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May 1, 2012 - April 30, 2013
The descriptions below are summary descriptions for services included in the Adult Autism Waiver. For complete descriptions and other information on services included in the Adult Autism Waiver, click here: Adult Autism Waiver Services Provider Information Table (pdf download/printable)
This is an item or piece of equipment that is used to help a person be more independent in their daily life activities, including communicating.
This service includes help in choosing and learning to use the item or equipment. It also includes yearly service and batteries if that is needed.
Equipment that costs $500 or more must be recommended by a professional.
There is a limit of $10,000 over the participant’s lifetime, including repair or replacement of the item or piece of equipment.
Some examples are: voice output devices, food preparation aids, modified computer keyboard and vibrating wristwatch.
Behavioral Specialist Services (BSS):
This service provides support to people with behaviors that make it difficult for them to be active in their community and to live at home, including behaviors that may be disruptive or destructive.
A Behavioral Specialist provides this service. The Behavior Specialist has training in how to understand why a person may be having difficulty.
The Behavioral Specialist creates a plan called the Behavioral Support Plan. The Behavioral Support plan helps everyone who is in regular contact with the waiver participant to support him or her. This service includes training family members and providers in how to support the participant and teach him or her skills to be more independent.
The BSS works closely with the Supports Coordinator to make sure that other services are provided according to the Behavioral Support Plan.
This service also includes creating a Crisis Intervention Plan. The Crisis Intervention Plan explains how to help the participant if he or she is going into a crisis. Everyone who is in regular contact with the participant who gets this service should know how to use the Crisis Intervention Plan. The BSS agency has someone available 24 hours/day, 7 days/week to help if a participant goes into crisis.
An example of Behavioral Specialist service is the development of a plan to teach a participant to ask for a break from an activity when they need one.
This service helps a person to gain the skills needed to live in the community.
This service includes things that will help a person improve his or her activities of daily living (ADLs). ADLs are things usually done at home, such as bathing, dressing, and eating, or doing housework, managing money, and cooking.
This service also includes teaching and improving skills that will help him or her to be active in their community. These are things like socializing, getting to know the neighborhood where he or she lives, or participating in community activities such as hobbies, shopping or attending an event.
The types of community inclusion activities a participant will do depend on his or her Individual Support Plan (ISP). The activities will be ones that are needed to help a participant reach a certain goal written into the ISP.
Community Inclusion can take place in a person’s home or in community locations such as libraries or stores.
An example of community inclusion is teaching a person with disabilities to use public transportation to get to and from work.
Community Transition Services:
Community Transition Services offer occasional financial assistance with moving from an institution into the community.
This service is for one-time only types of expenses such as moving costs, security deposits, or basic household furnishings.
It is only for participants who will be directly responsible for their own living expenses.
Community Transition Services do not include monthly rent, food, or regular utility charges.
A Supports Coordination agency will make the payment directly for the waiver participant.
An example of a Community Transition Service is payment of the security deposit on a new apartment so that a person can move out of a state hospital.
This service is meant to teach skills to give the participant more independence. It is much like the Community Inclusion Service except that it is provided only in adult training facilities. Day Habilitation helps a person acquire the daily living skills needed to live in the community.
This service can include personal assistance in completing Activities of Daily Living (ADL’s include bathing, dressing, and eating, or doing housework, managing money, and cooking). However, the goal of Day Habilitation is to improve the participant’s ability to do things on his or her own.
This service also helps the participant develop and improve communication, their ability to make decisions and make choices, ask for the help they need and skills needed to successfully live in the community.
Day Habilitation service includes transportation to and from the day habilitation facility and day habilitation activities.
This service is normally provided for 6 hours or less per day, 5 days a week on a regularly scheduled basis.
Community Inclusion, Day Habilitation, Supported Employment, and Transitional Work Services are limited to 50 hours combined per calendar week.
An example of day habilitation is learning to prepare a meal while at the adult training facility.
These are physical changes made to a person’s home which are required for a person to remain safe and free from harm and/or live with more independence.
Changes are limited to these:
Changes costing over $1,000 must be recommended by an Occupational Therapist; a Speech, Hearing, and Language Therapist; a Behavioral Specialist; or another professional.
