Community Services

Residential Habilitation

Residential habilitation service provides supervision and specific training activities that assist the recipient to acquire, maintain, or improve skills related to activities of daily living. The service focuses on personal hygiene skills, such as bathing and oral hygiene; homemaking skills such as food preparation, vacuuming, and laundry; and on social and adaptive skills that enable the recipient to reside in the community. This training is provided in accordance with a formal implementation plan, developed by the provider with direction from the recipient and reflects the recipient’s goals from the current support plan.

 

Supported Living Coaching

Supported living coaching services provide training and assistance, in a variety of activities, to recipients who live in their own homes or apartments. These services are provided by a qualified supported living coach to a recipient residing in a living setting meeting the requirements set forth in Rule 65G-5.004, F.A.C., and can include assistance with locating appropriate housing; the acquisition, retention, or improvement of skills related to activities of daily living, such as personal hygiene and grooming; household chores; meal preparation; shopping; personal finances; and the social and adaptive skills necessary to enable recipients to reside on their own.

Life Skills Development – Level 1 (Companion)

Life Skills Development – Level 1 (Companion) services consist of non-medical care, supervision, and socialization activities provided to adults (recipients of age 21 and older). This service must be provided in direct relation to the achievement of the recipient’s goals per the recipient’s support plan. The service provides access to community-based activities that cannot be provided by natural or other unpaid supports, and should be defined as activities most likely to result in increased ability to access community resources without paid support. Life Skills Development – Level 1 (Companion) services can be scheduled on a regular, long-term basis.

 

Life Skills Development – Level 2 (Supported Employment)

Life Skills Development – Level 2 (Supported Employment) services provide training and assistance to support recipients in job development and sustaining paid employment at or above minimum wage unless the recipient is operating a small business. This service can be performed on a full-time or part-time basis and at a level of benefits paid by the employer for the same or similar work performed by trained non-disabled recipients. The provider assists with the acquisition, retention, or improvement of skills related to accessing and Developmental Disabilities Individual Budgeting Medicaid Waiver coverage and Limitations Handbook 4-6 Draft Proposed Rule December 2012 maintaining such employment or developing and operating a small business.

 

Personal Supports Services

 Personal supports services provide assistance and training to the recipient in activities of daily living, such as in the areas of eating, bathing, dressing, personal hygiene, and preparation of meals. When specified in the support plan, this service can also include housekeeping chores, such as bed making, dusting, and vacuuming, and assistance to do laundry, shopping, and cooking, which are incidental to the care furnished, or which are essential to the health and welfare of the recipient rather than the recipient’s family.

Respite Care

Respite care is a service that provides supportive care and supervision to recipients under the age of 21 when the primary caregiver is unable to perform the duties of a caregiver. This service is generally used due to a brief planned or emergency absence, or when the primary caregiver is available, but temporarily physically unable to care for or supervise the recipient for a brief period of time. Respite care is not intended to be used as after school care or supplement personal care assistance when daily limits for personal care assistance is exceeded.

Personal Care Assistance (PCA)

Personal care assistants provide routine health and personal care support and assistance with activities of daily living to consumer 21-and younger with physical impairments or disabilities in private homes, nursing care facilities, and other residential settings.

Behavior Assistant Services (BAS)

Description: The primary purpose of the behavior assistant services (BAS) is to provide support in implementing the behavior analysis services plan created by the waiver behavior analyst or provider licensed under Chapter 490 or 491, F.S. The assistant must maintain a copy of the plan. This includes assisting the certified behavior analyst in assessing the recipient, assisting in implementing new procedures in the presence of the behavior analyst, acting as a model for correct implementation for the recipient or the caregivers, or coaching caregivers to implement the behavior program. Unlike other services, the behavior assistant provider’s focus is more on working with the caregivers to provide them with the skills to execute the procedures as detailed in the behavior analysis services plan, rather than the provision of intervention directly with the recipient.