Wednesday, November 4, 2015

#Waiverwise: Community Based Habilitation

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual:
http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

Community-Based Habilitation Services (Group or Individual)

Group are services provided outside of the participant’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. Community-based activities are intended to build relationships and natural supports. Community settings are defined as non-residential, integrated settings that are primarily in the community where services are not rendered within the same buildings with non-integrated (segregated) participants. 

The following are limitations on group sizes: 
 Small groups (4:1 or smaller) 
 Medium groups (5:1 to 10:1) 
Habilitation services reimbursement does not include reimbursement for the cost of the activities in which the individual is participating when they receive skills training, such as the cost to attend a community event. 

Individual services are services provided outside of the Participant’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. Community-based activities are intended to build relationships and natural supports.

Note: Community settings are defined as non-residential, integrated settings that are primarily out in the community where services are not rendered within the same buildings alongside other nonintegrated participants Reimbursable Activities

Reimbursable activities include the following: 
 Monitoring, training, education, demonstration, or support to assist with the acquisition and retention of skills in the following areas:  
 Leisure activities and community/public events (for example, integrated camp settings) 
 Educational activities 
 Hobbies 
 Unpaid work experiences (for example, volunteer opportunities) 
 Maintaining contact with family and friends

 Training and education in self-direction designed to help participants achieve one or more of the following outcomes: 
 Develop self-advocacy skills 
 Exercise civil rights 
 Acquire skills that enable self-control and responsibility for services and supports received or needed 
 Acquire skills that enable the participant to become more independent, integrated, or productive in the community

The allowable staff/client ratio is 1:1


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