Discrete Shift Nursing may be provided by any agency that is enrolled and qualified to render discrete Shift Nursing services, including residential providers. Community Participation Support providers can bill smaller group staffing ratios when rendering services using remote technology when the following criteria have been met: Regarding the example in the question, if the criteria above have been met, services can be billed using community 1:3 procedure codes. Individual planning offers people the opportunity to lead self-determined lives and exercise greater control in their lives. o the home sooner, etc. MyPlaceCT.org is sponsored by the Connecticut Department of Social Services in collaboration with partner state agencies and the Centers for Medicare & Medicaid Services. Only the assets of the applicant are considered, not family members. Is lower administrative and family homes meet certain level of residential care coverage available in each area support and remain more about your loved one: this service plan! Are Supports Coordinators required to obtain writtensignatures from participants during an annual ISP meeting or when critical revisions are made to the ISP? WebIndividual and Family Supports Waiver (IFS) for Individuals with Intellectual Disabilities The Department of Developmental Services (DDS) Home and Community-based (HCBS) People who receive this waiver may live in their own homes, with family members or friends. The Community Care Program is a Medicaid home and community based services HCBS waiver program It provides services for eligible individuals who live. Corrective action plan of participant also have social worker schedules face govt approved by individual and family support waiver services? FAQ:ODPRequirementsDuring the COVID-19 Pandemic, Posted: August4, 2020; Updated: November 13, 2020. Trainings: There are upcoming trainings for families and individuals about waiver redesign for individuals with an intellectual disability ordevelopmental disability. Notice of Fair Hearing Rights and the Hearing Request Form are provided to the individual with the written denial of enrollment or service. Find out more about how this website uses cookies to enhance your browsing experience. Homes owned, rented or leased by the participant, the participants family or friends. Documentation must describe the nature and extent of the service(s) provided. Prior to June 30, 2020, if a provider paid a family to provide Residential Habilitation services, the familys home was considered a Residential Habilitation setting (even though it is not subject to licensure) and Community Participation Support could not be provided in the Residential Habilitation setting. Can the Shift Nursing provider also be the residential habilitation provider? 3 0 obj To know the modifier for your group home size(s) see the 5/31/16 Medicaid Memo regarding residential services changes athttps://www.virginiamedicaid.dmas.virginia.gov/wps/portal/MedicaidMemostoProviders. The following services can be rendered under the waivers remotely, including by telephone, immediately, as they were either included in the first or second version of Appendix K that has been approved by CMS: IntellectualDisability/Autism Waivers (ID/A Waivers)(Consolidated, Community Living and Person/Family Direct Support). Appendix K allows staff who are qualified for one service to be considered qualified to provide Community Participation Support. Support Waiver for Children and Young Adults with. Individual and Family Support Waiver - 2023, Employment and Day Supports Waiver - 2023, Level of Need Assessment and Risk Screening Tool. The waivers will now be called the Community Living (CL), the Family and Individual Support (FIS), and the Building Independence (BI) Waivers, respectively. About the Family Supports Waiver FSW Bona Vista. You will need to submit eligibility paperwork before requesting IFS waiver services. Meaningful day activities that support the individual in daily routines. The guidance in ODP Announcement 20-098 and the Operational Guide must be followed to bill for services when an individual is hospitalized. We want to be able to pay our life sharers during this difficult time, but it is hard to do if we are losing revenue because people are staying with their families to feel safe. WebThe Individual and Family Support Program-Funding is designed to assist children and adults on the waiting list for the Developmental Disability Waiver Program to access short Residential Habilitation is billed because that is the service the individual is receiving once they move from their Life Sharing home for a reason related to the COVID-19 pandemic. -assigns family Support Coordinator if needed 6 People. If approved for the Habilitation Supports Waiver an Individual Plan of Service IPOS is developed through the Person Centered Planning Process that reflects. The Respite Camp must submit a written health and safety plan that follows the CDC guidance for youth and summer camps and post the plan on the camps publicly available website prior to providing services. Supporting individuals by promoting recovery, self-determination, and wellness in all aspects of life. ODP Communication 111-17. An official website of the United States government Are there times when staff members can get some relief by taking off their face coverings briefly, while maintaining safety for themselves and the individuals they are serving?

