This information is from the Home and Community Based Children’s Extensive Support (CES) and Supported Living Services (SLS) Waivers. Please read the service definitions and provider qualifications that apply to you or your agency. You will need to ensure that services are provided according to the definitions and that you and your staff meet the appropriate qualifications.
Listing of Allowable services:
- Community Connector (CES only)
- Day Habilitation-Specialized Habilitation (SLS only)-Includes literacy training.
- Day Habilitation-Supported Community Connection (SLS only)
- Supported Employment (SLS only)
- Homemaker-Basic (CES and SLS)
- Homemaker-Enhanced (CES and SLS)
- Mentorship (SLS only)
- Personal Care (CES and SLS)
- Respite Care (CES and SLS)
1. Community Connector (applies to CES only)
Definitions:
Supports the abilities, and skills necessary to enable the individual to access typical activities, and functions of community life such as those chosen by the general population; including community education, or training, and volunteer activities. Supported Community connections provides a wide variety of opportunities to facilitate and build relationships and natural supports in the community while utilizing the community as a learning environment to provide services and supports as identified in the participant’s service plan.
These activities are conducted in a variety of settings in which participants interact with non-disabled individuals (other than those individuals who are providing services to the participant). These types of services may include socialization, adaptive skills, and personnel to accompany and support the individual in community settings, resources necessary for participation in activities and supplies related to skill acquisition, retention, or improvement. Community Connections are provided on a one-to-one basis as a learning environment to provide instruction when identified in the Service Plan.
Provider Qualifications:
Any individual providing this service must be at least 18 years of age and must have training and/experience commensurate with the service or support being provided.
Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
2. Day Habilitation-Specialized Habilitation (applies to SLS only)
Definition:
Day Habilitation includes assistance with acquisition, retention or improvement in self-help, socialization and adaptive skills that takes place in a non-residential setting, separate from the participant’s private residence or other residential living arrangement. Activities and environments are designed to foster the acquisition of skills, appropriate behavior, greater independence, and personal choice. Specialized habilitation (SH) services focus on enabling the participant to attain his or her maximum functional level, or to be supported in such a manner, which allows the person to gain an increased level of self-sufficiency.
These services are generally provided in non-integrated settings where a majority of the persons have a disability, such as program sites and supervised work settings. Such services include assistance with self feeding, toileting, self care, sensory stimulation and integration, self-sufficiency, maintenance skills, and supervision. Specialized habilitation services may serve to reinforce skills or lessons taught in school, therapy, or other settings and, where appropriate, are coordinated with any physical, occupational, or speech therapies as listed in the Service Plan.
NOTE: FOR SLS PROVIDERS ONLY – this category includes literacy training. Provider Qualifications:
Program management:
- B A or higher degree from an accredited college or university in the area of Education, Social Work, Psychology or related field and one year of successful experience in human services, OR
- An Associate’s Degree from an Accredited college and two years of successful experience in human services, OR
- Four years successful experience in human services
Provider will need to send in appropriate certifications, education, experience, etc.
Direct Care Staff: Must be at least 18 years of age, have the ability to communicate effectively, be able to complete required forms and reports and to follow verbal and written instructions. Have the ability to provide services in accordance with an Individual Services and Support Plan. Have completed minimal training based on State training guidelines. Have necessary ability to
perform the required job tasks, and have interpersonal skills needed to effectively interact with persons with developmental disabilities.
Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
3. Day Habilitation-Supported Community Connection (applies to SLS only)
Definition:
Day Habilitation includes assistance with acquisition, retention or improvement in self-help, socialization and adaptive skills that takes place in a non-residential setting, separate from the participant’s private residence or other residential living arrangement. Activities and environments are designed to foster the acquisition of skills, appropriate behavior, greater independence, and personal choice. Supported Community Connections supports in the abilities and skills necessary to enable the participant to access typical activities and functions of community life such as those chosen by the general population, including community education or training, retirement and volunteer activities.
Supported Community Connection provides a wide variety of opportunities to facilitate and build relationships and natural supports in the community, while utilizing the community as a learning environment to provide services and supports as identified in a participant’s Service Plan.
These activities are conducted in a variety of settings in which participants interact with non-disabled individuals (other than those individuals who are providing services to the participant). These types of services may include socialization, adaptive skills and personnel to accompany and support the participant in community settings, resources necessary for participation in activities and supplies related to skill acquisition, retention or improvement.
Supported Community Connections may be provided in a group setting and/or may be provided on a one-to-one basis as a learning environment to provide instruction when identified in the Service Plan.
Provider Qualifications:
Program management:
- B A or higher degree from an accredited college or university in the area of Education,
Social Work, Psychology or related field and one year of successful experience in human services, OR - An Associate’s Degree from an Accredited college and two years of successful experience in human services, OR
- Four years successful experience in human services
Provider will need to send in appropriate certifications, education, experience, etc.
Direct Care Staff: Must be at least 18 years of age, have the ability to communicate effectively, be able to complete required forms and reports and to follow verbal and written instructions. Have the ability to provide services in accordance with an Individual Services and Support Plan. Have completed minimal training based on State training guidelines. Have necessary ability to perform the required job tasks, and have interpersonal skills needed to effectively interact with persons with developmental disabilities.
Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
4. Supported Employment (applies to SLS only) Definition:
Supported Employment services consist of intensive, ongoing supports that enable participants, for whom competitive employment at or above minimum wage is unlikely absent the provision of supports, and who, because of their disabilities, need supports, to perform in a regular work setting. Supported employment may include assessment and identification of vocational interests and capabilities in preparation for job development, assisting the participant to locate a job or job development on behalf of the participant.
