INTELLECTUAL & DEVELPMENTAL DISABILITIES PROGRAM SERVICES
Employment Services
Supported Employment Services - 7235
Supported Employment Services are direct and indirect services that are provided in community employment work sites with co-workers who do not have disabilities for the purposes of finding and supporting individuals with intellectual and developmental disabilities in competitive jobs of their choice. Supported Employment Services consist of two components: job finding and job support. Individuals who are receiving Supported Employment Services must receive minimum wage or higher for the hours worked in competitive employment. Supported Employment Services consist of paid employment for individuals who, because of their disabilities, need intensive support to perform in a work setting. Supported Employment Services include activities needed to sustain paid work by individuals receiving Waiver services, including supervision and training. When Supported Employment Services are provided at a work site in which people without disabilities are employed, payment will be made only for the adaptations, supervision, and training required by the individuals receiving Waiver services as a result of their disabilities.
Job finding may include interview assistance, employer outreach and orientation, resume preparation, job searching, and preparation for job tasks. Other examples of activities that may be associated with job finding include participation in individual planning for employment; development of job seeking skills; development of customer-specific job skills; job analysis; support to learn job tasks; consultation with the Office of Vocational Rehabilitation (OVR), benefits counseling agencies, and provider networks under Ticket to Work on behalf of an individual; assistance in beginning a business; and outreach with prospective employers on behalf of the individual including consultation on tax advantages and other benefits. Job finding activities are rendered on the behalf of one individual at a time. Job support consists of training individuals in job assignments, periodic follow-up or ongoing support with individuals and their employers. The service must be necessary for individuals to maintain acceptable job performance and work habits including assistance in learning new work assignments, maintaining job skills, and achieving performance expectations of the employer. Other examples of activities that may be associated with job support include participation in individual planning for employment, direct intervention with an employer, employment related personal skills instruction, support to relearn job tasks, training to assist individuals in using transportation to and from work, maintenance of appropriate work and interpersonal behaviors on the job, follow-along services at the work site after OVR funded services are discontinued, and technical assistance and instruction for the individual‘s co-workers that will enable peer support. Job support activities are a direct service to one individual at a time.
Home and Community Habilitation (Unlicensed) - 7060
This is a direct service (face-to-face) provided in home and community settings to assist individuals in acquiring, maintaining, and improving self-help, domestic, socialization, and adaptive skills necessary to reside successfully in home and community-based settings. Services consist of support in the general areas of self-care, communication, fine and gross motor skills, mobility, therapeutic activities6, personal adjustment, relationship development, socialization, and use of community resources. Habilitation may be provided up to 24 hours a day based on the needs of the individual, to protect the individual‘s health and welfare. Through the provision of this service individuals learn, maintain, or improve skills through their participation in a variety of everyday life activities These activities must be necessary for individuals to live in the community, to live more independently, or to be more productive and participatory in community life.
The Home and Community Habilitation service may also be used to provide staff assistance to support individuals in the following ways:
1. Habilitation provided in an individual‘s own home and family settings that are not subject to Department licensing or approval, when the provider of habilitation meets established requirements and qualifications.
2. Support that enables the individual to access and use community resources such as instruction in using transportation, translator and communication assistance related to habilitative outcomes, and services to assist the individual in shopping and other necessary activities of community life.
3. Support that assists the individual in developing or maintaining financial stability and security, such as plans for achieving self-support; general banking; personal and estate planning; balancing accounts; preparing income taxes; and recordkeeping.
4. Support that enables an individual to participate in community projects, associations, groups, and functions, such as support that assists an individual to participate in a volunteer association or a community work project.
5. Support that is related to habilitative outcomes to enable an individual to visit with friends and family in the community.
6. Support that enables an individual to participate in public and private boards, advisory groups, and commissions.
7. Support that enables the individual to exercise rights as a citizen, such as assistance in exercising civic responsibilities.