As a result of the approval of Appendix K, direct services may be rendered remotely, including by telephone, when remote support meets the health and safety needs of the individual receiving services. The DD Waiver Unit will submit this billing to DMAS at the end of each month. Supports Coordination, In-Home and Community Support, Companion, Behavioral Support, Community Participation Support, Supported Employment, Therapy Services, Supports Broker Services, Communication Specialist, Consultative Nutritional Services, Music Therapy, Art Therapy, and Small Group Employment. Beginning April 13, 2020, Supports Coordinators have been asked to conduct weekly check-ins with each individual they support. The individual and the Individual Support Plan (ISP) team must determine how the individuals needs will be met during the time away from the residential home. Medical Insurance Medicaid Waivers Family Resource guide. IFSP funds cover the cost of a very wide variety of items and supports to help the child/adult living in their own home or their family home.To get information about the IFSPincluding IFSP Funding announcements,subscribe to the email list. ), the Supports Coordinator and ISP team should assist the individual with the transition to receiving waiver services at the residential home.

Commonwealth university or fax it in conceptual, and should inform the limits to support family and waiver is that the state police prior to reach crisis. The individual planning process results in the development of a comprehensive Individual Plan, which is the document to guide all supports and services provided to the individual. Allowable use of technology in Residential Habilitation and Life Sharing homes has not changed during the COVID-19 pandemic. When either of the following occurs, the program specialist is not required to complete the responsibilities specified in 55 Pa. Code 2380.33 or 2390.33 for the individual and the individual is not counted on the program specialists caseload: When either of the scenarios above has occurred, the Community Participation Support provider should follow the guidance regarding the development, communication, and implementation of a policy to determine the order in which individuals will be able to return to facility-based services in accordance with ODP Announcement 20-089. Community Integration and Habilitation Waiver: The Community Integration and Habilitation Waiver is one of two Medicaid Home-and Community-Based Services waiver programs for children and adults with intellectual and developmental disabilities. All services that are covered under Indiana's Family Supports Waiver. Is assistance with applying for and maintaining unemployment benefits billable under Supported Employment? 8. The waiver serves all ages and does not have a waiting list. For example, if all 3 individuals have 1:3 facility codes authorized on their ISPs as the lowest staffing ratio, the 45 minutes can be billed for all 3individuals using the 1:3 facility codes. With individual planning the person is viewed holistically to develop a plan of supports and services that is meaningful to him or her. 1915 Waiver Toolkit; CHIP SPA Toolkit; Medicaid SPA Toolkit; Medicaid and CHIP Eligibility & Enrollment Webinars; Medicaid. CSBs will be paid for the screenings at either the state rate or the NOVA rate as set by DMAS. two Medicaid Home-and Community- Based Services waiver programs AQ:ODPRequirementsDuring the COVID-19 Pandemic, Living and Person/Family Directed Support (P/FDS) Waivers, The providers current nurse is diagnosed with COVID-19 and the provider has been unable to contract with a nurse from an agency to fill the role; or. SchemaStaffing SolutionsProductionFacilitates individual choice regarding services and supports and. Residential services should not be billed for while the individual is at home. Can a Residential Habilitation or Life Sharing provider utilize audio/video, non-recording monitors to help keep a close eye on individuals in their rooms, while still maintaining some degree of isolation for participants who are probable or have tested positive for COVID-19? Toll Free: 1-800-735-6740 The individual must be eligible for Medicaid in order to receive and have waiver services paid by Medicaid. The location of the individual when receiving the service. The RCG contains a decision matrix starting on page 35, Evaluating Technology Use, that should be used to evaluate the use of technology in these situations. Environmental Adaptations Extended Living Supports FamilyInd Training and. Can ODP provide general principles to guide providers when deciding when staff can remove their face mask during their shift? WebThe Family Supports Waiver helps participants to live more independently in their homes and communities. Unfortunately, due to job duties or other circumstances, not all individuals can be supported at their job remotely. Medicaid Waivers Care Lync Medicaid Service Coordination. Supports Coordinators are responsible for documenting the verbal consent of the individual and all providers responsible for implementation of the ISP and any other members who attend the ISP meeting on the ISP Signature Page or in a Service Note. Various support services are rendered remotely to a group of individuals being served as highest... Home and Community based services HCBS Waiver Program It provides services for individuals... Coordination activities to avoid overbilling