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1Office of Developmental Programs – Service Descriptions*The service descriptions below do not represent the comprehensive Service Definition as listed in each of the Waivers. Please refer to the appropriateWaiver Program for a comprehensive service definition as well as any service limitations and provider qualifications.NOTE: The Community Living Waiver began January 1, 2018Service TypeService NameService DescriptionOther ServiceAdvancedSupportedEmploymentOther ServiceAssistiveTechnologyOther ServiceBehavioralSupportOther ServiceBenefitsCounselingAn enhanced version of supported employment services that includes discovery, jobdevelopment and systematic instruction to learn the key tasks and responsibilities ofthe position and intensive job coaching and supports that lead to job stabilization andretention. Providers are paid for three separate outcomes: 1) Discovery profile; 2)Securing a job; and 3) Retention of job.The purchase, modification or repair of assistive technology for increased functionalinvolvement of individuals in their activities of daily living. This service also includesindependent living technology which includes remote monitoring. In general, there is alifetime limit of 10,000 with exceptions and a variance process to request technologyabove the limit.This service is available for individuals age 21 and older and includes comprehensiveassessment, the development of and revisions to a behavioral support plan thatincludes strategies to support the individual based upon assessment, and the provisionof interventions and training to individuals, staff and caregivers. There are two levels ofservice that reflect the differing levels of provider qualifications and the needs of theindividual.This service informs an individual about competitive integrated employment and howand whether it will result in increased economic self-sufficiency and/or net financialbenefit through the use of various work incentives. It will also provide information onessential benefit programs.Chore services consist of services needed to maintain the home in a clean, sanitary, andsafe condition. Chore services consist of heavy household activities such as washingfloors, windows, and walls; tacking down loose rugs and tiles; moving heavy items offurniture in order to provide safe access and egress; ice, snow, and/or leaf removal; andyard maintenance. In the case of rental property, the responsibility of the landlord,pursuant to the lease agreement, will be examined prior to any authorization of service.Maintenance in the form of upkeep and improvements to the participant’s home isexcluded from federal financial participation.Statutory Service Chore –Permanent orODP Service . LivingBaseUnits ofServiceOutcomeBasedConsolidatedP/FDSComm. LivingBaseOutcomeBasedConsolidatedP/FDSComm. LivingBase15 MinutesConsolidatedP/FDSComm. LivingBaseConsolidatedP/FDSComm. LivingBase15 MinutesHour05/21/2019
2Service TypeService NameStatutory Service Chore TemporaryOther unityParticipationSupportODP Service DescriptionsService DescriptionChore services consist of services needed to maintain the home in a clean, sanitary, andsafe condition. Chore services consist of heavy household activities such as washingfloors, windows, and walls; tacking down loose rugs and tiles; moving heavy items offurniture in order to provide safe access and egress; ice, snow, and/or leaf removal; andyard maintenance. In the case of rental property, the responsibility of the landlord,pursuant to the lease agreement, will be examined prior to any authorization of service.Maintenance in the form of upkeep and improvements to the participant’s home isexcluded from federal financial participation.This service determines the individual’s communication needs and educates theindividual and his or her caregivers on those needs and the best way to meet them inhis or her daily life. This service includes helping to establish environments thatemphasize the use of visual cues and other appropriate communication methods,assistance in the development and implementation of an action plan and educatingentities about the individual’s needs related to communication access, legalresponsibilities and cultural and linguistic needs.This service provides opportunities and support for community inclusion and buildinginterest in and developing skills and potential for competitive integrated employment.This service may be provided in community locations, community hubs, licensed adulttraining facilities, licensed Older Adult Daily Living Centers and licensed P/FDSComm. LivingBaseUnits ofServiceHourConsolidatedP/FDSComm. LivingBase15 MinutesConsolidatedP/FDSComm. LivingBase15 Minutes05/21/2019
