Support That Builds Independence and Everyday Life Skills
Service Description
Services provide a variety of interventions designed to maximise the functioning of individuals with developmental disabilities. Services may include, but are not limited to, habilitative therapies, specialised developmental skills, behaviour intervention, and sensorimotor development.
These services are designed to help Division members acquire, retain, and improve the self-help, socialisation, and adaptive skills necessary to live successfully in home- and community-based settings. Services may include training in independent living skills or specialised developmental skills, orientation and mobility training, sensorimotor development, and behavioural management.
Service Requirements and Limitations
- This service may be provided in the following settings:
- The consumer’s home.
- A community setting chosen by the consumer or the consumer’s representative.
- This service shall be provided in the setting where the skills being taught are expected to be applied.
- This service shall not be provided while the consumer is attending day treatment and training.
- This service shall not be delivered in a service provider’s residence unless the residence is also the home of the consumer receiving the service.
- This service shall not be provided at a Qualified Vendor-owned or leased service site.
- This service shall not be provided when the consumer is hospitalised.
- This service shall not be provided to consumers living in group homes, vendor-supported developmental homes (child or adult), skilled nursing facilities, non-state-operated Intermediate Care Facilities (ICFs), or Level I or Level II behavioural health facilities.
- This service shall not replace services available to the consumer through an educational or vocational mandate.
- This service is not intended to meet a need for day care.
- This service is not intended to replace natural supports available to the consumer at home or in the community. If natural supports become available, the need for this service may be reassessed.
- This service shall not be provided in conjunction with a daily residential habilitation service.
- This service shall not be provided in schools or while the consumer is being transported by the school.
- This service shall be used to transfer skills from the trainer to the consumer and shall not be used for supervision.
AHCCCS Agency with Choice Consumer-Directed Service Delivery Model/Option
- Meaningful Life Behavioral Health shall identify in the Division’s Qualified Vendor Application and Directory System (QVADS) whether it participates in the AHCCCS Agency with Choice consumer-directed service delivery model. For additional information, refer to the AHCCCS website.
- If Meaningful Life Behavioral Health accepts a service authorisation for Hourly Habilitation Support for a consumer who has chosen to participate in the AHCCCS Agency with Choice consumer-directed service delivery option, the organisation shall participate in the model, comply with all applicable AHCCCS rules and policies, and implement the consumer’s planning document.
- Meaningful Life Behavioral Health shall comply with the requirements of the AHCCCS Agency with Choice consumer-directed service delivery model and ensure that direct service staff providing Hourly Habilitation Support are not the consumer’s individual representative, as defined by the model.
- A consumer participating in the AHCCCS Agency with Choice consumer-directed service delivery option may request a change of vendor at any time without providing a reason, notwithstanding Arizona Administrative Code (A.A.C.) R6-6-2109(B), (C), and (D).
- Meaningful Life Behavioral Health, if participating in the AHCCCS Agency with Choice consumer-directed service delivery model, may be required to provide additional training to the consumer and/or the consumer’s representative regarding the co-employment relationship, as assessed and authorised by the Division. If required, Meaningful Life Behavioral Health shall bill using a unique service code identified by the Division.
- Meaningful Life Behavioral Health, if participating in the AHCCCS Agency with Choice consumer-directed service delivery model, may be required to provide additional training to direct service staff beyond the required standard training (e.g., Cardiopulmonary Resuscitation, First Aid, Article 9: Managing Inappropriate Behaviours, and Direct Care Worker training) to meet the consumer’s unique needs, as assessed and authorised by the Division. If required, Meaningful Life Behavioral Health shall bill using a unique service code identified by the Division.
Service Goals
- To enable the consumer to acquire knowledge and skills and become a valued member of the community based on personal choices.
- To provide training that increases or maintains the consumer’s self-help, socialisation, and adaptive skills to live and participate in the community with their family.
- To assist the consumer in achieving and maintaining a quality of life that reflects their vision for the future and personal priorities.
- To reduce reliance on this service as natural supports become available at home and/or in the community.
- To encourage the identification and use of natural supports and reduce the need for paid support.
Service Objectives
Meaningful Life Behavioral Health shall ensure that the following objectives are met:
- In accordance with the consumer’s planning document (e.g., Individual Support Plan [ISP]), develop:
- Individualised, time-limited outcomes based on assessment data and input from the consumer and the consumer’s representative. These outcomes shall help the consumer work towards their vision for the future and personal priorities.
- A specific teaching strategy for each habilitative outcome within twenty (20) business days after initiating service for a new or continuing placement, and whenever a new outcome is identified. Each teaching strategy shall identify the implementation schedule, frequency and duration of services, data collection methods, and the steps to be followed when teaching the new skill.
- A home programme that the consumer and/or caregivers can routinely implement during daily activities to reinforce skill development and help achieve identified outcomes.
- Changes to specific outcomes and/or strategies, as agreed upon by the consumer’s planning team and based on the presence or absence of measurable progress.
- As identified in the consumer’s planning document, provide training and/or assistance, including:
- Assistance and training related to personal and physical needs and routine daily living skills.
- Implementation of strategies to address behavioural concerns, development of behaviour support programmes, and coordination with behavioural health programmes to ensure appropriate review of medication treatment plans.
- Support to ensure that the consumer’s health needs are met, including follow-up as requested by the consumer’s Primary Care Provider (PCP) or medical specialist.
- Implementation of therapeutic recommendations, including speech, occupational, and physical therapy, and assistance with following special diets, exercise routines, or other therapeutic programmes.
- Mobility training and alternative or adaptive communication training.
- Opportunities to practise basic life skills, such as shopping, banking, money management, accessing and using community resources, and community survival skills.
- Assistance in using community transportation resources to support participation in daily activities, such as day treatment and training, employment, medical appointments, visits with family and friends, and other community activities, as identified in the consumer’s planning document.
- Play an active role in coordinating services with other involved entities, including day treatment and training providers, healthcare providers, and schools, to meet the needs of the consumers served.
- As identified in the consumer’s planning document, provide training and/or assistance to the consumer and/or the consumer’s representative to increase or maintain the consumer’s targeted skills.
- With input from the consumer, the consumer’s representative, and other important people in the consumer’s life, develop strategies for habilitative outcomes that can be incorporated into the consumer’s daily routine.
- Communicate with the consumer and/or the consumer’s representative about how the plan is working when direct service staff are not present.
Source: Arizona Department of Economic Security
For more information, please call us or send us a message.