Waivers and Services Flashcards

1
Q

What are the three waiver types?

A

Family Supports, Community Supports, Community Pathways

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2
Q

What does payer of last resort mean?

A

It means that they need justification that all other resources Medicaid funded or not have been exhausted before they seek DDA funding

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3
Q

What are the three main service categories that DDA provides?

A

Day, Residential, and Support services

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4
Q

What age group does the family support waiver specifically assist?

A

0-21 years of age

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5
Q

“Do participants in the family support waiver have access to meaningful day services?”

A

No, the school is seen as the day service

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6
Q

Does the community supports waiver include residential services?

A

No, residential services are only offered under the community pathways waiver

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7
Q

Define Supported living

A

Supported living means that a participant is living in a home that a parent/guardian owns or leases. It is not a provider owned residence.

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8
Q

Define Shared Living

A

Shared living means that an individual or family chooses to share their home with someone who has a disability. It is based on a mutual relationship where both parties agree to share their lives.

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9
Q

Define Community Living-Group home

A

community living refers to a participant residing in housing owned by the provider within a community residential setting.

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10
Q

What are they two types of DDA Service Models?

A

Traditional and Self-Directed

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11
Q

What is the difference between traditional and self-directed?

A

In the traditional model, the provider is responsible for providing the services, such as providing staff, background checks, rate of pay for employees. However, in self-directed the participant and their family choose the staff, their rate of pay, and allocation of funds.

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12
Q

What is a service?

A

A service is something being directly provided to an individual by a trained staff member that has been hired by a DDA licensed provider, a staff of their own choosing, or an approved vendor in the community.

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13
Q

What services fall under the category of meaningful day services?

A

Employment services, Supported employment, Employment discovery & customization, career exploration, community development services, day habilitation, and medical day care.

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14
Q

What are some examples of support services?

A

Assisted technology, behavior support services, environmental assessment, environmental modifications, family and peer mentoring supports, individual and family directed goods and services, housing support services, transportation, transition services, nursing support services, respite care services, and personal support services

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15
Q

What is the purpose of job development as a service?

A

to assist in obtaining competitive integrated employment

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16
Q

What are follow along job supports?

A

Follow along job supports occur after the person has transitioned into their job and provides assistance to ensure that the individual can maintain their job.

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17
Q

What are on-going job supports?

A

On-going job supports help the person learn and complete job tasks to maintain a job. For example, after there is a significant change in their job duties.

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18
Q

Define career exploration

A

Career exploration are time-limited services to help the person learn skills to work toward gaining meaningful employment.

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19
Q

What is the purpose of community development services?

A

Community development services aim to foster positive personal growth and socialization abilities, while also assisting individuals in acquiring essential skills for obtaining, maintaining, or progressing in employment opportunities.

20
Q

Define day habilitation services

A

Day habilitation services focus on nurturing and sustaining a participant’s skills in areas such as daily living activities, vocational skills, and socialization.

21
Q

What are some instances of meaningful activities that may take place during day habilitation?

A

Learning skills for employment, participating in self-advocacy classes/activities, volunteering, training and supports to ensure that individuals can maintain their abilities, and transportation services

22
Q

Can day habilitation services include nursing support services?

A

Yes, but they cannot be the only or primary service provided during day habilitation

23
Q

Define assistive technology

A

Assistive Technology is an item, computer application, piece of equipment or product system that may be acquired commercially, modified, or customized.

24
Q

What are some examples of assistive technology?

A

iPad for communication, blind and low vision devices, adapted bike, and task analysis application

25
Q

Define Behavioral Support Services

A

Behavioral support services encompass a range of interventions designed to aid individuals facing challenges stemming from behavioral, social, or emotional issues. These services aim to comprehensively analyze challenging behaviors and their underlying causes in order to create a behavior plan, ultimately promoting greater independence and community inclusion for the individual.

26
Q

What is a behavior assessment?

A

A behavior assessment identifies challenging behaviors through data collection, discussion with the support team, and, when necessary, the creation of a behavior plan.

27
Q

What is a behavior plan?

A

A behavior plan creates a plan of action that best addresses the unwanted behavior.

28
Q

What is a rights restriction?

A

A rights restriction is a necessary limitation on an individual’s rights to ensure their health, safety, and well-being or that of the community.

29
Q

What is an environmental assessment?

A

Environmental assessment is an on-site evaluation of a person’s primary residence to identify the need for home modifications or assistive technology.

30
Q

What is an environmental modification?

A

Environmental modifications are physical changes to a person’s home that enhance independence and safety.

31
Q

What are housing support services?

A

Housing support services encompass housing information, assistance in obtaining and maintaining independent housing, transitional services to assess needs and develop a personalized housing support plan, and tenancy sustaining services to help individuals maintain their rented or leased homes.

32
Q

What are nursing support services?

A

A registered nurse performs a nursing consultation, health case management, and delegation services, based on the participant’s assessed need.

33
Q

What are the four nursing support services?

A

Initial nursing assessment, nursing consultation, health case management, and nursing delegation

34
Q

What does the initial nursing assessment include?

A

It includes a comprehensive nursing assessment, clinical review and updating HRST, and determination if person can self-medicate

35
Q

What does the nursing consultation include?

A

It includes providing recommendations to access health services, develops or reviews health protocols, and develops or reviews communication systems

36
Q

What does health case management include?

A

It includes providing recommendations to access health services, develops a nursing care plan and protocols, provides training to the provider’s direct support staff, determines if tasks can be delegated

37
Q

What does nursing delegation includes?

A

It involves making health service recommendations, creating nursing care plans and protocols, training support staff, and monitoring their performance in delegated nursing tasks.

38
Q

Define personal support services

A

Personal support services help individuals in their own or family homes acquire and enhance skills for greater personal independence, covering in-home skills development, community integration, and personal care assistance.

39
Q

Define enhanced personal supports

A

Enhanced personal supports are personal support services that are provided at a different rate; if the person has an approved behavioral plan and/or a HRST score of 4 or higher.

40
Q

Define transportation as a service

A

Transportation is teaching someone how to use transport in the community, such as using public transportation. .

41
Q

What are remote support services?

A

Remote support services use off-site electronic systems to monitor and reduce the required staffing while maintaining health and welfare within the person’s home.

42
Q

What are respite services?

A

Respite care is short-term care intended to provide both the family or other primary caregiver and the person with a break from their daily routines.

43
Q

Where can respite services be provided?

A

Respite services can be provided in the person’s own home, the home of a respite care provider, a licensed residential site, state certified overnight or youth camps, and other settings and camps approved by DDA.

44
Q

Define support broker services

A

Support broker services offer participants guidance on self-direction, helping them make informed decisions about staff management and budgeting through employer-related information and coaching.

45
Q

Define transition services

A

Transition services are allowable expenses related to moving from an institutional setting to a group home or private home or from moving from a residential provider to a private residence.

46
Q

What is not included in the transition service?

A

Rent, food, and utilities

47
Q

What is the lifetime limit for transition services?

A

5,000 unless more is authorized by DDA