3Service TypeService NameService DescriptionOther ServiceCompanionOther iceEducationSupportServicesOther ServiceFamily/CaregiverTraining andSupport –Training andCounselingFamily/CaregiverTraining andSupport –Registrationand FeesHomeAccessibilityAdaptationsThis service is intended to assist an individual who is age 18 or older to participate moremeaningfully in home and community life. It is provided to individuals living in privatehomes for the purposes of providing supervision or assistance that is designed toensure the individual’s health, safety and welfare or to perform activities of daily livingfor the individual.This service assists unpaid caregivers and/or paid support staff in carrying out anindividual’s treatment/service plan with the goal of improving or sustaining theindividual’s health status and improve his or her independence and inclusion in thecommunity. The service may include assessment, plan development, training andmonitoring.This service is limited to payment for the following: tuition, general fees, on campuspeer support, classes to teach individuals who are deaf and adult education or tutoringprogram for reading or math instruction. Individuals must have an employmentoutcome or an outcome related to skill attainment or development which isdocumented in the service plan and is related to the Education Support need. There isa limit of 35,000 lifetime limit toward tuition and a 5000 limit per semester of oncampus peer support.This service provides professional training and counseling services for unpaid familymembers or caregivers who provide support to an individual. It is intended to develop,strengthen and maintain healthy, stable relationships among the individual and allmembers of the individual’s informal network, to support achievement of the goals inthe individual’s service plan.Other ServiceOther ServiceODP Service . LivingBaseUnits ofService15 MinutesConsolidatedP/FDSComm. LivingBase15 MinutesConsolidatedP/FDSComm. LivingBaseOutcomeBasedConsolidatedP/FDSComm. LivingBase15 MinutesThe amount of training or registration fees for the unpaid family member or caregiver’sregistration costs at specific training events, workshops, seminars or conferences islimited to 500 per fiscal year.ConsolidatedP/FDSComm. LivingBaseOutcomeBasedThis service consists of modifications to the private home of the individual. Themodification(s) must be necessary due to the individual’s disability, to ensure thehealth, security of, and accessibility for the individual, or which enable the individual tofunction with greater independence in the home. Maximum limit for home adaptationsis 20,000 per individual over a 10-year period with a variance process for specificmodifications above the limit.ConsolidatedP/FDSComm. LivingBaseOutcomeBased05/21/2019
4Service TypeService NameService Living BaseUnits ofServiceHourStatutory Service Homemaker- TemporaryHomemaker services enable the participant or the family member(s) or friend(s)with whom the participant resides to maintain their primary private home. Thisservice can only be provided when a household member is temporarily absent orunable to manage the home, or when no landlord or provider agency staff isresponsible to perform the homemaker activities. Homemaker Services includecleaning and laundry, meal preparation, and other general household care.Statutory Service Homemaker- PermanentHomemaker services enable the participant or the family member(s) or friend(s)with whom the participant resides to maintain their primary private home. Thisservice can only be provided when a household member is unable to manage thehome, or when no landlord or provider agency staff is responsible to perform thehomemaker activities. Homemaker Services include cleaning and laundry, mealpreparation, and other general household care.ConsolidatedP/FDSComm.LivingBaseHourOther ServiceLife SharingThis is a provider agency managed service that occurs in private homes licensed under55 Pa. Code Chapter 6500 and private homes that are unlicensed as well as otherinclusive community settings. Through the provision of this service, individuals willacquire, maintain, or improve skills necessary to live in the community, to live moreindependently, and to participate meaningfully in community life. Services consist ofassistance, support and guidance in the general areas of everyday living. In theCommunity Living Waiver, Life Sharing is provided for participants in Needs Group 1 or2 