Services include functional assessment, development of strategies to support the individual based upon assessment, and the provision of training individuals, staff, relatives and caregivers. Completed on 1:1 basis between individual and behavior support professional. Our therapists’ credentials include Board Certified Behavior Analysts BCBA’s, Licensed Social workers, Psychologist and Counselors with a strong Applied Behavior Analysis (ABA) background. Each one of our Behavior Specialists are licensed by the Bureau of Autism (BSL). Our services include individualized Functional Assessment Interviews, Functional Behavior Analysis, Positive Behavior Support Plans and Crisis Intervention Plans.
HCBS Provider’s services are available under the Consolidated and P/FDS waivers through the Office of Developmental Programs (ODP), Adult Autism waiver as well as the OBRA waiver through the Office of Long Term Living (OLTL).
This is a direct service (face-to-face) provided in home and community settings to protect health and welfare, and to assist individuals in acquiring, maintaining, and improving self-help, domestic, socialization, and adaptive skills. Services consist of support in the general areas of self-care, communication, fine and gross motor skills, mobility, therapeutic activities, personal adjustment, relationship development, socialization, and use of community resources. When services are provided by agency-based providers, this service also includes transportation services necessary to enable the individual to participate in the home and community habilitation service in accordance with the individual’s ISP. This service may not be provided in licensed settings, and is not a licensed residential service. For residential services, see Residential Home and Community Habilitation Licensed Homes and Unlicensed Homes. Home and Community Habilitation is a service that may be provided to individuals in their own home or in other community settings not subject to licensing regulations.
In-Home & Community Supports (IHCS) consists of services designed to assist individuals in acquiring, retaining, and improving the self-help, socialization, and adaptive skills necessary to reside successfully in home and community-based settings. IHCS may be provided up to about 16 hours a day based on the needs of the individual, to protect the individual’s health and welfare. Camp day or overnight may only be provided under respite. Through the provision of this service individuals learn, maintain, or improve skills through their participation in a variety of everyday life activities. They learn and use skills in the context of these activities; this is considered a functional approach to the delivery of services. These activities must be necessary for individuals to live in the community, to live more independently, or to be more productive and participatory in community life. Services must be provided in a manner that protects the individual’s health and welfare. In addition to supporting individuals in activities typically associated with those occurring in their homes and their community, the In-Home & Community Supportse may also be used to provide staff assistance to support individuals in the following ways:
- In-Home & Community Supports provided in home and family settings that are not subject to Department licensing or approval, when the provider of IHCS meets established requirements/qualifications.
- Support that enables the individual to access and use community resources such as instruction in using transportation, translator and communication assistance, and services to assist the individual in shopping and other necessary activities of community life.
- Support that assists the individual in developing or maintaining financial stability and security, such as plans for achieving self-support; general banking; personal and estate planning; balancing accounts; preparing income taxes; and record keeping.
- Support that enables an individual to participate in community projects, associations, groups, and functions, such as support that assists an individual to participate in a volunteer association or a community work project.
- Support that enables an individual to visit with friends and family in the community.
- Support that enables an individual to participate in public and private boards, advisory groups, and commissions.
- Support that enables the individual to exercise rights as a citizen, such as assistance in exercising civic responsibilities.
- Support provided during overnight hours when the individual needs the IHCS service to protect their health and welfare. If the individual only needs supervision during overnight hours, the appropriate service is Companion Services.
There may be multiple uses of this service with different providers within an individual’s ISP as long as there is documented need and there are no conflicts or overlaps with regard to day and/or time of service. For example, an individual may participate in activities that are community-based and receive In-Home & Community Supports from 6:00 PM to 9:00 PM, Monday through Friday to satisfy an outcome of participating in a community resource. The same individual could also be provided with a In-Home & Community Supports that is home-based, scheduled Monday through Friday from 11:30 AM to 12:30 PM to support him/her in achieving an outcome of independent meal preparation. This service may not overlap with or duplicate Companion Services. In-Home & Community Supports (Unlicensed) and Companion Services have a combined maximum limit of 24 hours (96 15-minute units) per participant per calendar day. This service should be coordinated with any service(s) that may be provided in the Specialized Therapies and Nursing Services category to ensure consistency in services to individuals across service settings. Licensed Day Habilitation, Prevocational Services, Transitional Work Services, Supported Employment (direct service), and In-Home & Community Supports (unlicensed) services may not overlap in terms of day and time.