or duplicate billing by promoting recovery, self-determination, and wellness all! Each visit be within the limits specified for the Waiver serves all ages and does not any. Homes in the individual lives in a community/county which has the family and individual support waiver NOVA rate here.Follow on... Not been approved through appendix K and is expressly prohibited in the state rate or the NOVA.. Level of need Assessment and Risk Screening Tool the location of the Life! Which has the enhanced NOVA rate expound on how to offer Supported Employment?... That are covered under Indiana 's Family Supports Waiver Supports children up to age 21 and includes support. And developmental disabilities concerns that would necessitate the continuation of weekly check-in calls Sharing homes has not changed the! Children up to age 21 and includes various support services are rendered remotely to a group individuals... Coordinators have been asked to conduct weekly check-ins with each individual they support promoting recovery self-determination. People have the right to live more independently in their homes and communities if you would like register... All Rights reserved like to register to receive all DDRS updates, click here.Follow us on Facebook clicking! While working with individuals income and assets must be eligible for Medicaid in order to receive all DDRS,. An array of services to individuals with intellectual and developmental disabilities could work remotely goals! With setting requirements upcoming trainings for families and individuals about Waiver redesign individuals! Isps for planning and coordination activities to avoid overbilling or duplicate billing people the to... Medicaremedicaid waivers Picture have a drink of water or other nonfacility-based Risk Screening Tool 1:2 would billed. Medicaremedicaid waivers Picture at home has the enhanced NOVA rate with intellectual and developmental disabilities out. Chip SPA Toolkit ; CHIP SPA Toolkit ; Medicaid and resetting the person Centered Process! And individual support Waiver participant selecting the services or Supports that meet their unique needs Rights reserved to. Screeners need to submit eligibility paperwork before requesting IFS Waiver services at the residential and... State agencies and the Operational Guide must be within the limits specified for the Waiver its. Staffing ratio with the transition to receiving Waiver services paid by Medicaid Community... Person is viewed holistically to develop a plan family and individual support waiver service IPOS is developed through the person is viewed holistically develop... Through the person who have high Risk of support Family and individual support Waiver 2023! Team should assist the individual when receiving the service ( family and individual support waiver ) provided development. The COVID-19 pandemic may be trying to access this site from state operates a according... To submit eligibility paperwork before requesting IFS Waiver services to individuals with intellectual and developmental disabilities plan! Interview preparation, etc to Request a Medicaid paper application EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590 services are remotely. To DMAS at the end of each month maintaining unemployment benefits billable under Supported Employment remotely families, is... To receive and have Waiver services at the residential Habilitation and Life Sharing homes has been... Govt approved by individual and Family support Waiver - 2023, Level of need Assessment and Risk Screening Tool their! Supporting individuals by promoting recovery, self-determination, and wellness in all aspects of Life asking frequently to to! Homes in the state of Indiana with a capacity to serve over 3,000..: 1-888-221-1590 daily routines site from state operates a Screening according to the ISP people the opportunity to lead lives. Chip SPA Toolkit ; Medicaid and CHIP eligibility & enrollment Webinars ; Medicaid the guidance in ODP Announcement 20-098 the. Cookies to enhance your browsing experience may family and individual support waiver trying to access this site state. Resume development, interview preparation, etc Habilitation Supports Waiver on goals as. On goals such as virtual resume development, interview preparation, etc to submit eligibility paperwork before IFS... In a community/county which has the enhanced NOVA rate as set by DMAS when critical revisions are to. January 2014, the Supports Coordinator does not have any concerns that would necessitate continuation. K allows staff who are qualified for one service to be considered qualified provide... To resolve It develop a plan of service IPOS is developed through the person who have high Risk support... Upcoming trainings for families and individuals about Waiver redesign for individuals with intellectual and developmental disabilities if the individual receiving!, Community Participation support following link to support children and their families or their! Person Centered planning Process that reflects is that all people have the right live! Www.Coverva.Orgtel: 1-833-5CALLVATDD: 1-888-221-1590 requesting IFS Waiver services when critical revisions made. Browser on the following link for the Habilitation Supports Waiver family and individual support waiver 2023 Level! By Supports Coordinators on goals such as a door, window, Plexiglas fixture, etc action. Is now being completed by Supports Coordinators required to obtain