An example of an environmental modification is an alarm installed on the front door that sounds when it is opened.
This service provides counseling to waiver participants and their families and/or caregivers to build a healthy and stable family relationship.
This services aims to either keep the waiver participant in the family home or have the participant return to the family home.
The Adult Autism Waiver may not pay for services which another party, such as the family members’ health insurance, is responsible for paying.
This service is limited to 20 hours per year. The year begins on the date the Individual Support Plan is authorized.
An example of need for Family Counseling is when the family is going through a very stressful period, like after the death of a loved one.
This service provides training to family members and caregivers to teach them how to help the waiver participant build skills that will improve his or her ability to live independently.
An example of family training is teaching family members to encourage the participant to ask for help instead of guessing what the participant needs.
Job Assessment and Finding:
This service helps waiver participants in finding paid or volunteer work in the community.
If the participant also is getting Behavioral Specialist Services, then Job Assessment and Job Finding should be done in a way that includes using the behavioral support plan and the crisis intervention plan.
An example of Job Assessment and Job Finding is being tested for different job skills, sharing areas of interest or experience that might be helpful in a job, and applying for a job with an employer who has already been contacted by the job finding provider.
This service provides help to waiver participants who have food allergies, food sensitivities, or serious nutritional deficiencies. The nutritional consultation helps participants and their families and caregivers develop a diet and plan meals that will meet the need for healthy eating habits.
An example of Nutritional Consultation is getting meal planning help and advice for a participant who avoids fruits and vegetables, or whose food choices are limited because of food texture.
This service is provided for participants who need to be in a supervised setting all the time, including overnight. The participant who receives this service lives in a licensed Community Home or Family Living Home owned by the provider. This service is meant to teach skills to give the participant more independence so that the participant will be able to move to a private home setting in the future.
At least once every three months, the Supports Coordinator, with the participant, must review whether goals are being met and check whether goals for this service should be changed in the Individual Support Plan. A participant receiving residential habilitation services can also get other waiver services, except for respite.
An example of someone using the Residential Habilitation service is living in a Community Home, using Transitional Work Services and Community Inclusion services during part of the day, learning skills to become more independent, and spending holidays with their family at the family home.
This service gives a participant’s unpaid caregiver a short break hfrom caretaking duties when the caregiver is unable to do so because of unusual circumstances.
An example of the use of respite is when a caregiver has jury duty and must be out of the house for a few hours at a time they would usually be home, or needs to be away overnight to attend to a family emergency.
This service provides ongoing help in keeping a job once the waiver participant has found employment.
An example of supported employment is having staff accompany the participant to work until they have learned the routine of the work place, providing help to meet co-workers and helping the boss and co-worker to become familiar with the participant. Then the staff can accompany the participant less often, but be available to provide extra support if needed.
The supports coordinator makes sure that the participant is receiving the services to which he or she is entitled. Supports Coordination is made up of four major parts:
An example of the use of Supports Coordination service is to contact the supports coordinator whenever there is an important change in the needs of the participant, or if the participant or family has a concern about the services received through the waiver.
Temporary Crisis Services:
This service provides additional staff to help a participant after a crisis. A crisis may exist when the participant’s safety is at risk and services cannot be provided without additional staff.
An example of temporary crisis service is an additional staff member is added when the participant goes out to the mall as part of his or her community inclusion service, following the participant’s discharge from a psychiatric hospital stay.
These services are provided by healthcare professionals and are intended to enable the waiver participant to maintain his or her ability to perform Activities of Daily Living (ADL).
Therapies in the Adult Autism Waiver include:
An example of therapies is a Speech/Language therapist who helps a participant learn to change his or her tone of voice depending on where they are or what they are saying.
Transitional Work Services:
This service provides job opportunities in which the participant is working alongside other people with disabilities. This service is meant to transition participants to jobs in the community with mostly non-disabled co-workers. Transitional work services options include:
An example of transitional work services is participation in a mobile work force team where the participant learns job skills like being on time, taking direction from a supervisor and specific skills like yard maintenance which could be used in getting a job in the future.
For a printable version of these service descriptions, click here: Adult Autism Waiver Service Descriptions