8. Support provided during overnight hours when the individual needs the habilitation service to protect their health and welfare. If the individual only needs supervision during overnight hours, the appropriate service is Companion Services.
There may be multiple outcomes which are supported by this service with different providers or through self-directed opportunities within an individual‘s ISP as long as there is documented need with associated outcomes and there are no conflicts or overlaps with regard to day and time of service. For example, an individual may receive Home and Community Habilitation from 6:00 PM to 9:00 PM, Monday through Friday to satisfy an outcome related to participating in activities or utilizing resources that are community-based. The same individual could also be provided with a Home and Community Habilitation service that occurs in the home, scheduled Monday through Friday from 11:30 AM to 12:30 PM to support the individual in achieving an outcome of independent meal preparation.
Homemaker/Chore Services - 7283
Homemaker services consist of services to enable the individual or family members or friends with whom the individual resides to maintain their private residence. This service Effective July 1, 2010 Attachment 1 to Bulletin 00-11-02 84 can only be provided when a household member is temporarily absent or unable to manage the home, or when no landlord or agency caretaker staff is responsible to perform the homemaker activities. Homemaker Services must be provided by a qualified homemaker and may include cleaning and laundry, meal preparation, and other general household care.
Chore services consist of services needed to maintain the home in a clean, sanitary, and safe condition. This service can only be provided in the following situations:
Neither the individual, nor anyone else in the household, is capable of physically performing and financially providing for the function.
No other relative, caregiver, landlord, community/volunteer agency, or third party payer is physically capable of or responsible for their provision.
Chore services consist of heavy household activities such as washing floors, windows, and walls; tacking down loose rugs and tiles; moving heavy items of furniture in order to provide safe access and egress; ice, snow, and/or leaf removal; and yard maintenance. In the case of rental property, the responsibility of the landlord, pursuant to the lease agreement, will be examined prior to any authorization of service. Maintenance in the form of upkeep and improvements to the individual‘s residence is excluded from federal financial participation.
This service is limited to 40 hours per individual per fiscal year when the individual or family members or friends with whom the individual resides are temporarily unable to physically perform and financially provide for the homemaker/chore functions. A person is considered temporarily unable when the condition or situation that prevents them from physically performing and financially providing for the homemaker/chore functions is expected to improve.
There is no limit when the individual lives independently or with family member(s) or friend(s) who are permanently unable to physically perform and financially provide for the homemaker/chore functions. A person is considered permanently unable to provide the homemaker/chore service when the condition or situation that prevents them from physically performing and financially providing for the homemaker/chore functions is not expected to improve. The ISP team is responsible to determine whether a person is temporarily or permanently unable to physically perform and financially provide for the homemaker/chore functions. The ISP team‘s determination should be documented in the Outcome Summary‘ section of the ISP.
This service is not available for individuals residing in agency-owned, rented, leased, or operated homes (for example, licensed and unlicensed Family Living Homes and Community Homes).
Companion Services - 1727
Companion Services are provided to individuals living in private residences for the limited purposes of providing supervision and necessary care and minimal assistance that is focused solely on the health and safety of the adult individual (18 years of age and older) with mental retardation. This service is not available to people who are residing in Unlicensed or Licensed Residential Habilitation settings. Companion Services are used in lieu of habilitation services to protect the health and welfare of the individual when a habilitative outcome is not appropriate or feasible (that is, when the individual is not learning, enhancing, or maintaining a skill). This service can be used for asleep hours when only supervision or non-medical or non-habilitative care is needed to protect the safety of the individual with mental retardation. For example, a companion can be used during overnight hours for an individual who lives on their own but does not have the ability to safely evacuate in the event of an emergency. This service can also be used to supervise individuals during socialization or non-habilitative activities when necessary to ensure the individual‘s safety. Companions may supervise and provide necessary care and minimal assistance with daily living activities, including grooming, health care, household care, meal preparation and planning, and socialization. This service may not be provided at the same time as any other direct service.