or those who need less than 30 hours per week of this service.ConsolidatedComm. LivingBaseDayStatutoryServiceMusic Therapy,Art Therapyand EquineAssistedTherapyDirect therapy services provided to an individual who could benefit by the provision oftherapy to maintain, improve or prevent regression of the individual’s condition andassist in the acquisition, retention or improvement of skills necessary for the individualto live and work in the community. The initial session of Music Therapy, Art Therapy orEquine Assisted Therapy must include an assessment of the individual's need for theservice. If additional sessions are indicated, therapists providing these services mustdevelop a treatment plan that reflects individualized, attainable goals.ConsolidatedP/FDSComm. LivingBase15 MinutesOther ServiceParticipantDirected Goodsand ServicesThese are services, equipment or supplies available to individuals who choose to selfdirect this service. Services include those not otherwise provided through otherservices offered in this waiver, the Medicaid State Plan, or a responsible third party.P/FDSComm. LivingBaseOutcomeBasedODP Service Descriptions05/21/2019
5Service TypeService NameService DescriptionOther ServiceSmall GroupEmploymentServicesOther ServiceShift Nursing –RNParticipant-Directed Goods and Services must address an identified need in theindividual’s service plan. There is a 2,000 annual limit to this service.Small Group Employment services consist of supporting individuals intransitioning to competitive integrated employment through work that occurs ina location other than a facility subject to 55 Pa. Code Chapter 2380 or Chapter2390 regulations. The goal of Small Group Employment services is competitiveintegrated employment. Small Group Employment service options includemobile work force, work station in industry, affirmative industry, and enclave.This service consists of Nursing services for individuals age 21 and older within thescope of practice.Other ServiceShift Nursing –LPNThis service consists of Nursing services for individuals age 21 and older within thescope of practice.StatutoryServiceResidentialHabilitation –ChildResidentialServicesResidentialHabilitation –CommunityResidentialRehabilitationServices for theMentally IllChild Residential Services (the residential section of 55 Pa. Code Chapter 3800, ChildResidential and Day Treatment Facilities): The 55 Pa. Code Chapter 3800 services thatmay be funded through the Waiver are limited to residential service alHabilitation –CommunityHomes forIndividuals withan IntellectualDisability orAutismODP Service DescriptionsCommunity Residential Rehabilitation Services for the Mentally Ill (CRRS) licensed under55 Pa. Code Chapter 6310 are characterized as transitional residential programs incommunity settings for individuals with chronic psychiatric disabilities. This service isfull-care CRRS for adults with intellectual disability and mental illness. Full-care CRRS foradults is a program that provides living accommodations for individuals who arepsychiatrically disabled and display severe community adjustment problems. A fullrange of personal assistance and psychological rehabilitation is provided for individualsin a structured living environment.A licensed Community Home is a home where services are provided to individuals withan intellectual disability or autism. A community home is defined in regulations (55 Pa.Code Chapter 6400) as, "A building or separate dwelling unit in which residential care isprovided to one or more individuals with an intellectual disability or autism". In licensedCommunity Homes, services may be provided up to the approved program capacity ofthe home.Program/Waiver(s)Units ofServiceConsolidatedP/FDSComm. LivingBase15 MinutesConsolidatedP/FDSComm. LivingBaseConsolidatedP/FDSComm. LivingBaseConsolidatedBase15 MinutesConsolidatedBaseDayConsolidatedBaseDay15 MinutesDay05/21/2019
