Residential Supports Levels 1 – 4 | Home Supports Levels 1 – 5 | Home and Community Supports | Respite Care Non-Institutional Individual/Group or Enhanced Respite | Personal Care Services or Enhanced Personal Care Services | Individual Caregiver Training and Education | Day Support

Residential Supports Levels 1 – 4 (back to top)

This service is provided if the consumer lives in the home with the care provider. It is a daily service. Residential Supports provide assistance with acquisition, retention, or improvement in skills related to activities of daily living, such as personal grooming and cleanliness, bed making and household chores, eating and the preparation of food, and the social and adaptive skills necessary to enable the individual to reside in a non-institutional setting.

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Go to page 44 in the document

CAP MR/DD Manual", North Carolina Department of Health and Human Services. 2005

Home Supports Levels 1 – 5 (back to top)

This service is to meet the habilitation and personal care need of adult consumers who choose to live with their family and receive supports from their family who live at home with the consumer. It provides assistance with acquisition, retention, or improvement in skills related to activities of daily living, such as personal grooming and cleanliness, bed making and household chores, eating and the preparation of food, and the social and adaptive skills necessary to enable the individual to reside in a non-institutional setting.

(For additional information, click on service title.)

View pages 1 thru 3 in the document

CAP /MR / DD Service Definitions", November 2008.

Home and Community Supports Individual or Group (back to top)

This is an hourly service. Home and community supports services provide instruction and assistance to enable the individual to acquire and maintain skills that will allow him/her to function with greater independence in the community. This service may be provided in a consumer’s private residence and/or in the community.

(For additional information, click on service title.)

Go to page 36 in the document

CAP MR/DD Manual", North Carolina Department of Health and Human Services. 2005

Respite Care Non-Institutional Individual/Group or Enhanced Respite (Must be identified by the Supports Intensity Scale and Plan of Care) (back to top)

Respite care is a service that provides periodic relief for a family or primary caregiver. This service may be provided in the individual’s home or in an out-of-home setting. Respite service may not be used as a daily service. Staff sleep time is not reimbursable. Respite cannot be provided by any person who resides in the consumer’s primary place of residence.
NOTE: Home needs to be licensed when:

1. More than two individuals are served concurrently.
2. Either one or two children, two adults or any combination for a cumulative period of time exceeding 240 hours per calendar month.
   

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Go to page 46 in the document.

CAP MR/DD Manual", North Carolina Department of Health and Human Services. 2005

Personal Care Services or Enhanced Personal Care Services (Must be identified by the Supports Intensity Scale and Plan of Care) (back to top)

Personal Care services include support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living. This service my include assistance with preparation of meals, housekeeping chores (when specified in the Plan of Care) such as bed making, dusting and vacuuming, and assistance with transferring, ambulation and use of special mobility devices. Personal care does not include medical transportation or attendance of medical appointments.

(For additional information, click on service title.)

Go to page 42 in the document.

CAP MR/DD Manual", North Carolina Department of Health and Human Services. 2005

Individual Caregiver Training and Education (back to top)

This service includes training and counseling services for the individual and or family services of the individual. The purpose of this service is to enhance the decision making capacity of the family unit, provide orientation regarding the nature and impact of the disability upon the individual and his/her family, provide information about community integration options, intervention strategies, and provide education and training on the use of specialized equipment and supplies.

(For additional information, click on service title.)

Go to page 40 in the document.

CAP MR/DD Manual", North Carolina Department of Health and Human Services. 2005

Day Supports (Group or Individual as specified in the individual plan) (back to top)

This service provides assistance with acquisition, retention or improvement in self-help, socialization and adaptive skills, which take place in a non-residential setting, separate from the home. Day supports shall focus on enabling the participant to attain or maintain his or her maximum functioning level and shall be coordinated with any physical, occupational, or speech therapies listed on the Person Centered Plan. In addition, habilitation services may serve to reinforce skills or lessons taught in school, therapy or other settings. This service meets the day programming needs of participants who choose to attend or receive services provided by a licensed facility such as an adult day vocational program. Community activities that originate from a licensed day facility shall be provided as Day Supports

Residential Supports Levels 1 – 4 | In-Home Skill Building | Personal Care Services | In-Home Intensive Supports | Natural Support Education | Respite Community | Community Networking | B3 Respite

Residential Supports Levels 1 – 4 (back to top)

Services are provided to individuals who live in licensed home or alternative family living homes. Services are aimed at assisting the individual to acquire, improve and retain skills in self-help, general household management and meal preparation, personal finance management, socialization and other adaptive areas, assistance in daily living activities and assistance, support, supervision and monitoring that allow the individual to participate in home life or community activities, and transportation to and from the residence and points of travel.*

In-Home Skill Building (back to top)

In-Home Skill Building provides habilitation and skill building to enable the participant to acquire and maintain skills, which support more independence. It consists of: training in interpersonal skills and development and maintenance of personal relationships, skill building to support the participant in increasing community living skills; such as shopping, recreation, personal banking, grocery shopping and other community activities. It also consists of: training with therapeutic exercise, supervision of self administration of medication and other services essential to healthcare at home, including transferring, ambulation and use of special mobility devices, and transportation to support implementation of In-Home Skill Building. This service is provided when a primary caregiver is home or when the primary caregiver is regularly schedule to be absent. It is provided in the participant’s private home, not in the home of the direct service employee and must start and/or end at the home of the participant.