Supported Employment Services - 7235
Supported Employment Services are direct and indirect services that are provided in community employment work sites with co-workers who do not have disabilities for the purposes of finding and supporting individuals with intellectual and developmental disabilities in competitive jobs of their choice. Supported Employment Services consist of two components: job finding and job support. Individuals who are receiving Supported Employment Services must receive minimum wage or higher for the hours worked in competitive employment. Supported Employment Services consist of paid employment for individuals who, because of their disabilities, need intensive support to perform in a work setting. Supported Employment Services include activities needed to sustain paid work by individuals receiving Waiver services, including supervision and training. When Supported Employment Services are provided at a work site in which people without disabilities are employed, payment will be made only for the adaptations, supervision, and training required by the individuals receiving Waiver services as a result of their disabilities.
Job finding may include interview assistance, employer outreach and orientation, resume preparation, job searching, and preparation for job tasks. Other examples of activities that may be associated with job finding include participation in individual planning for employment; development of job seeking skills; development of customer-specific job skills; job analysis; support to learn job tasks; consultation with the Office of Vocational Rehabilitation (OVR), benefits counseling agencies, and provider networks under Ticket to Work on behalf of an individual; assistance in beginning a business; and outreach with prospective employers on behalf of the individual including consultation on tax advantages and other benefits. Job finding activities are rendered on the behalf of one individual at a time. Job support consists of training individuals in job assignments, periodic follow-up or ongoing support with individuals and their employers. The service must be necessary for individuals to maintain acceptable job performance and work habits including assistance in learning new work assignments, maintaining job skills, and achieving performance expectations of the employer. Other examples of activities that may be associated with job support include participation in individual planning for employment, direct intervention with an employer, employment related personal skills instruction, support to relearn job tasks, training to assist individuals in using transportation to and from work, maintenance of appropriate work and interpersonal behaviors on the job, follow-along services at the work site after OVR funded services are discontinued, and technical assistance and instruction for the individual‘s co-workers that will enable peer support. Job support activities are a direct service to one individual at a time.
Home and Community Habilitation (Unlicensed) - 7060
This is a direct service (face-to-face) provided in home and community settings to assist individuals in acquiring, maintaining, and improving self-help, domestic, socialization, and adaptive skills necessary to reside successfully in home and community-based settings. Services consist of support in the general areas of self-care, communication, fine and gross motor skills, mobility, therapeutic activities6, personal adjustment, relationship development, socialization, and use of community resources. Habilitation may be provided up to 24 hours a day based on the needs of the individual, to protect the individual‘s health and welfare. Through the provision of this service individuals learn, maintain, or improve skills through their participation in a variety of everyday life activities These activities must be necessary for individuals to live in the community, to live more independently, or to be more productive and participatory in community life.
The Home and Community Habilitation service may also be used to provide staff assistance to support individuals in the following ways:
1. Habilitation provided in an individual‘s own home and family settings that are not subject to Department licensing or approval, when the provider of habilitation meets established requirements and qualifications.
2. Support that enables the individual to access and use community resources such as instruction in using transportation, translator and communication assistance related to habilitative outcomes, and services to assist the individual in shopping and other necessary activities of community life.
3. Support that assists the individual in developing or maintaining financial stability and security, such as plans for achieving self-support; general banking; personal and estate planning; balancing accounts; preparing income taxes; and recordkeeping.
4. Support that enables an individual to participate in community projects, associations, groups, and functions, such as support that assists an individual to participate in a volunteer association or a community work project.
5. Support that is related to habilitative outcomes to enable an individual to visit with friends and family in the community.
6. Support that enables an individual to participate in public and private boards, advisory groups, and commissions.
7. Support that enables the individual to exercise rights as a citizen, such as assistance in exercising civic responsibilities.
