Home Care Services

 

Personal Support

Personal supports services provide assistance and training to the recipient in activities of daily living, such as eating, bathing, dressing, personal hygiene, and preparation of meals. When specified in the support plan, this service can also include heavy household chores to make the home safer, such as washing floors, windows and walls; tacking down loose rugs and tiles; or moving heavy items or furniture.

 

Services also include non-medical care, and supervision. This service can provide access to community-based activities that cannot be provided by natural or unpaid community supports and are likely to result in an increased ability to access community resources without paid support. Personal supports are designed to encourage community integration.

 

Personal supports in supported living are also designated to teach the recipient about home-related responsibilities. This service can also include respite services to a recipient age 21 years or older living in their family home. Respite services provide relief to the caregiver and is incorporated into the personal support service. The provider, to the extent properly qualified and licensed, assists in maintaining a recipient’s own home and property as a clean, sanitary and safe environment.

 

This service is provided in support of a goal included the support plan or an identified need to support or maintain basic health and safety and is not purely diversional in nature.

 

Life Skills Development 1 (Companion)

Life Skills Development Level 1 – Companion services consist of non-medical care, supervision, and socialization activities provided to recipients age 21 years or older. This service must be provided in direct relation to the achievement of the recipient’s goals as specified in the recipient’s support plan.

 

The service provides access to community-based activities that cannot be provided by natural or other unpaid supports, and should be defined as activities most likely to result in increased ability to access community resources without paid support. These services can be scheduled on a regular, long-term basis. Activities can be volunteer activities performed by the recipient as a pre-work activity or activities that connect a recipient to the community.

 

Transportation

This service provides transportation to and from the recipient’s home and community-based waiver services, enabling the recipient to receive the supports and services identified in both the support plan and approved cost plan, when such services cannot be accessed through natural (i.e., unpaid supports).

 

Transportation services funded through the waiver must be used only for recipients who have no other means to get to a service identified on the support plan and approved cost plan. Family members, neighbors, or friends who are already transporting the recipient, or who are capable of transporting the recipient at no cost to the waiver, are encouraged to continue their support of the recipient.

 

Recipients who are capable of using the fixed route public transit system to access services on their support plan must be encouraged using that method of transportation.

 

Transportation services should be negotiated at the most cost-effective rate from a provider that meets or exceeds the transportation disadvantaged system safety standards as required.

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Supported Living Coaching 

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This service can include assistance with locating appropriate housing; the acquisition, retention, or improvement of skills related to activities of daily living (e.g., personal hygiene and grooming); household chores; meal preparation; shopping; personal finances; and the social and adaptive skills necessary to enable recipients to reside on their own.

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Supported Employment

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Supported employment services provide training and assistance to help support recipients in job development and sustaining paid employment at or above minimum wage unless the recipient is operating a small business. This service can be performed on a full or part-time basis and at a level of benefits paid by the employer for the same or similar work performed by trained non-disabled recipients. The provider assists with the acquisition, retention, or improvement of skills related to accessing and maintaining such employment, or developing and operating a small business.

 

With the assistance of the provider, the recipient receives help in securing employment according to the recipient’s knowledge, skills, abilities, supports needed, desired goals, and planned outcomes. This service is conducted in a variety of settings, including work sites in which individuals without disabilities are employed.

 

This service should include assisting a recipient to learn job tasks needed to be employed, and the recipient should be included in all aspects of job development, interviewing, and job seeking activities.

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Respite (Under 21)

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This service is generally used due to a brief planned or emergency absence, or when the primary caregiver is available,
but temporarily physically unable to care for or supervise the recipient for a brief period of time.

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