Personal Care Services (back to top)

Personal Care Services under the waiver include support, supervision and engaging participation with eating, bathing, dressing, personal hygiene and other activities of daily living. Personal care also includes assistance with monitoring health status and physical conditions, assistance with transferring, ambulation, and use of special mobility services. This service may be provided outside of the private home as long as the outcomes are consistent with the support described in the PCP. Services may be allowed in the private home of the provider if there is documentation in the PCP that the individual’s needs cannot be met in the individual’s home or another community location.

In-Home Intensive Supports (back to top)

Intensive Support is available to support participants in their private home, when the participant needs extensive support and supervision. Habilitation, support and/or supervision are provided to assist with positioning, intensive medical needs, elopement and/or behaviors that would result in injury to self or other people.

Natural Supports Education, Individual (back to top)

Natural Supports Education provides training to families and the participant’s natural support network in order to enhance the decision making capacity of the natural support network, provide orientation regarding the nature and impact of the intellectual and other developmental disabilities upon the participant, provide education and training on intervention/strategies, and provide education and training in the use of specialized equipment and supplies.

Respite Community (back to top)

Individual/Group Services- Provides periodic relief for a family or primary caregiver from the responsibility and stress of caring for the individual. Respite may include in and out of home services, inclusive of overnight, weekend care, emergency care or continuous care up to 10 consecutive days. This service may not be used as a daily service. Respite may be provided in the individual’s home or in an out-of-home setting. Staff sleep time is not reimbursable.

Community Networking (back to top)

Provides individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not disabled. This service is provided separate and apart from the participant’s private residence. Community Networking consists of: participation in adult education, development of community based time management skills, community based classes to develop hobbies or leisure/cultural interests, volunteer work, participation in associations and/or community groups, training and education in self-determination and self-advocacy, using public transportation, and transportation to/from the participant’s residence and the training site(s).

Piedmont Behavioral Healthcare

B3 Respite (back to top)

B3 Respite is an individual or group service that provides relief for a family or primary caregiver from the responsibility and stress of caring for the individual.

For additional information about NC Innovation Services go to: http://www.pbhsolutions.org/pubdocs/upload/documents/Ind_Fam_Guide2010%20-%20Images%20Included%2020101104.pdf

 

Family Living | Personal Assistance | Developmental Therapy | Respite

Family Living (Low and Moderate) (back to top)

Family Living Low, like Residential Supports, provides temporary and permanent residential care for people with disabilities. The individual lives in a home setting within the community. The family that the individual lives with assists that individual in taking care of his / her daily needs. They become an active, involved part of the family.

(For more information, click on service title.)

Go to page 53 in the document

MH/DD/SA Service Definitions", North Carolina Department of Health and Human Services. 2003

Personal Assistance (back to top)

Personal Care provides aid to an individual so that he / she can engage in activities and interactions from which they would otherwise be limited or excluded because of his / her disability or disabilities.

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Go to page 103 in the document.

MH/DD/SA Service Definitions", North Carolina Department of Health amd Human Services. 2003

Developmental Therapy (back to top)

Developmental Therapy is a service that focuses on assisting individuals in getting connected to support systems as well as relationships in the community. The service is used to train the individual in activities in order to strengthen appropriate developmental functioning such as self-care, mobility, socialization, independent living, and self-advocacy and rights. This service encourages and enhances skills in the areas of development.

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Go to page 77 in the document.

MH/DD/SA Service Definitions", North Carolina Department of Health and Human Services. 2003

Respite (Community and Hourly) (back to top)

Community and Hourly Respite is used to provide periodic relief for a family or for a residential care provider on a temporary basis. This service can be used to meet a wide range of needs including family emergencies, planned vacations, relief of daily responsibility and stress from caring for someone, or to simply allow time for a caregiver to shop, run errands, and other tasks. This service can be provided in the individual’s home, in the community, or the respite provider's home (if certain provisions are met).

(For additional information, click service title.)

Go to page 147 and 150 in the document

MH/DD/SA Service Definitions", North Carolina Department of Health and Human Services. 2003