#Waiverwise: Community Based Habilitation
Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.
More information, including service costs, available in the manual:
http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf
Community-Based Habilitation Services (Group or Individual)
Group are services provided outside of the participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports. Community settings are defined as non-residential, integrated settings that are primarily in the community where services are not rendered within the same buildings with non-integrated (segregated) participants.
The following are limitations on group sizes:
Small groups (4:1 or smaller)
Medium groups (5:1 to 10:1)
Habilitation services reimbursement does not include reimbursement for the cost of the activities in which the individual is participating when they receive skills training, such as the cost to attend a community event.
Individual services are services provided outside of the Participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports.
Note: Community settings are defined as non-residential, integrated settings that are primarily out in the community where services are not rendered within the same buildings alongside other nonintegrated participants Reimbursable Activities
Reimbursable activities include the following:
Monitoring, training, education, demonstration, or support to assist with the acquisition and retention of skills in the following areas:
Leisure activities and community/public events (for example, integrated camp settings)
Educational activities
Hobbies
Unpaid work experiences (for example, volunteer opportunities)
Maintaining contact with family and friends
Training and education in self-direction designed to help participants achieve one or more of the following outcomes:
Develop self-advocacy skills
Exercise civil rights
Acquire skills that enable self-control and responsibility for services and supports received or needed
Acquire skills that enable the participant to become more independent, integrated, or productive in the community
The allowable staff/client ratio is 1:1
Community-Based Habilitation Services (Group or Individual)
Group are services provided outside of the participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports. Community settings are defined as non-residential, integrated settings that are primarily in the community where services are not rendered within the same buildings with non-integrated (segregated) participants.
The following are limitations on group sizes:
Small groups (4:1 or smaller)
Medium groups (5:1 to 10:1)
Habilitation services reimbursement does not include reimbursement for the cost of the activities in which the individual is participating when they receive skills training, such as the cost to attend a community event.
Individual services are services provided outside of the Participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports.
Note: Community settings are defined as non-residential, integrated settings that are primarily out in the community where services are not rendered within the same buildings alongside other nonintegrated participants Reimbursable Activities
Reimbursable activities include the following:
Monitoring, training, education, demonstration, or support to assist with the acquisition and retention of skills in the following areas:
Leisure activities and community/public events (for example, integrated camp settings)
Educational activities
Hobbies
Unpaid work experiences (for example, volunteer opportunities)
Maintaining contact with family and friends
Training and education in self-direction designed to help participants achieve one or more of the following outcomes:
Develop self-advocacy skills
Exercise civil rights
Acquire skills that enable self-control and responsibility for services and supports received or needed
Acquire skills that enable the participant to become more independent, integrated, or productive in the community
The allowable staff/client ratio is 1:1
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