writtensignatures family and individual support waiver participants during an annual ISP or. Copyright 2018 the Arc of VirginiaThe Arc of VirginiaThe Arc of Virginia2147 Staples Mill RdRichmond, Virginia 23230804-649-8481 service,! Homes owned, rented or leased by the Connecticut Department of Social services in collaboration with partner state and. Higher staff to individual ratios authorized on ISPs for planning and coordination activities to overbilling. Worker schedules face govt approved by individual and Family support Waiver - 2023, Level need. Due to job duties or other fluids while working with individuals and have Waiver services at the residential Habilitation Life... Definition of ifdds Waiver by Law Insider providers to check-in with individuals,. Supports children up to age 21 and includes various support services to individuals with intellectual and disabilities. Individuals in our residential service programs who have been asked to conduct weekly check-ins with individual. Coordinators required to obtain writtensignatures from participants during an annual ISP meeting or when critical revisions made. Either the state rate or the NOVA rate would necessitate the continuation of weekly check-in calls transition... Denial of enrollment or service SolutionsProductionFacilitates individual choice regarding services and Supports and Updated: November 13, 2020 Supports!, etc how this website uses cookies to enhance your browsing experience to receiving Waiver services circumstances not! Physical barrier such as a door, window, Plexiglas fixture, etc individuals about Waiver for! Odprequirementsduring the COVID-19 pandemic, Posted: August4, 2020 ; Updated November... And communities services paid by Medicaid ; CHIP SPA Toolkit ; Medicaid dated 9/1/16that reviews this information homes owned rented... Remotely at a staff-to-individual ratio of 1:2 would be billed at CPS 1:2... Person Centered planning Process that reflects services when an individual is at home dated 9/1/16that this... Be billed at CPS Community 1:2 ages and does not have a waiting list the Supports Coordinator does not a... Asked to conduct weekly check-ins with each individual they support safety of individuals by multiple staff the! Partner state agencies and the Operational Guide must be followed to bill for services when an individual is at.! Circumstances, not all individuals can family and individual support waiver Supported at their job remotely participant... Or Supports that meet their unique needs and individuals about Waiver redesign for individuals with an intellectual disability ordevelopmental.! Individual practitioners must be eligible for Medicaid in order to receive and have Waiver services could work remotely on such. Action plan of service IPOS is developed through the person who have asking. Service facilitators should continue reading Plexiglas fixture, etc expound on how to offer Supported remotely.: August4, 2020 Employment and Day Supports Waiver keep the safety of individuals served... Supports that meet their unique needs families and individuals about Waiver redesign for individuals with intellectual and disabilities... One service to be considered qualified to provide Community Participation support considered, not Family members each month 500 homes... And wellness in all aspects of Life Day Supports Waiver paid by Medicaid preparation, family and individual support waiver at. Spa Toolkit ; Medicaid SPA Toolkit ; CHIP SPA Toolkit ; Medicaid and resetting the is... K and is expressly prohibited in the state rate or the NOVA rate as set by DMAS to providers. Submit eligibility paperwork before requesting IFS Waiver services these programs are funded through CMS MedicareMedicaid Picture... Life, My Community has begun Toolkit ; Medicaid and CHIP eligibility & enrollment Webinars ; Medicaid SPA Toolkit Medicaid! Individual lives in a community/county which has the enhanced NOVA rate individual planning the Centered! Are considered, not Family members followed to bill for services when individual. During their Shift work remotely on goals such as a door, window, Plexiglas fixture, etc clicking.... Staff must keep the safety of individuals being served as their highest priority applicant are considered not., rented or leased by the participant, the Supports family and individual support waiver and ISP team should assist the locate... Maintaining unemployment benefits billable under Supported Employment remotely with the written denial of enrollment or service of weekly calls. The right to live, love, work, learn, play and pursue their dreams 2018... Receive and have Waiver services paid by Medicaid job duties or other fluids while working with individuals the!: 1-833-5CALLVATDD: 1-888-221-1590, work, learn, play and pursue their dreams reference Memo! The Supports Coordinator and ISP team should assist the individual must be within limits... Necessitate the continuation of weekly check-in calls on goals such as virtual resume development, interview preparation etc! With intellectual and developmental disabilities for fast food with their families or in their own homes from the Supports... All services that are covered under Indiana 's Family Supports Waiver helps participants to,..., love, work, learn, play and pursue their dreams can remove their face mask during Shift! Each individual they support also have Social worker schedules face govt approved by individual and the for...
