To assist individuals with disabilities qualifying for the Medicaid funded adult home based support services program with securing home and community – based services.
Home Based Support Services (HBS) is an option within the Medicaid Waiver which includes any of the individually designed, separately covered services, or assessment of the need for services, to assist individuals to live in a private family home or a private house or apartment that they own or lease. Home Based Support Services are tailored to meet individuals’ evolving needs and preferences for supports, without having to leave their homes.
Home Based Support Services program provides supports to assist the individual with:
- Making fundamental life decisions and dealing with the consequences of those decisions.
- Building durable relationships with family and friends.
- Developing daily living and self – sufficiency skills.
- Accessing community activities fully.
- Meeting their personal goals.
The Individual and Guardian, when applicable, choose needed services and providers with assistance from the Home Based Service Facilitator, the Individual Service and Support Advocate, and other members of the service/support planning team as requested by the individual or recommended by the Home Based Service Facilitator or Individual Service and Support Advocate. Planning for providers takes place during an initial interview with the Individual Service and Support Advocate. When appropriate, the individual may apply to Sertoma Centre, Inc for available agency services. The program provides mandatory home visits and annual re-determination of services from both Home Based Service Facilitator and or the Individual Service and Support Advocate. However, the individual and their Guardian, where applicable, may renegotiate their annual plan on a monthly basis with the Home Based Support Services Facilitator as long as the choice of services does not exceed the monthly amount allotted.
- Individuals 18 years of age or older.
- Individual has been diagnosed with a developmental disability.
- Must be able to Self – Administer Medication.
- Have demonstrated competence in basic self-help and survival skills.
- Demonstrate socially appropriate behavioral patterns.
- Have the ability to use community resources.
- Be committed toward more independent living.
- Are in need of an array of services.
- Are in need of a supervised living arrangement.
- Are able to give informed consent to participate in Intermittent CILA themselves or through a guardian.
- Must agree to participate in the development and implementation of their individual service plan.
- Have applied for or receiving SSI benefits.
- Must have DHS approval funding prior to starting Intermittent CILA services.
- Not be in need of nursing assessment, monitoring, intervention, and supervision of their condition or need on a 24-hour basis.
- Not be receiving services in a long term care facility or hospital, be prepared to move to an appropriate setting prior to receiving DD waiver – funded services.
- Not be receiving services funded through another Medicaid waiver program at the time Developmental Disability waiver-funded services are authorized.
- Convene IDT team to discuss programming needs as needed or indicated in Individual Service Plan.
- Opportunities to transition to other programs/services are available based upon the individual’s needs, preferences, choices, and program criteria as indicated in each individual program description. Refer to the Program Accessibility Chart for programs/services availability. Options can be discussed during the Individual Service Plan meeting or a special meeting may be convened at other times as needed.
- Individual and Guardian where applicable, requested termination.
- Medicaid support terminated.
- Sertoma Centre, Inc program(s) can no longer meet the needs of the individual.
- Consumer is not benefitting from services.
Each individual enrolled in Home Based Support Services may receive an array of the following services and supports, not to exceed the monthly maximum funding allotted.
SERVICES SPECIFIC TO HOME BASED SUPPORT SERVICES:
- HBS Service Facilitation (to develop and coordinate the service plan) (55A)
- Training for Unpaid Caregivers (55B)
- Counseling for Unpaid Caregivers (55C)
- Personal Support (55D)
ADDITIONAL SERVICES AVAILABLE NOT SPECIFIC TO HOME BASED SERVICES:
- Individual Service & Advocacy (ISSA) (50D)
- Occupational Therapy (52O), Physical Therapy (52P), & Speech/Communication Therapy (52S)
- Behavioral Intervention & Treatment (56U), Behavior Counseling – Group (57G), Behavior Counseling – Individual (57U), Behavior Therapy – Group (58G), & Behavior Therapy – Individual (58U).
- Adaptive Equipment (53E), Assistive Technology (53T), Minor Home Accessibility Modifications (53H), & Minor Vehicle Accessibility Modifications (53V).
SCOPE OF SERVICES:
Population(s) Served: Illinois residents ages 18 and older. Individuals with developmental disabilities, dually diagnosed DD/MI with the DD diagnoses being the primary diagnoses.
Setting: Residential -Reside at home with their families. These settings are defined by DHS as independently controlled sites and are not owned or leased by the agency providing services.
Hours/Days of Service:
1. Sunday through Saturday
2. Supports for individuals based upon the needs of the individual with varying hours.
Frequency of Services:
1. Daily communication as needed with individual and guardian..
2. Minimum of two hours of communication required with consumer per month.
3. Six visits per year or four home visits and two site visits per year if individual is attending a Day Program.
Payer Source: DHS/DDD and Private Pay.
Fees: There are no fees. Private pay rates have been established and available as needed. Funding and rate structures are established and funded by state agencies as indicated.
Referral Sources: Self referral, state agencies as listed above, local school districts, families, Service Coordination agencies, Mental Health Service Providers, Hospitals, etc.
October 16, 2010