Room and Board (RRB)

Service Description

Room and Board is a 24-hour service that provides a safe and healthy living environment designed to meet an individual’s physical needs.

Service Requirements and Limitations

1. This service may be provided in an Arizona Department of Health Services (ADHS)-licensed DDD group home upon authorisation by the Division.
2. This service ensures that, at a minimum, the Division member is provided with:
   • 2.1 Personal sleeping accommodations.
   • 2.2 Daily nutrition, including three (3) healthy meals and snacks, as appropriate.
   • 2.3 Household supplies.
   • 2.4 Physical accommodations that allow members to perform daily personal hygiene activities in private.
   • 2.5 Basic personal hygiene supplies.
   • 2.6 Sufficient storage space for the member’s personal use and the safekeeping of personal belongings.
   • 2.7 Physical accommodations that provide a comfortable and safe environment for all activities of daily living within the home.
   • 2.8 Privacy.
3. Meaningful Life Behavioral Health, when providing this service, shall also provide Habilitation – Group Home services and must have applied for and been awarded authorisation to provide that service.

Service Goals and Objectives

Service Goal

To provide a dignified, home-like residential environment that ensures safe and healthy living arrangements while meeting each member’s physical and emotional needs.

Service Objectives

Meaningful Life Behavioral Health shall ensure that the following objectives are met:

1. Involve the member and/or the member’s representative in decisions regarding home furnishings, décor, personal space, and any necessary modifications to promote independence and accommodate personal preferences. This shall also allow for the reasonable and safe accommodation of the member’s personal belongings.
2. Provide a safe and healthy living environment that meets the member’s physical and emotional needs, respects cultural considerations, and is available to the member 24 hours a day.
   • 2.1 Ongoing secondary use of the residence (e.g., as a day programme or non-emergency respite centre) is not appropriate unless:
     • (a) All residents or their guardians consent to the secondary use.
     • (b) The residence is appropriately zoned for the secondary use and has all required licences and certifications.
     • (c) The secondary use has been approved by the Division’s District Program Manager or designee.
3. Maintain members’ nutritional well-being by planning, preparing, and providing balanced meals and snacks that meet their needs and preferences. Meal planning and preparation shall follow generally accepted dietary standards and guidelines for healthy Americans. Menus shall be planned and posted weekly with member participation. Menu planning shall ensure that members receive three (3) nutritious meals per day and appropriate snacks in accordance with the United States Department of Agriculture (USDA) dietary guidelines: USDA Food and Nutrition.
4. Provide room and board services to members in residential settings where habilitation services are provided in an ADHS-licensed DDD group home, including group homes, nursing-supported group homes, and community protection and treatment group homes.
5. Meaningful Life Behavioral Health shall receive payment for room and board services, subject to the following exceptions:
   • 5.1 Habilitation services are provided to Native American members whose Tribe or the Bureau of Indian Affairs has agreed to pay for room and board services.
   • 5.2 The Division has established a cost-sharing agreement with a behavioural health entity to pay for room and board services as part of wraparound services for a member.
   • 5.3 The member receives services funded through another source.
6. Ensure that residential responsibilities are explained to members before service delivery begins. Member and staff responsibilities shall be identified, as applicable to residential group home living. The Division uses the lodging standard that Americans expect when staying at a motel, which includes clean linens, a bed, storage, safety, privacy, basic amenities such as a telephone, television, radio, and alarm clock, and hygiene supplies.

Source: Arizona Department of Economic Security

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