Community Living Services:
Community living services are individually-tailored supports that assist the participant with the acquisition, retention, or improvement of skills related to living in the community. These supports include adaptive skill development, assistance with activities of daily living including medication assistance, light housekeeping, community inclusion, transportation, adult educational supports, and social and leisure skill development that assist the participant to reside in the most integrated setting appropriate for their needs. Community living includes personal care, protective oversight, and supervision as indicated in the IPC. Participants shall be at least 18 years old.
Community Support Services:
Community support services offer assistance with acquisition, retention, or improvement in self-help, socialization, and adaptive skills. Services include activities designed to keep participants engaged in their environment, develop and maintain relationships, and build on previously learned skills. Services shall be furnished consistent with the participant’s IPC, and include full access to the community to the same degree as community members who do not receive Medicaid home and community based services. Adult educational supports are an approved activity of this service. Participants shall be at least 18 years old.
Companion Services:
Companion services include supervision, socialization, and assistance for a participant to maintain safety in the home and community, and to enhance independence. Companions may assist or supervise the participant with tasks such as meal preparation, laundry, and shopping, but do not perform these activities as discrete services. Companions may also perform light housekeeping tasks that are incidental to the care and supervision of the participant. The provision of companion services does not entail hands-on nursing care, but does include personal care such as medication assistance, and assistance with activities of daily living, as needed, during the provision of services. Routine transportation is included in the reimbursement rate. Participants shall be at least 18 years old. This service is subject to electronic visit verification.
Homemaker Services:
Homemaker services consist of chore-type activities such as meal preparation and routine household care. Services shall be available when the individual who is regularly responsible for these activities is temporarily unavailable or unable to manage the home and care for him or herself or others in the home. Homemaker is not a direct care service, so other waiver direct care services can be provided by a different provider or provider staff during the same time frame.
Individual Habilitation Training:
Individual habilitation training is a specialized 1:1 intensive training service to assist a participant with the acquisition or improvement in skills not yet mastered that will lead to more independence and a higher level of functioning. Individual habilitation training services are available for participants who live with unpaid caregivers or who need less than 24-hour paid supervision and support.
Personal Care:
Personal care services consist of a range of assistance to enable participants to accomplish tasks that they would normally do for themselves if they did not have a disability. Assistance may include hands-on assistance or prompting the participant to perform a task. Personal care services may be provided on an episodic or on a continuing basis. Health-related services that may be provided include care relating to medical or health protocols, medication assistance or administration, and range of motion exercises. Health related services may be provided after staff are trained by the appropriate trainer or medical professional, and documentation of training is evident. This service is available to all ages, and is a 1:1 service. This service is subject to electronic visit verification.
Respite:
Respite services are intended to be utilized on a short-term basis to provide relief for an unpaid or primary caregiver from the daily burdens of care. Respite includes assistance with personal care and activities of daily living (ADLs), medication assistance if needed, and supervision. This service is subject to electronic visit verification.
Child Habilitation:
Child habilitation services provide regularly scheduled activities and supervision to children for a portion of their day. Services include training, coordination, and intervention directed at skill development and maintenance, physical health promotion and maintenance, language development, cognitive development, socialization, social and community integration, and domestic and economic management. This service is limited to children under age 18. This service is subject to electronic visit verification.
Transportation Services:
Transportation is a gap service that enables participants to gain access to employment sites, community services, activities, and resources as specified in the IPC, when a service provider is not needed at the event. This service is not intended to replace formal or informal transportation options, such as the use of natural supports, city transportation services, travel vouchers, and Medicaid State Plan services. Transportation services under the waiver shall be offered in accordance with an individual’s IPC, and only when family, neighbors, friends, or community agencies are unable to provide transportation alternatives. Transportation services are available to participants 18 and older.