| Service Coordination: |
Service Coordination primarily focuses on activities to establish a
potentially life-long, person-centered, goal-oriented process for
coordinating the range of services, instruction and assistance
needed by persons with developmental disabilities and their
families. It is designed to ensure accessibility, accountability and
continuity of support and services. This service also ensures that
persons with developmental disabilities have opportunities to
make meaningful choices with regard to his/her life, and his/her
inclusion into the community.
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| Respite Care: |
Respite Care is temporary care and supervision for a
participant who cannot provide for his/her needs.
This service is used for short term intervals due to
the absence/need of the participant's primary care
giver(s). Respite care may include any of the following
components as deemed appropriate/necessary by the IDT:
Supervision, Monitoring, Implementation of Behavior
Support Plan, Implementation of Medical Plans of Care
and Habilitation Training (IHP goals and objectives).
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| Agency Residential Habilitation: |
Agency Residential Habilitation services are support services
delivered in a participant's residence and in the community
which provide instruction and assistance to enable him/her
to acquire and maintain skills which will allow him/her to live
and socialize more independently. Residential Habilitation
services may also include behavioral support to reduce
challenging behaviors and replace them with socially valuable, adaptive
behaviors and skills.
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| Community Residential Habilitation: |
Community Residential Habilitation services are
support services delivered in a participant's
residence and in the community which provide
instruction and assistance to enable him/her
to acquire and maintain skills which will allow
more independence. Community Habilitation services
may also include behavioral support to reduce
challenging behaviors and replace them with socially
valuable, adaptive behaviors and skills.
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| Residential Habilitation Special Project: |
Residential Habilitation Special Projects
(Special Projects) are a residential habilitation
service provided to cover "reasonable costs" in
small residential settings (1 - 4 bed settings).
It is funded through a cost-based, per diem
reimbursement methodology. This is a service which
is
not
available in natural family or specialized family
care settings. It is a service available in 24 hour
staffed settings. This service is only available for
those participants who cannot have their needs met
through fee-for-service billing.
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| Adult Companion: |
Adult Companion Services are described as a benefit for
non-medical care, supervision and socialization, provided
to an adult who has a disability. Companions may assist
or supervise the individual with such tasks as meal
preparation, laundry and shopping, but do not perform
these activities as discrete services. Providers may
also perform light housekeeping tasks which are incidental
to the care and supervision of the individual. This
service is provided in accordance with a therapeutic goal
in the plan of care, and is not purely diversional in
nature. This service is not approved to provide any
medical care; it is a non-medical care benefit.
Adult Companion Services are complimentary to and not
exclusive of Residential Habilitation services, as
specified by individual needs on their IPP. Participants
will be able to access both Adult Companion Services and
Residential Habilitation services under a combined service
limit.
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| QMRP: |
Qualified Mental Retardation Professional (QMRP)
services are professional services provided directly
or indirectly to the participant to meet the behavioral,
therapeutic and person-specific training needs. QMRP
services may be provided by agency personnel or through
contracted providers of this service. QMRP services are
a required component for the oversight of any habilitation
training program. QMRP services are provided in three (3)
levels.
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| Nursing Services: |
Nursing services are services listed in the plan
of care or IPP which are within the scope of the
State's Nurse Practice Act and are provided by a
registered professional nurse, or a licensed practical
or under the supervision of a registered nurse,
licensed to practice in the State of West Virginia.
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| Day Habilitation: |
Day Habilitation Services are a program of skills
instruction and supervision designed to assist
individual's to increase independence or maintain
his/her current skills in areas of daily living,
adaptive behaviors and skills. Day Habilitation
services take place away from the participant's
home and shall include activities in the community
to facilitate skills acquisition. Programs may
include behavior interventions to reduce challenging
behaviors. Day Habilitation services are analogous to
work and involve instruction in skills of daily living
necessary to assist the individual to be involved in
the community.
Participants who have aged out of school
are required
to participate in Day Habilitation, Pre-Vocational
training and/or Supported Employment in order to
receive any other services through the MR/DD Waiver
Program.
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| Pre-Vocational: |
Pre-Vocational Services are services planned and
designed to assist an individual to acquire and
maintain basic work related skills. The service must
be an essential component of the participant's IPP and
work activity must be subordinate to the acquisition
and retention of work and work related skills. Services
are aimed at preparing a participant for paid employment,
but are not job-task oriented.
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| Supported Employment: |
Supported Employment is described as the service
provided by a job development specialist or a job
coach which is required to enable the participant to
engage in paid, competitive work in which persons
without disabilities are employed. This service is not
intended to be received in a sheltered employment site.
These services are for individuals who have barriers to
obtaining employment due to the nature and complexity of
the work and its setting. These services are available to
assist individuals for whom competitive employment at or
above minimum wage is unlikely without such support. The
need for on-going post employment assistance is also a
necessity.
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| Transportation: |
The transporting of a participant or travel by agency
personnel to and/or from a Medicaid reimbursable
service. Examples of transportation related to
Medicaid services are noted below:
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To and from a participant's work site
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To and from community activities
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To and from medical appointments
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To and from IPP meetings
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To and from Habilitation training locations
where specific training will take place as
outlined in the IPP
(the frequency and other details such as
the units per different provider must be
clearly outlined in the IPP).
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| Environmental Accessibility Adaptations: |
Environmental Accessibility Adaptations are physical
adaptations to the home, and/or vehicle, required by
the participant's plan of care or IPP, which are necessary
to ensure the health, welfare and safety of the participant,
Additionally, these adaptations enable the participant to
function with greater independence in the home, and without
which the participant would require a more restrictive
environment.
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| Return to Main MR/DD Waiver Page
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