6Service TypeService NameService DescriptionStatutoryServiceResidentialHabilitation –UnlicensedStatutoryServiceRespite, DayStatutoryServiceRespite, 15MinutesExtended StatePlan dEmploymentOther ServiceSupportedLivingSupports oryServiceSupportsCoordinationResidential Habilitation may be provided to individuals who live in unlicensed providerowned, rented or leased settings. The 55 Pa. Code §6400.3(f)(7) licensing regulationsexclude community homes that serve 3 or fewer individuals with an intellectualdisability or autism 18 years of age or older who need a yearly average of 30 hours orless of direct staff contact per week per home.These are services that are provided to supervise and support individuals living inprivate homes on a short-term basis for planned or emergency situations, giving theperson(s) normally providing care a period of relief that may be scheduled or due to anemergency. There is a limit of 30 units per fiscal year with a variance process to requestadditional units.These are services that are provided to supervise and support individuals living inprivate homes on a short-term basis for planned or emergency situations, giving theperson(s) normally providing care a period of relief that may be scheduled or due to anemergency. There is a limit of 480 units per fiscal year in the Consolidated waiver and1440 units per fiscal year in the P/FDS and Community Living waivers with a varianceprocess to request additional units.Incontinence supplies for individuals age 21 and older that are medically necessaryand are not a covered service through the MA State Plan, Medicare or privateinsurance. Supplies are limited to diapers, incontinence pads, cleansing wipes,underpads, and vinyl or latex gloves.Supported Employment services are provided in a variety of community settings for thepurposes of supporting individuals in obtaining and sustaining competitive integratedemployment. Competitive integrated employment refers to full or part-time work atminimum wage or higher, with wages and benefits similar to workers withoutdisabilities performing the same work, and fully integrated with coworkers withoutdisabilities.Individuals receiving this agency managed service will be supported to live in a privatehome owned, leased or rented by the individual. This service will support individuals toacquire, maintain or improve skills necessary to live more independently and be moreproductive and participatory in community life. In the Community Living Waiver,Supported Living is provided for participants in Needs Group 1 or 2.This service is available to individuals who elect to self-direct their services througheither the Agency with Choice or Vendor Fiscal/Employer Agent models. The SupportsBroker service is designed to assist individuals or their designated surrogate withemployer-related functions in order to be successful in self-directing some or all of theindividuals’ needed services.This service involves the primary functions of locating, coordinating, and monitoringneeded services and supports for individuals.ODP Service DescriptionsProgram/Waiver(s)ConsolidatedBaseUnits ofServiceDayConsolidatedP/FDSComm. LivingDayConsolidatedP/FDSComm. Living15 MinutesConsolidatedP/FDSComm. LivingBaseConsolidatedP/FDSComm. LivingBaseOutcomeBasedConsolidatedBaseComm. LivingDayConsolidatedP/FDSComm. LivingBase15 MinutesConsolidatedP/FDS15 Minutes15 Minutes05/21/2019
7Service TypeService NameService DescriptionOther ServiceTherapyServicesTherapy services includes the following: physical therapy; occupational therapy;speech/language therapy; and orientation, mobility and vision therapy. Therapyservices are available to individuals age 21 and older and must be delivered in a homeand community-based setting (not a clinic or rehabilitative facility setting).Other ServiceTransportation- PublicTransportationPublic transportation costs to enable individuals to access services and resourcesspecified in the individual’s support plan.Other ServiceTransportationTransportationMileOther ssibilityAdaptationsTransportation by providers, family members, surrogates who are the employer ormanaging employer, or other qualified licensed drivers for using vehicles to transportthe individual to and from services specified in the individual’s support plan. Mileagewill be paid per trip. A trip is defined as from the point of pick-up to the destinationwhile the individual is in the car.This service is transportation provided to individuals, with costs determined on a pertrip basis. Trip distances are defined by ODP through the use of zones.Other dministrativeServiceAdministrativeServiceVendor Fiscal/Employer AgentFinancialManagementServicesAgency withChoice FinancialManagementServicesVF/EA FMSTransitionServiceVF/EA FMSStart-up ServiceODP Service DescriptionsModifications to the vehicle that the individual uses as his or her primary means oftransportation to meet his or her needs. The modifications must be necessary due tothe individual’s disability. There is a limit of 20,000 over a 10-year period in theCommunity Living Waiver and 10,000 over 5 years in the Consolidated and P/FDSWaivers.An administrative service that assists individuals and/or their surrogates in the directemployment and management of qualified Support Service Professionals andmanagement