Sunday, November 15, 2015

#Waiverwise: Respite Care

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:


Respite Care services are services provided to participants unable to care for themselves. Respite Care services are furnished on a short-term basis in order to provide temporary relief to those unpaid persons normally providing care. Respite can be provided in the participant’s home or place of residence, in the respite caregiver’s home, in a camp setting, in a DDRSapproved day habilitation facility, or in a non-private residential setting (such as a respite home).

Reimbursable Activities:

 Assistance with toileting and feeding 
 Assistance with daily living skills, including assistance with accessing the community and community activities 
 Assistance with grooming and personal hygiene 
 Meal preparation, serving, and cleanup 
 Administration of medications 
 Supervision 
 Individual services 
 Group services (unit rate divided by number of participants served) 

 Respite Nursing Care (RN) or Respite Nursing Care (LPN) services may be delivered only when skilled care is required

The following activities are not allowed under Respite services: 
 Reimbursement for room and board 
 Services provided to a participant living in a licensed facility-based setting 
 The cost of registration fees or the cost of recreational activities (for example, camp) 
 When the service of SFC is being furnished to the participant 
 Other family members (such as siblings of the participant) may not receive care or supervision from the provider while Respite care is being provided/billed for the waiver participants 
 Respite care shall not be used as day/child care 
 Respite is not intended to be provided on a continuous, long-term basis as part of daily services that would enable the unpaid caregiver to go to work or to attend school 
 Respite care shall not be used to provide service to a participant while the participant is attending school 
 Respite care may not be used to replace skilled nursing services that should be provided under the Medicaid State Plan 
 Respite care must not duplicate any other service being provided under the participant’s POC/CCB  Services furnished to a minor by a parent(s), stepparent(s), or legal guardian 
 Services furnished to a participant by the participant’s spouse 

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