Thursday, November 12, 2015

#Waiverwise: Prevocational Services

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

Prevocational Services

Prevocational Services are services that prepare a participant for paid or unpaid employment. Prevocational Services include teaching concepts such as compliance, attendance, task completion, problem-solving, and safety. Services are not job-task oriented, but instead, aimed at generalized results. Services are habilitative in nature and not explicit employment objectives. 

Reimbursable activities under Prevocational Services include the following: 
 Monitoring, training, education, demonstration, or support provided to assist with the acquisition and retention of skills in the following areas: 
 Paid and unpaid training compensated at less than 50% of the federal minimum wage 
 Generalized and transferrable employment skills acquisition 
 These activities may be provided using off-site enclave or mobile community work crew models.  Participants may choose to utilize Supported Employment Follow Along (SEFA) Services and Prevocational Services during the same service plan year 

The following are limitations on group sizes:  Small (4:1 or smaller)  Medium (5:1 to 10:1)  Larger (larger than 10:1 but no larger than 16:1)

The following activities are not allowed under Prevocational Services: 
 Services that are available under the Rehabilitation Act of 1973 or section 602(16) & (17) of the Individuals with Disabilities Education Act 
 Activities that do not foster the acquisition and retention of skills 
 Services in which compensation is greater than 50% of the federal minimum wage 
 Activities directed at teaching specific job skills 
 Sheltered employment, facility- or community-based 
 Services furnished to a minor by parent(s), stepparent(s), or legal guardian

Facility settings are defined as non-residential, non-integrated settings that take place within the same building(s) for the duration of the service rather than being out in the community. 
• Community settings are defined as non-residential, integrated settings that are primarily out in the community where services are not rendered within the same building(s) alongside other non-integrated participants.


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