Adult Day Services
Adult Day is a service providing day activities that are meaningful to a participant in a safe, supervised nonresidential setting. Adult Day offers fewer opportunities for community involvement and cannot include employment or volunteer activities due to compromised health issues and significant limitations of a participant.
Enclave
Enclave is a habilitative service provided at a business or in the community. In an Enclave, a participant or a group of participants learn work skills and appropriate work behavior, which can be used to seek competitive employment in the future. Enclave is a habilitative service and must include habilitation programs
Behavioral In-Home Habilitation
Behavioral In-Home Habilitation is a short-term habilitative service provided to a participant whose reoccurring severe mental health condition or behavior prevents him/her from participating in his/her regularly scheduled day service activities or employment, and is unable to be home alone. Behavioral In-Home Habilitation is a habilitative service and must include habilitation programs.
Homemaker
Homemaker is a support to assist with general household activities when the family member usually responsible is temporarily absent or unable to manage the home. This service is only available to a participant under the age of 21 who lives with an unpaid caregiver. This service is not available to a participant at or above the age of 21 because he/she can use other DHHS services to meet the same need.
Habilitative Community Inclusion
Habilitative Community Inclusion is a habilitative service which provides teaching of self-help, behavioral, socialization, and adaptive skills. The majority of Habilitative Community Inclusion takes place in the community in a non-residential setting. During Habilitative Community Inclusion, a participant must decide where he/she wants to go and how often he/she wants to visit the same places. Habilitative Community Inclusion is a habilitative service and must include habilitation programs.
Habilitative Workshop
Habilitative Workshop is a habilitative service which teaches self-help, behavioral, socialization, and adaptive skills. Habilitative Workshop takes place in a provider owned or leased, operated, or controlled non-residential setting. This service is provided when a participant does not have a personal employment goal and is not currently seeking competitive integrated employment. Habilitative Workshop is a habilitative service and must include habilitation programs.
Independent Living
Independent Living is a habilitative, intermittent service which teaches the participant skills related to living independently and community integration. Independent Living is provided in the participant’s private home. Independent Living is a habilitative service and must include habilitation program.
Medical In-Home Habilitation
Medical In-Home Habilitation is a short-term habilitative service provided to a participant whose severe medical condition prevents him/her from participating in regularly scheduled day service activities or employment, and is unable to be home alone. Medical In-Home Habilitation is a habilitative service and must include habilitation programs.
Prevocational
Prevocational is a habilitative- service which teaches the participant general job-related skills to help him/her get a job in a community integrated setting. Prevocational is a habilitative service and must include habilitation programs.
Respite
Respite is a non-habilitative service provided to a participant unable to care for him/herself as relief for the participant’s usual caregiver. Respite includes assistance with activities of daily living, health maintenance, and supervision.
Residential Habilitation Continuous Home
Residential Habilitation Continuous Home is a habilitative, continuous service which teaches the participant skills related to living independently and community integration. Residential Habilitation includes assistance with health maintenance and supervision. Residential Habilitation is a habilitative service and must include habilitation program.
Host Home
Host Home is a service delivery option of Residential Habilitation, delivered in a private home owned or leased by an employee of the agency provider. The Host Home employee and the participant live together and the participant shares daily life with the Host Home family in their home and community.
Shared Living
Shared Living is a service delivery option of Residential Habilitation, delivered in a private home owned or leased by an independent contractor of the agency provider. The Shared Living contractor and the participant live together and the participant shares daily life with the Shared Living family in their home and community.
Supported Family Living
Supported Family Living is a habilitative, intermittent service that teaches the participant skills related to living independently and community integration. Supported Family Living is provided in the participant’s private family home. Supported Family Living is a habilitative service and must include habilitation programs.
Supported Employment Follow Along
Supported Employment – Follow-Along is a habilitative service to help a participant maintain competitive integrated employment. This service is provided with a participant through job support and communicating with the participant’s employer. This service may cover support through phone calls between the provider and the participant’s employer. There is regular contact and follow-up with the employer and participant to reinforce and stabilize job placement. Supported Employment – Follow-Along is a habilitative service and must include habilitation programs.
Supported Employment Individual
Supported Employment Individual is a habilitative service to provide a job coach for one-on-one teaching to help a participant maintain competitive integrated employment. Supported Employment-Individual must be provided in an integrated community employment setting. Supported Employment – Individual may include self-employment businesses. Supported Employment – Individual is a habilitative service and must include habilitation program.
Transitional Services
Transitional Services assist with one-time household set-up expenses and supports that help a participant move into a private home so he/she may receive Medicaid HCBS developmental disabilities waiver services. Transitional Services may be approved when the participant does not have funds for household expenses.
Transportation
Transportation is a service to provide non-medical transportation to and from Medicaid HCBS developmental disabilities waiver services. This is a standalone waiver service, separate from transportation included in other waiver services.
Home Modifications
Home Modifications are changes to a participant’s private home to make it easier and safer to get around
AD Waiver Services
AD Waiver services help people who are aged or have disabilities. Services meet needs while the participant lives where they choose. The following services are available to AD Waiver participants.
“Chore is a service for adults which includes general household activities necessary for maintaining and operating the individual’s home when the individual is unable to perform these activities. Home care/chore activities provided are limited to those activities that are required to maintain the client in a healthy and safe environment.” (480 NAC 5-005.E) Department of Health and Human Services (DHHS) – approved service providers have an important role in the community. Providers of these services help persons who are aged or have disabilities to have choices in how to live and where to live.
1. ADULT DAY HEALTH CARE 1. Description Adult Day Health Care (ADHC) is a service which allows for structured social, habilitation, and health activities. It may (1) alleviate deteriorating affects of isolation; (2) aid in transition from one living arrangement to another; (3) provide a supervised environment while the regular caregiver is working or otherwise unavailable; and/or (4) provide a setting for receipt of multiple health services in a coordinated setting. ADHC is provided outside of the client’s place of residence for a period of four or more hours daily, but less than 24 hours.
2. RESPITE CARE 1. Description Respite Care is temporary care of an aged adult or adult or child with disabilities to relieve the usual caregiver from continuous support and care responsibilities. Components of respite care service are supervision, tasks related to the individual’s physical needs, tasks related to the individual’s psychological needs, and social/recreational activities. Respite care may be provided in the individual’s home or out of the home. If respite is provided by a hospital or other facility, the individual is not considered a facility resident. The need for this service must be reflected in one or more assessment areas of the client’s plan of services and supports.
3.TRANSPORTATION 1. Description Transportation service is transporting a client to and from community resources identified during client assessment as directly contributing to the ability of the individual to remain at home. Service may be provided by an individual, agency (exempt provider), or by common carrier. The need for this service must be reflected in one or more assessment areas of the client’s plan of services and supports.
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