Tuesday, November 10, 2015

#Waiverwise: Participant Assistance and Care (PAC)

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

Participant Assistance and Care (PAC)

Participant Assistance and Care (PAC) services are provided in order to allow participants (consumers) with intellectual/developmental disabilities to remain and live successfully in their own homes, function and participate in their communities, and avoid institutionalization. PAC services support and enable the participant in activities of daily living, selfcare, and mobility with the hands-on assistance, prompting, reminders, supervision, and monitoring needed to ensure the health, safety, and welfare of the participant. 

Reimbursable activities under Participant Assistance and Care services include the following: 
 Activities may include any task or tasks of direct benefit to the participant that would generally be performed independently by persons without intellectual/developmental disabilities or by family members for or on behalf of persons with intellectual/developmental disabilities. 

 Examples of activities include but are not limited to the following: 
 Assistance with personal care, meals, shopping, errands, scheduling appointments, chores, and leisure activities (excluding the provision of transportation) 
 Assistance with mobility – including but not limited to transfers, ambulation, use of assistive devices 
 Assistance with correspondence and bill-paying 
 Escorting the participant to community activities and appointments 
 Supervision and monitoring of the participant 
 Reinforcement of behavioral support 
 Adherence to risk plans 
 Reinforcement of principle of health and safety 
 Completion of task list 
Participating on the IST for the development or revision of the service plan (staff must attend the IST meeting in order to claim reimbursement)

Activities Not Allowed
Homeschooling, special education, and related activities 
 When the participant is admitted to an institutional facility (for example, Acute Hospital, Nursing Facility, ICF/IID) 
 For homemaker or maid service 
 As a substitute for care provided by a registered nurse, licensed practical nurse, licensed physician, behaviorist, licensed therapist, or other health professional. 
 Transportation costs are not included

Utilization of PAC services does not prohibit the use of any other service available under the Family Supports Waiver that is outlined on the ISP.

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