of vendors.An administrative service that assists individuals and/or their surrogates in theemployment and management of qualified Support Service Professionals andmanagement of vendors.A one-time per individual transition service related to the completion of all requiredtransition activities in order for an individual to transition from the existing statewideVF/EA FMS to the new statewide VF/EA FMS.A one-time start-up service approved for each individual enrolling with the statewideVF/EA FMS. This start-up service may not be approved for individuals transitioning fromProgram/Waiver(s)Comm. LivingConsolidatedP/FDSComm. LivingBaseUnits ofServiceConsolidatedP/FDSComm. LivingBaseConsolidatedP/FDSComm. LivingBaseOutcomeBasedConsolidatedP/FDSComm. LivingBaseConsolidatedP/FDSComm. LivingBasePer TripConsolidatedP/FDSComm. LivingBasePer MonthConsolidatedP/FDSComm. r Month15 MinutesPer MileOutcomeBasedFlat FeeFlat Fee05/21/2019
8Service TypeService cesAdministrativeServiceOne-TimeVendorPayment forRespite CampOHCDS, OtherVendor tialResidentialResidentialFamily AideSpecial DietRecreationRespite Care,24 unityHome ServicesFamily AideServicesSpecial DietPreparationRecreation/Leisure TimeActivitiesODP Service DescriptionsService DescriptionProgram/Waiver(s)BaseUnits ofServiceConsolidatedP/FDSComm. LivingOutcomeBasedConsolidatedP/FDSComm. LivingOutcomeBasedConsolidatedP/FDSComm. LivingOutcomeBasedBaseDayBase15 MinutesBaseDayCommunity residential rehabilitation services that are not eligible for ConsolidatedWaiver funding due to the size of the home (home serves 9 or more individuals).BaseDayCommunity residential services that are not eligible for Consolidated Waiver fundingdue to the size of the home (home serves 9 or more individuals).This service is provided to supervise or support individuals on a short-term basis due tothe absence or need for relief of those persons normally providing care.This service provides individuals with assistance in the planning or preparation of mealswhen needed due to a significant modification to a routine diet.This service is provided to enable individuals to participate in regular communityactivities that are recreational or leisure in nature.BaseDayBase15 MinutesBaseOutcomeBasedOutcomeBasedthe existing statewide VF/EA FMS to the new statewide VF/EA FMS and may only beapproved for new individuals enrolling with the statewide VF/EA FMS. The VF/EA FMSstart-up service may not be approved for the same individual in the same month as anyother VF/EA FMS administrative service approved for the new statewide VF/EA FMS.This is an administrative service to pay the administration fee that is charged when theOHCDS provides an administrative service directly related to the delivery of aTransportation vendor service (one time vendor) for an individual who is not selfdirecting their services.This is an administrative service to pay the administration fee that is charged when theOHCDS provides an administrative service directly related to the delivery of a RespiteCamp vendor service (one time vendor) for an individual who is not self-directing theirservices.This is an administrative service to pay the administration fee that is charged when theOHCDS provides an administrative service directly related to the delivery of a vendorservice (one time vendor) other than Transportation or Respite Camp for an individualwho is not self-directing their services.This service is provided to supervise and support individuals on a short-term basis dueto the absence or need for relief of those persons normally providing care.This service may be used to provide support in general hospital or nursing homesettings where there is a documented need and the County Program Administrator orDirector approves the support in a medical facility.Child residential services that are not eligible for Consolidated Waiver funding due tothe size of the home (home serves 9 or more individuals).Base05/21/2019
9Service TypeService NameService SS/IndividualPaymentBase ServiceNot OtherwiseSpecifiedThis service provides for minor renovations to an individual’s or family’s home to enablethe continued care and support of the individual in the home.This is an indirect service to allow cash and/or voucher payments to individuals andfamilies for FSS.This service is provided through base funds and is designed to meet the unique needs ofthe individual receiving services and or their family.Not SpecifiedODP Service DescriptionsProgram/Waiver(s)BaseBaseBaseUnits ofServiceOutcomeBasedDollarOutcomeBased05/21/2019
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