reduction techniques, and acquisition of socially accepted behaviors, training of staff, family members, roommates, and other appropriate individuals on support plan implementation, and consultation with team members

• Activities NOT allowed include aversive techniques (any technique not approved by the individual’s team or HRC), therapy provided in an educational or school setting as a component of the school day, services furnished to a minor by a parent or guardian, and services furnished to a participant by their spouse

• Residential Habilitation and Support Services provide up to a full day (24-hour basis) of services and supports which are designed to ensure the health, safety, and welfare of the participant, and assist in the acquisition, improvement, and retention of skills necessary to support participants to live successfully in their own homes

• Goal based service centered on assisting individuals achieve their maximum potential for ultimate independence

• Available only through the Community Integration and Habilitation (C.I.H.) Waiver

• Can be utilized for assistance with personal care, meals, medical appointments, obtaining and maintaining medications, shopping, errands, chores, leisure activities, and transportation

• Can be provided in the individual’s home, family home, or in the community

• Available in two levels based on approved budget:
  RH10= less than 35 hrs/week
  RH20= more than 35 hrs/week

• Service can be provided by a primary caregiver or guardian provided that the waiver individual is 18 years of age, and that the services furnished to the individual do not exceed 40 hours per week by the primary caregiver or guardian

• Community Based Habilitation-Individual, are services provided outside of the individual’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills

• Goal based service intended to develop community based activities that aid in building relationships and natural supports for the individual

• Available through the Community Integration and Habilitation (C.I.H.) Waiver and the Family Support (F.S.) Waiver

• Can be utilized for assistance with personal care, meals, medical appointments, obtaining and maintaining medications, shopping, errands, chores, leisure activities, and transportation.

• Can be provided in the individual’s home, family home, or in the community

• Available in two levels based on approved budget: RH10= less than 35 hrs/week RH20= more than 35 hrs/week

• Service can be provided by a primary caregiver or guardian provided that the waiver individual is 18 years of age, and that the services furnished to the individual do not exceed 40 hours per week by the primary caregiver or guardian

• Participant Assistance and Care Services support and enable the participant in activities of daily living, self-care, and mobility with the hands-on assistance, prompting, reminders, supervision and monitoring needed to ensure the health, safety and welfare of the participant

• Intended to be utilized to allow participants to remain and live successfully in their own homes, and function and participate in their community

• Available only through the Family Support (F.S.) Waiver

• Can be utilized for assistance with personal care, meals, shopping, errands, scheduling appointments, chores, leisure activities, assistance with mobility (transfers, ambulation, use of assistive devices), assistance with correspondence and bill paying, escorting to community activities and appointments, supervision and monitoring, reinforcement of BSP, adherence to risk plans, reinforcement of principles of health and safety, and completion of task lists

• Service can be provided by a primary caregiver or guardian provided the waiver individual is over 18 years of age

Structured family caregiving means a living arrangement in which an individual lives in the private home of a principal caregiver who may be a non-family member (foster care) or a family member who is not the individual’s spouse, the parent of the individual who is a minor, or the legal guardian of the individual. Necessary support services are provided by the principal caregiver (family caregiver) as part of structured family caregiving. Only agencies may be structured family caregiving providers, with the structured family caregiving settings being approved, supervised, trained, and paid by the approved agency provider. The provider agency must conduct two visits per month to the home – one by a registered nurse or licensed practical nurse and one by a structured family caregiving home manager. The provider agency must keep daily notes that can be accessed by the state. Separate payment will not be made for homemaker or chore services furnished to an individual receiving structured family caregiving, because these services are integral to and inherent in the provision of structured family caregiving services

• Respite Care services are provided to participants unable to care for themselves that are furnished on a short-term basis in order to provide temporary relief to those unpaid persons normally providing care

• Service intended to be utilized to provide relief to the primary caregiver/guardian

• Available through the Community Integration and Habilitation (C.I.H.) Waiver and the Family Support (F.S.) Waiver

• Can be utilized for assistance with toileting and feeding, daily living skills, accessing community and community activities, assistance with grooming and hygiene, meal preparation, medication administration, supervision, individual services and group services

• RSPO may NOT be provided by primary caregiver or guardian

​

​

    \Transportation Services (TRNO)

• Transportation Services is a service provided to enable waiver participants to gain access to any non-medical community services, resources/destinations, or places of employment, maintain or improve their mobility within the community, increase independence and community participation and prevent institutionalization

• May be utilized as two one-way trips per day to or from a non-medical community service, resource or place of employment as specified in the ISP and provided by an approved provider of Residential Habilitation and Support, Community Based Habilitation, Facility Based Habilitation, Adult Services, or Transportation Services; bus passes or alternate methods of transportation; in conjunction with other services including Community Based Habilitation, Facility Based Habilitation, and Adult Day Services

• Available through the Community Integration and Habilitation (C.I.H.) Waiver and the Family Support (F.S.) Waiver

• May NOT be utilized to meet medical transportation needs

• Available in three levels based on approved budget on individual waiver:
  Level 1= $2,500 annual limit-vehicle without special equipment ($5 per trip/max 2 trips/day)
  Level 2= $5,000 annual limit-vehicle to accommodate wheelchairs ($20 per trip/max 2 trips/day)