Supported employment is conducted hi a variety of settings in which participants interact with non-disabled individuals (other than those individuals who are providing services to the participant) to the same extent that individuals employed in comparable positions would interact. Persons must be involved in work outside of a base site. Included are persons in community jobs, in enclaves, and on mobile crews. Group employment (e.g. mobiles crews and enclaves) shall not exceed 8 persons. Supported employment includes activities needed to sustain paid work by participants, including supervision and training.
Provider Qualifications:
Agency providing this support must be a Program Approved Service Agency (approved by DHS/DDD) Supported Employment Agency Program Management:
- B A or higher degree from an accredited college or university in the area or Vocational Rehabilitation, Education, Social work, Psychology or related field and completion of a DHS/DDD approved Supported Employment training course or one year of successful experience in employment counseling, job placement, job coaching or vocational rehabilitation, OR
- An Associates Degree from an accredited college and completing of a DHS/DDD
approved Supported Employment training course or two years of successful experience in employment counseling, job placement, job coaching or vocational rehabilitation and completion of a DDD approved Supported Employment training course, OR - Four years of successful experience in employment counseling, j ob placement, job
coaching or vocational rehabilitation and completion of a DHS/DDD approved Supported Employment training course.
Provider will need to send in appropriate certifications, education, experience, etc.
Employment Consultant/Job Coach:
In addition to the requirements listed under Day Program Direct Care, must complete a DDD
approved Supported Employment.
Provider will need to send in appropriate certifications, education, experience, etc.
5. Homemaker-Basic (applies to CES and SLS)
Definition:
Services that consist of the performance of basic household tasks within the participant’s primary residence (i.e. cleaning, laundry, or household care) including maintenance which are related to the participant’s disability and provided by a qualified homemaker, when the parent or primary caretaker is unable to manage the home and care for the participant in the home. This assistance must be due to the participant’s disability that results in additional household tasks and increases the parent/caregiver’s ability to provide care needed by the by the participant. This assistance may take the form of hands-on assistance (actually performing a task for the participant) or cuing to prompt the participant to perform a task.
Provider qualifications:
Any individual providing this service must be at least 18 years of age and must have training and/experience commensurate with the service or support being provided. Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
6. Homemaker-Enhanced (applies to CES and SLS)
Definition:
Services provided by a qualified homemaker that consist of the same household tasks as described under Basic Homemaker services with the addition of either habilitation or extraordinary cleaning. Habilitation includes direct training and instruction to the participant, which is more than basic cuing to prompt the participant to perform a task.
Habilitation shall include a training program with specific objectives and anticipated outcomes. There may be some amount of incidental basic homemaker services that is provided in combination with enhances homemaker services, however, the primary intent must be to provide habilitative services to increase independence of the participant.
Habilitation may include some hands-on assistance (actually performing a task for the participant) or cuing to prompt the participant to perform a task, only when such support is
Provider Qualifications:
Any individual providing this service must be at least 18 years of age, have the ability to communicate effectively, be able to complete required forms and report, and follow verbal and written instructions; have the ability to provide services in accordance with an Individual Services and Support Plan and must have training and/or experience commensurate with the service or support being provided.
Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
7. Mentorship (applies to SLS only)
Definition:
Service provided to participants to promote self-advocacy through methods such as instructing, providing experiences, modeling and advising. This service includes assistance in interviewing potential providers, understanding complicated health and safety issues, and assistance with participation on private and public boards, advisoiy groups and commissions. This service may also include training in child and infant care for parent(s) who themselves have a developmental disability. This service does not duplicate case management or waiver services such as Day Habilitation.
Provider Qualifications:
Any individual providing this service must be at least 18 years of age and must have training and/experience commensurate with the service or support being provided. Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
8. Personal Care (applies to CES and SLS)
Definition:
A range of assistance to enable participants to accomplish tasks that they would normally do for themselves (i.e. hygiene, bathing, eating, dressing, grooming, bowel and bladder care, menstrual care, transferring, money management, grocery shopping), if they did not have a developmental disability. This assistance may take the form of hands-on assistance (actually performing a task for the person) or cueing to prompt the participant to perform a task. Personal Care services may be provided on an episodic, emergency, or continuing basis.
Clarification from DDD on 5/20/10: First aide, medication administration, assistance scheduling and/or reminders to attend routine/as needed medical, dental and therapy appointments, support/accompanying participants to routine/as needed medical, dental, and/or therapy appointments to ensure understanding of instructions, doctor’s orders, follow up, diagnoses
and/ or testing required, and/or skilled care that takes place out of the home are allowable as part of health related services under Personal Care.
Provider Qualifications:
Any individual providing this service must be at least 18 years of age and must have training and/experience commensurate with the service or support being provided. Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.
9. Respite (applies to CES and SLS)
Definition:
Services provided to participants that are furnished on a short term basis, because of the absence or need for relief of those persons who normally provide care for the participant. Respite may be provided in the participant’s home/private place of residence or the private residence of a respite care provider. Federal financial participation is not to be claimed for the cost of room and board except when provided as part of respite care furnished in a facility approved by the State that is not a private residence. Respite shall be billed according to a unit rate or a daily rate whichever is less. Daily rates apply for services that are 10 hours or more within a 24 hour period. Unit rates apply to respite care that is 9.75 hours or less within a 24 hour period.
Camp: The participant receives respite in a camp setting which is defined as a facility that offers 24 hour supervision through supervised overnight group accommodations. The intention of the service must be to provide the primary caregiver a temporary break from caring for the participant.
Group: This includes after-school programs and summer camp programs. The participant receives care with other individuals, who may or may not have a disability.
Provider Qualifications:
Any individual providing this service must be at least 18 years of age and must have training and/experience commensurate with the service or support being provided. Provider will need to provide a statement indicating they and/or staff are over the age of 18 and document the training and/or experience.