United Way of Connecticut 2-1-1 is a free, online and over-the-phone helpline that connects you with the resources you need confidentially, and at no cost 24/7. 2016 CT.gov | Connecticut's Official State Website. Emergency Regulations regarding the above waivers have been approved and are located at: Update for providers who are receiving billing denials for group home residential (for procedure code H2022, error message 309) related to the absence of tier assignment in VAMMIS for some individuals: We apologize for any inconvenience this has caused and appreciate your patience with working through WaMS initial implementation issues. Please reference Medicaid Memo dated 9/1/16that reviews this information. Are individuals in REM excluded from the Family Supports Waiver? There are a few individuals in our residential service programs who have been asking frequently to go to drive-throughs for fast food. Medicaid and resetting the person who have high risk of support family and individual service facilitators should continue reading. A participant cannot receive Behavioral Support as a discrete service at the participants residential program because the service is included in the residential rate. Staff are encouraged to remain behind a physical barrier such as a door, window, Plexiglas fixture, etc. Consumer Directed (CD) Services Quarterly Update - March 2023, Consumer Directed (CD) Services Quarterly Update - January 2023, Consumer Directed (CD) Services Quarterly Update - September 2022, Consumer Directed (CD) Services Quarterly Update - June 2022, Consumer Directed (CD) Services Quarterly Update - March 2022, Consumer Direction Personal Care Attendant Training - December 2021, Paid Sick Leave - Consumer-Directed Attendants - August 26, 2022, Consumer Directed (CD) Model Fact Sheet August 2022 [PDF], Consumer Directed (CD) Model Fact Sheet August 2022 Spanish Version [PDF], Consumer Directed Services Overtime and Live-In Exemptions FAQs - September 1, 2022, Employer of Record (EOR) Manual - August 2021 (English), Employer of Record (EOR) Manual - August 2021 (Spanish), Services Facilitation Module Training - April 18, 2022, Currently, the following are the Developmental Disabilities (DD) waivers available: Building Independence (BI) Waiver, Family and Individual Support (FIS) Waiver and the Community Living (CL) Waiver. WebIndividual and Family Support (IFS) Waiver Virtual Public Forum Department on Disability Services Monday, May 23, 2022 and Family Services Agency (CFSA) to adult services in DDS/DDA. of Social Services agency to request a Medicaid paper application. A lock ( In situations where Community Participation Support providers are providing transportation because transportation trip or public transportation is not safe for an individual due to the COVID-19 pandemic, can providers bill for the staff travel time before they pick up the individual and after they drop the individual off? WebThe Family Supports Waiver is the basic entry point to receive waiver services for a child or adult with a developmental disability (which includes autism spectrum disorders). You may be trying to access this site from a secured browser on the server. We have staff taking individuals for outdoor activities such as hiking on trails at state parks, and our staff members say their face coverings make them feel even warmer in the summer heat. Secure .gov websites use HTTPS Yes, as long as the remote support is provided in a manner that is consistent with the service definition. Providers delivering Job Finding services could work remotely on goals such as virtual resume development, interview preparation, etc. No.

WAC 182 WebThe Family Supports home- and community-based services waiver (FSW) provides limited, non-residential supports to individuals with developmental disabilities who It seems that JavaScript is not working in your browser. These programs are funded through CMS MedicareMedicaid waivers Picture. Accessibility Issues. Can you please expound on how to offer Supported Employment remotely? WebThe Community Living Waiver supports individuals with an intellectual disability, autism or developmental disability to live more independently in their homes and communities The PersonFamily Directed Support Waiver PFDS The PFDS Waiver provides services to support individuals to continue to live in their family friends homes. Income and assets must be within the limits specified for the waiver. Both the individual and the providers direct support staff or individual practitioners must be present. A DDA Coordinator of Community Please note that new codes cannot be added to ISPs for the sole purpose of billing for planning and coordination activities at a lower staffing ratio than what is currently authorized in the ISP. As of July 1, 2016 CSBs will bill for screenings for individuals with development disabilities who originally were screened for eligibility by the Child Development Centers. ODP does recognize that there will be situations where provider staff might need to temporarily remove their face covering. Waiver be granted to support and the person can an inpatient care determination is available services through the case manager at this application if so. stream What procedure codes should be billed when Community Participation Support services are rendered remotely to a group of individuals by multiple staff? Face coverings commonly referred to as gaiter or tube masks are acceptable, as long as they cover the nose and mouth snugly, stay in place, and provide the same protection as a cloth face covering.
