Companion Services consist of non-medical care, supervision and socialization activities provided to
an adult on a one-on-one basis. This service must be provided in direct relation to the achievement of the beneficiary’s
goals per his or her support plan. A companion provider may also assist the beneficiary with such tasks as meal preparation,
laundry and shopping; however, these activities shall not be performed as discrete services. This service does not entail
hands-on medical care. Providers may also perform light housekeeping tasks, incidental to the care and supervision of the
beneficiary. Companion services may be scheduled on a regular, long-term basis. Companion services are not merely diversional
in nature but are related to a specific outcome or goal of the beneficiary. An acceptable companion activity could include
going to the library, getting a library card, learning how to use the library and checking out books or videos for personal
use, shopping for groceries, or going to an animal shelter, to learn about animals, perhaps volunteering or assisting at the
In-Home Supports are services that provide a beneficiary in a supported living situation with 4 to
24-hour-a-day assistance from a support worker or support workers. The support worker may live in the beneficiary’s
home or apartment and share living expenses (rent, utilities, phone, etc.) with the beneficiary. The support worker provides
companionship and personal care, and may assist with or perform activities of daily living and other duties necessary to maintain
the beneficiary in supported living. The in-home
support services are separate and not a replacement
for the services performed by a supported living coach. Some beneficiaries in supported living may need only the services
of an in-home support worker, or only the services of a supported living coach. Other beneficiaries may need both services.
When both services are used, the providers must coordinate their activities to avoid duplication.
Personal Care Assistance
Personal Care Assistance is a service that assists a beneficiary with eating and meal preparation, bathing,
dressing, personal hygiene, and activities of daily living. The service also includes activities such as assistance with meal
preparation, bed making and vacuuming when these activities are essential to the health and welfare of the beneficiary and
when no one else is available to perform them. This service is provided on a one-on-one basis. Please note that participation
in the Developmental Disabilities Waiver program allows for these services to be provided ONLY to clients being served under
the Developmental Disabilities Waiver Program.
Residential Habilitation provides specific training activities that assist the beneficiary to acquire maintain
or improve skills related to activities of daily living. The service focuses on personal hygiene skills such as bathing and
oral hygiene; homemaking skills such as food preparation, vacuuming and laundry; and on social and adaptive skills that enable
the beneficiary to reside in the community. This training is provided in accordance with a formal implementation plan, developed
with direction from the beneficiary and reflects the beneficiary’s goal(s) from their current support plan. A more intensive
residential habilitation service may be required for beneficiaries with challenging behavioral disorders. The necessity for
these intensive services is determined by the impact of these behavioral disorders on the immediate safety, health, progress
and quality of life for the beneficiary, and the determination that less intensive services have not been sufficient to alter
these behaviors. These intensive services are marked by the on-site presence of certified behavior analysis professionals,
high-levels of integration of behavioral services throughout all aspects of the residential and community programs, progress
in reducing challenging behaviors and in acquiring new skills, comprehensive monitoring of implementation, and provisions
for the eventual transitioning of behavioral improvement to less intensive, more community-based, residential alternatives.
Respite Care is a service that provides supportive care and supervision to a beneficiary when
the primary caregiver is unable to perform these duties due to a planned brief absence, an emergency absence or when the caregiver
is available, but temporarily physically unable to care for or supervise the beneficiary for a brief period.
Supported Living Coaching
Supported Living Coaching
services provide training and assistance, in a variety of activities,
to support beneficiaries who live in their own homes or apartments. These services may include assistance with locating appropriate
housing, the acquisition, retention or improvement of skills related to activities of daily living such as personal hygiene
and grooming, household chores, meal preparation, shopping, personal finances and the social and adaptive skills necessary
to enable beneficiaries to reside on their own. Supported living services mean the provision of supports necessary for an
adult who has a developmental disability to establish, live in and maintain a household of their choosing in the community.
Transportation services provide rides to and from the beneficiaries home and their community-based
waiver services, enabling the beneficiary to receive the supports and services identified on both their support plan and approved
cost plan, when such services cannot be accessed through natural (i.e., unpaid) supports.