8. Support provided during overnight hours when the individual needs the habilitation service to protect their health and welfare. If the individual only needs supervision during overnight hours, the appropriate service is Companion Services.
There may be multiple outcomes which are supported by this service with different providers or through self-directed opportunities within an individual‘s ISP as long as there is documented need with associated outcomes and there are no conflicts or overlaps with regard to day and time of service. For example, an individual may receive Home and Community Habilitation from 6:00 PM to 9:00 PM, Monday through Friday to satisfy an outcome related to participating in activities or utilizing resources that are community-based. The same individual could also be provided with a Home and Community Habilitation service that occurs in the home, scheduled Monday through Friday from 11:30 AM to 12:30 PM to support the individual in achieving an outcome of independent meal preparation.
Homemaker/Chore Services - 7283
Homemaker services consist of services to enable the individual or family members or friends with whom the individual resides to maintain their private residence. This service Effective July 1, 2010 Attachment 1 to Bulletin 00-11-02 84 can only be provided when a household member is temporarily absent or unable to manage the home, or when no landlord or agency caretaker staff is responsible to perform the homemaker activities. Homemaker Services must be provided by a qualified homemaker and may include cleaning and laundry, meal preparation, and other general household care.
Chore services consist of services needed to maintain the home in a clean, sanitary, and safe condition. This service can only be provided in the following situations:
Neither the individual, nor anyone else in the household, is capable of physically performing and financially providing for the function.
No other relative, caregiver, landlord, community/volunteer agency, or third party payer is physically capable of or responsible for their provision.
Chore services consist of heavy household activities such as washing floors, windows, and walls; tacking down loose rugs and tiles; moving heavy items of furniture in order to provide safe access and egress; ice, snow, and/or leaf removal; and yard maintenance. In the case of rental property, the responsibility of the landlord, pursuant to the lease agreement, will be examined prior to any authorization of service. Maintenance in the form of upkeep and improvements to the individual‘s residence is excluded from federal financial participation.
This service is limited to 40 hours per individual per fiscal year when the individual or family members or friends with whom the individual resides are temporarily unable to physically perform and financially provide for the homemaker/chore functions. A person is considered temporarily unable when the condition or situation that prevents them from physically performing and financially providing for the homemaker/chore functions is expected to improve.
There is no limit when the individual lives independently or with family member(s) or friend(s) who are permanently unable to physically perform and financially provide for the homemaker/chore functions. A person is considered permanently unable to provide the homemaker/chore service when the condition or situation that prevents them from physically performing and financially providing for the homemaker/chore functions is not expected to improve. The ISP team is responsible to determine whether a person is temporarily or permanently unable to physically perform and financially provide for the homemaker/chore functions. The ISP team‘s determination should be documented in the Outcome Summary‘ section of the ISP.
This service is not available for individuals residing in agency-owned, rented, leased, or operated homes (for example, licensed and unlicensed Family Living Homes and Community Homes).
Companion Services - 1727
Companion Services are provided to individuals living in private residences for the limited purposes of providing supervision and necessary care and minimal assistance that is focused solely on the health and safety of the adult individual (18 years of age and older) with mental retardation. This service is not available to people who are residing in Unlicensed or Licensed Residential Habilitation settings. Companion Services are used in lieu of habilitation services to protect the health and welfare of the individual when a habilitative outcome is not appropriate or feasible (that is, when the individual is not learning, enhancing, or maintaining a skill). This service can be used for asleep hours when only supervision or non-medical or non-habilitative care is needed to protect the safety of the individual with mental retardation. For example, a companion can be used during overnight hours for an individual who lives on their own but does not have the ability to safely evacuate in the event of an emergency. This service can also be used to supervise individuals during socialization or non-habilitative activities when necessary to ensure the individual‘s safety. Companions may supervise and provide necessary care and minimal assistance with daily living activities, including grooming, health care, household care, meal preparation and planning, and socialization. This service may not be provided at the same time as any other direct service.