Waiver Services

1
Waiver Services
2
Waiver Services

• Plan of Care (POC) Development/Coordination
• Professional and Paraprofessional Training/
  Consultation
• Treatment and Intervention Mentor Services
• Day Habilitation
• Residential Habilitation
• Community Transition Services
• Supported Employment
• Respite Care

3
Waiver Services

• Plan of Care (POC) Development and Coordination
• Service Provider Mental Health Professional
  Clinician (MHPC)
• Services
• Develop, writes and revises the POC and
  contingency plan (alternative services available
  in an emergency)
• Coordinates the individuals who should
  participate in POC development
• May conduct the required Child and Adolescent
  Functional Assessment Scale (CAFAS) assessment

4
Waiver Services

• Plan of Care (POC) Development and Coordination
  cont.
• Services cont
• Monitors and assesses the delivery of services
• Supervises the delivery of services
• Assesses the quality of services utilizing the
  Wraparound
• Fidelity Index 4 (WFI-4)

5
Waiver Services
Professional and Paraprofessional Training/
Consultation

• Service providers
• Professional
• Mental Health Professional Clinician
• Masters level specialist in developmental
  disabilities
• Licensed medical provider

• Paraprofessional
• An individual working within the scope of their
  training and experience
• Works under the supervision of a professional
  consultant

6
Waiver Services

• Professional and Paraprofessional Training/
  Consultation cont.
• Services
• Training and consultation on the development of
  effective transitions
• Specialized training to unpaid caregivers
• Training on supportive interventions
• Training and consultation to POC Coordinator and
  other direct service staff

7
Waiver Services

• Treatment and Intervention Mentor Services
• Service providers
• Individuals with less than a Masters Degree
• An individual working within the scope of their
  training and experience
• Works under the supervision of MHPC or a
  physician

8
Waiver Services

• Treatment and Intervention Mentor Services
• Services
• Modeling and participating in daily activities
• Modeling basic social skills
• Monitoring progress toward POC
• Participation in POC meetings
• Active involvement with family and providers to
  implement the POC

9
Waiver Services

• Treatment and Intervention Mentor Services cont.
• Services cont
• Active involvement to coordinate appointments,
  arrange transportation, monitor follow up
• Monitor and document behavioral changes on a
  weekly basis
• Implement contingency plan from the POC
• May conduct the CAFAS

10
Waiver Services

• Day Habilitation- provision of activities and
  environments (nonresidential) that are designed
  to foster
• Self-help, socialization and adaptive skills
• Greater independence/interdependence when
  appropriate
• Reinforcement of taught skills

11
Waiver Services

• Residential Habilitation- services provided in a
  residential setting designed to teach social and
  adaptive skills to enable the resident to live
  outside the setting
• Personal grooming and cleanliness
• Household chores
• Preparing and eating food

12
Waiver Services

• Community Transition Services- payment or
  reimbursement for the initial cost of
  establishing a residence in the community
• Security deposits
• Utility set up fees or deposits
• Health and safety assurances such as pest
  eradication
• Moving fees
• Furniture
• Basic household items

13
Waiver Services

• Supported Employment Services-developmental or
  ongoing support services that enable the
  recipient to perform in a regular work setting
  and without which the recipient would be unlikely
  to maintain competitive employment at or above
  the minimum wage because of the recipients fetal
  alcohol spectrum disorder and severe emotional
  disturbance

14
Waiver Services

• Supported Employment Services are offered on 2
  levels, development and ongoing

• Development
• Strengths identification
• Benefits counseling
• Job coaching
• Job modification
• Transportation to and from work
• Services and supports that assist self-employment

15
Waiver Services

• Supported Employment cont.
• Ongoing
• Training and supervision
• Assessment of employment stability and needs
• Job skills refresher training
• Social skills training
• Observation
• Follow up with employer and recipient

16
Waiver Services

• Respite Care- Care provided to a recipient that
  allows relief of the recipients primary unpaid
  caregivers
• Provided by
• An adult employee of service provider or licensed
• assisted living home
• Foster home
• Family or group home

17
Waiver Services
Rates and Procedure Codes
18
Waiver Services

• Regulations
• Home and Community-Based Waiver Services
  Residential Psychiatric Treatment Center Level of
  Care
• 7 AAC 43. 1150-1199
• at
• http//www.legis.state.ak.us/cgi-bin/folioisa.dll/
  aac/queryjump!3A!27title7chap43!2Ca!2E29!27/d
  oc/_at_36227?