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    Home and Community-Based Services

    Home and Community-Based Services

    Medicaid-funded Home and Community-Based Services (HCBS) programs help people with developmental and intellectual disabilities achieve greater independence and be active members of their community. Division of Developmental Disabilities Services (DDDS) clients may receive Home and Community-Based services under the Lifespan Waiver, or through their Diamond State Health Plan Plus Medicaid managed care organization.

    An item, piece of equipment or product that is used to help the client maintain, increase or improve their ability to move or do an activity. This service includes evaluation of need, training, custom-fitting, maintenance and repair of needed equipment. This service does not include assistive technology covered by traditional State Medicaid.

    A personalized plan to support individuals with significant behavioral health issues. This service includes a functional behavioral assessment and needed training for the client’s support team.

    Services to help a client enjoy personal interests and meet community involvement goals. The staff to client ratio is 1:1 or 1:2 for personalized attention. This service pairs with other services and is not meant to be a stand-alone service.

    This program covers one-time expenses to help clients transition to a private residence or community living arrangement from either a provider-managed or institutional setting.

    This service helps clients gain adaptive and socialization skills to help with daily living and community engagement.

    Physical adaptations to a residence, such as grab bars or widened doors, to help keep clients safe and increase their level of independence. This service only applies to a client’s home or a family member’s home where the client lives full time. 

    Coordination and overall coordination and monitoring of a client’s health care needs and services, including medications, medical appointments and records.

    Support for activities of daily living, such as bathing, household chores, shopping, and transportation to community activities or appointments. Services may be self-directed, which means the client chooses someone they know, or they may be provided through a Program Approved Service Agency (PASA) or Home Health Agency.

    This service helps clients gain “soft” skills such as communication, following directions and problem-solving to help them find, keep or advance in a paid job, internship or volunteer assignment.

    This service teaches clients daily living skills, such as caring for their own personal hygiene, preparing meals, completing basic household chores such as making a bed. It also helps clients develop social and adaptive skills needed to live or participate in community activities. This service may be provided by an agency in a neighborhood group home or apartment, by a Shared Living provider, or by a single primary caregiver in the client’s private home.

    Respite is designed to give the primary caregiver(s) a break. This service may be self-directed, where the service recipient and/or family identify who will provide the care or Camp may be selected as an option; otherwise a PASA or Home Health Agency may be selected to provide this service.

    Devices, controls or appliances that increase a client’s level of independence with daily living skills. This service does not include equipment covered by traditional State Medicaid.

    Skills training and continued support to help clients find, keep or advance in a paid job with more hours or higher-level positions. This service may be delivered as Individual Group Supported Employment (1 staff: 1 service recipient), or Small Group Supported Employment (1 staff to a “crew” of service recipients who work together).

    Up to 40 hours per week of personal care support independent community living in a client’s own home or apartment. The client should require only minimal assistance.

    Medically necessary adaptations or alterations, such as hand controls, ramps and lifts, to allow a client to travel to medical care and community activities. This service only applies to a client’s primary means of transportation and does not include routine maintenance or general utility changes to the vehicle, such as paint or sound systems.