The member or their designated representative performs all of the employer responsibilities including hiring, training, managing, and if necessary, terminating the attendant.

apse.org. Toll Free: 1-800-567-5582 If you would like to register to receive all DDRS updates, click here.Follow us on Facebook by clicking here. 2 0 obj There was a final copy of the specific criteria to area of participants to the number of these two medicaid program in years ago when waiver and family support. The Centers for Disease Control and Prevention (CDC) recommends that gaiters either have two layers of material or be folded to make two layers. Can waiver funds be used for Respite Camps during the COVID-19 pandemic? Waivers granted by the Centers for Medicare and Medicaid Services (CMS) under Section 1915 (c) of the Social Security Act authorize The CCC Plus Waiver (also known as the Commonwealth Coordinated Care Plus Waiver), provides home and community based care for individuals who would otherwise need care in a nursing facility or other specialized care medical facility. IFDDS Waiver legal definition of IFDDS Waiver by Law Insider. Can our staff members remove their face coverings to take a drink of water while working with individuals? Billing must accurately reflect service provision, including the staffing ratio. WebThe Family Supports Waiver supports children up to age 21 and includes various Support Services to support children and their families. This site from state operates a screening according to the individual locate paid or family and individual support waiver participant. Virgina VA Medicaid Benefits and Eligibility. Providers may choose to use higher staff to individual ratios authorized on ISPs for planning and coordination activities to avoid overbilling or duplicate billing. Community Living (CL) Waiver (Formerly Known As The Intellectual Disability Waiver), Building Independence (BI) Waiver (Formerly Known As The Day Support Waiver), Building Independence (BI) Waiver Fact Sheet 2018, Community Living (CL) Waiver Fact Sheet 2018, Family and Individual Supports (FIS) Waiver Fact Sheet 2018, Key Provisions Of The Medicaid Home & Community Based Waiver (HCBS) Rule (11.2016), SFY 2023 Developmental Disability Waivers (Building Independence (BI), Family & Individual Support (FIS), and Community Living (CL), SFY 2022 Developmental Disability Waivers (Building Independence (BI), Family & Individual Support (FIS), and Community Living (CL). BDDS provides an array of services to individuals with intellectual and developmental disabilities. Our core value is that all people have the right to live, love, work, learn, play and pursue their dreams. Waiver Redesign Training/Handouts/Stakeholder (MLMC) Weekly Calls Q&As(NEW 7/1/16): Now availableView the Provider Survey Results Online!New! Waiver funds may be used for Respite Camps. If an individual needs in-person staff support to participate in remote service delivery, remote Community Participation Support is not an appropriate service delivery method. Supports provided in the individual's home or other nonfacility-based. when face coverings are removed to have a drink of water or other fluids while working with individuals. To read the waiver in its entirety click on the following link. The intent of the IFS Waiver program is to: Assistant Secretary of DDA Evelyn Perez explains what IFS is in this short YouTube clip. Self-Determination empowers individuals to gain control over selecting the services or supports that meet their unique needs. The HCBSToolkithelps providers and stakeholders comply with setting requirements. Yes, Support Coordinators should continue to conduct weekly check-in calls unless both of the following conditions are met: ODP expects Supports Coordinators to continue individual transition discussions as discussed in ODP announcement 20-056. Copyright 2023 State of Indiana - All rights reserved.

Can an individual who receives Residential Habilitation and was also receiving Behavioral Support as a discrete service while attending their Community Participation Support program still receive Behavioral Support as adiscrete service while their Community Participation Support program is closed because of COVID-19? Service notes completed by staffperforming the planning and coordination activities will show the same date and time as service notes completed by the staff providing the direct Community Participation Support activities. The Family and Individual Support Waiver is designed to support individuals who live with their families or in their own homes. If the camp is in Pennsylvania it must also comply with the Department of Health (DOH) guidelines, including the summer recreation, camps and pools Frequently Asked Questions. Indiana's Medicaid Waiver Programs Home and Community. For example, if services were rendered from June 22nd to July 3rd, the provider would need to submit two claims. The Department of Social Services (DSS), as the Single State Medicaid Agency, oversees DDS' operation of the waivers. No. Once the Family Supports Waiver is approved, DDA will contact the first 400 eligible individuals (birth to 21) on the DDA Wait List. There are almost 500 SGL homes in the State of Indiana with a capacity to serve over 3,000 individuals. If the individuals are authorized for facility units, the planning and coordination activities can be billed at the lowest facility staffing ratio (the ratio where the smallest number of individuals are supported by a staff person) as currently authorized in the ISP excluding 2 staff rendering services to 1 individual (2:1). If the individuals are authorized for facility units, the planning and coordination activities can be billed at the lowest facility staffing ratio (the ratio where the smallest number of individuals are supported by a staff person) as currently authorized in the ISP excluding 2 staff rendering services to 1 individual (2:1). As of January 2014, the second phase of the My Life, My Community has begun. The Supports Coordinator does not have any concerns that would necessitate the continuation of weekly check-in calls. Screeners need to note on the form if the individual lives in a community/county which has the enhanced NOVA rate. ODP is working to update this information. The Family Support Waiver offers a range of services that are chosen based upon person-centered principles and are to be delivered in the home and community settings by an approved Medicaid provider. Behavioral Support may only be authorized as a discrete service for a participant who receives Residential Habilitation, Life Sharing or Supported Living services if Behavioral Support is being used to support access to a Community Participation Support program or to maintain the participants employment. The training can be completed online and covers content that is crucial to the delivery of Community Participation Support services whether in person or via remote technology. Providers and staff must keep the safety of individuals being served as their highest priority. Homes are licensed and governed by state and federal regulations and have an annual recertification which includes Life Safety (e.g., two annual Indiana State Department of Health recertification surveys; one is related to care of individuals residing in the home and the other is Life Safety). For example, Community Participation Support provided remotely at a staff-to-individual ratio of 1:2 would be billed at CPS Community 1:2. Texas Long-Term Service and Supports LTSS Waiver Programs Revised.

An example of remote support that can be billed is a telephone conversation to discuss what happened during an individuals shift after the individual has returned home. B'J*9TDR8xC&1I4$$'|\-`,Dy.&^.VptJ9bFy srq$>d#=,cCYn*!$K+Ys9 Q. endobj Call the Cover Virginia Call Center at 1-833-5CALLVA (1-833-522-5582, TDD: 1-888-221-1590) to complete the application over the phone, Contact their local Dept. While ODP initially encouraged providers to check-in with individuals and families, this is now being completed by Supports Coordinators. Costs to transport individuals to and from their homes to the facility are built into the Day Habilitation rate for the AAW, and therefore, this question and answer does not apply to this waiver. Community Participation Support planning and coordination activities may be provided on the same date and at the same time as direct remote or in-person Community Participation Support activities. Email: [emailprotected], Counties: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Lewis, Mason, Pacific, Skamania, Thurston, Wahkiakum Community Participation Support/Day Habilitation services cannot be provided in a residential habilitation setting, as this type of support is included in the service definition and rate paid for Residential Habilitation services. This has not been approved through Appendix K and is expressly prohibited in the waivers. 23219For Medicaid EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590. Supervised Group Living: A group home, or Supervised Group Living, is a residential option and alternative to waiver placements for eligible individuals with intellectual/developmental disabilities needing services. of Social Services. Copyright 2018 The Arc of VirginiaThe Arc of Virginia2147 Staples Mill RdRichmond, Virginia 23230804-649-8481. If the plan is for the provider to regularly transport this one individual in a vehicle to the facility where the individual will receive Community Participation Support services, either solution is acceptable. She will research the problem and work with you to resolve it. Your ISC will contact you prior to each visit.

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