(apd logo) Agency for Persons with Disabilities Guide to iBudget Florida Waiver Services Serving Floridians with Developmental Disabilities - - - iBudget Florida Services The iBudget Florida waiver administered by the Agency for Persons with Disabilities (APD) offers supports and services to assist individuals with developmental disabilities to live in their community. Services are provided based on need, so all individuals do not receive all services. The primary categories are briefly described below. Additional information is available through your APD regional office or waiver support coordinator. Some services require a professional assessment to determine the scope of treatment. LIFE SKILLS DEVELOPMENT Life Skills Development Level 1 This service was formerly known as companion services. It includes nonmedical care, supervision, and socialization activities provided to an adult on a one-to-one basis or in groups of up to three recipients. This service will help the individual increase his or her ability to access the community independently. Life Skills Development Level 2 This service encompasses the service formerly known as supported employment for both individual and group models. It helps the individual to find and keep a job in his or her community, or to develop and operate a small business. Life Skills Development Level 3 This service, formerly known as adult day training, helps the individual participate in valued experiences in the community, including volunteering, job exploration, accessing community resources, and self-advocacy in work-like settings that are age and culturally appropriate. SUPPLIES AND EQUIPMENT Consumable Medical Supplies This service provides specific nondurable supplies and items that assist individuals to perform activities of daily living. These supplies are not available through the Medicaid State Plan. Examples include incontinence supplies for individuals 21 and older, wipes, and underpads. Durable Medical Equipment and Supplies This service provides equipment prescribed by a licensed professional that enables an individual to live as comfortably as possible, and is not covered by the Medicaid State Plan. Examples include lap trays, grab bars, adaptive switches or door openers, and individualized positioning equipment. Environmental Accessibility Adaptations This service provides physical adaptations to the home that are required by the individual’s support plan and are medically necessary to avoid institutional placement of the individual and enable the person to function with greater independence in the home. Personal Emergency Response Systems This service provides the equipment and monitoring that enables an individual who lives alone for extended periods of time to secure help in the event of an emergency. The individual may wear a portable “help” button that allows for mobility while at home or in the community. PERSONAL SUPPORTS Personal Supports This combines the services formerly known as respite care, companion, in-home supports, and personal care assistance. This service provides assistance and training in activities of daily living such as eating, bathing, dressing, personal hygiene, and preparation of meals. If specified in the support plan, this service may provide housekeeping chores. This service also includes nonmedical care and socialization, and may provide access to communitybased activities that have therapeutic benefits. This service is for customers 21 and older who live in their own home or family home. It is also available to individuals at least 18 who live in their own home. Respite Care This service provides supportive care and supervision to individuals living in the family home when the primary caregiver is unavailable due to a brief planned or emergency absence, or when the primary caregiver is temporarily physically unable to provide care. RESIDENTIAL SERVICES Residential Habilitation These services provide supervision and training that help the individual acquire, maintain, and improve skills related to activities of daily living. The services focus on personal hygiene skills such as bathing and oral hygiene; homemaking skills such as food preparation, vacuuming, and laundry; and social and adaptive skills that enable the individual to reside in the community. Standard Residential Habilitation This service provides supervision and specific training activities that assist the recipient to acquire, maintain, or improve skills related to activities of daily living. Behavior-Focused Residential Habilitation This service is for recipients who may need a more intense level of residential habilitation as determined by characteristics that impact the immediate safety, health, progress, and quality of life for the recipient. Intensive Behavior Residential Habilitation This service is for recipients who present issues with behavior that are exceptional in intensity, duration, and frequency, and whose needs cannot be met in a behavior-focused or standard residential habilitation setting. Specialized Medical Home Care This service provides up to 24-hours-a-day nursing services and medical supervision to residents of licensed group homes that serve individuals with complex medical conditions. Supported Living Coaching This service provides training and assistance in a wide variety of activities to support individuals who live and maintain homes or apartments of their own. SUPPORT COORDINATION Support Coordination This service provides a waiver support coordinator (WSC) to identify, develop, coordinate, and access supports and services on the person’s behalf, regardless of the funding source, in the most cost-effective manner possible. There are three types of support coordination: Limited Support Coordination This service is intended to be less intense than full support coordination. Limited support coordination is billed at a reduced rate and has reduced contact requirements. Full Support Coordination This service provides significant support to ensure the recipient’s health, safety, and well-being. The WSC can share tasks with the recipient and the recipient’s family, or other support people, but ultimately the WSC is responsible for performing all tasks required to locate, select, and coordinate services and supports, whether paid with waiver funds or through other resources. Full support coordination is required for recipients age 21 and older during the first three months of waiver enrollment and for children in the foster care system who have been enrolled on a waiver and for up to three months after their transfer out of the foster care system, or who are in supported living, residential placement, or residing in an assisted living facility. Enhanced Support Coordination This service consists of activities that assist the recipient in transitioning from a nursing facility or intermediate care facility for the developmentally disabled (ICF/DD) to the community or for assisting recipients who have a circumstance that necessitates a more intensive level of support coordination. THERAPEUTIC SUPPORTS AND WELLNESS Behavior Analysis Services These services include the analysis, development, modification, and monitoring of behavior for the purpose of changing an individual’s behavior. Behavior Assistant Services These services are provided for a limited time, under the supervision of a behavior analyst, to train paid or unpaid support persons in how to assist the individual in functioning more independently. Specialized Mental Health Counseling This service is provided to individuals with a developmental disability and a confirmed mental health diagnosis to restore the person to the best possible functional level. - - - The following services require a prescription by a physician, ARNP, or physician’s assistant and are only available for individuals 21 years of age and older. Private Duty Nursing This service is for those requiring individual, conti nuous care by registered or licensed practi cal nurses as prescribed. Residential Nursing This service consists of conti nuous care provided by registered or licensed practi cal nurses to individuals in residential facilities, group homes, or foster homes. Skilled Nursing This service is prescribed and consists of part-time or intermittent care provided by registered or licensed practical nurses. Dieti cian Services These services are prescribed as being necessary to maintain or improve the overall physical health of an individual. They include assessing nutriti onal status and needs, recommending an appropriate diet, and providing counseling and education. Respiratory Therapy This service treats the impairment of respiratory function and other defi ciencies of the cardiopulmonary system. It requires a physician’s prescripti on. Speech Therapy This service is prescribed when necessary to produce specific functional outcomes in the communication skills of an individual with a speech, hearing, or language disability. Occupational Therapy This service is prescribed with the goal of producing specifi c functi onal outcomes in self-help, adaptive, and sensory motor skill areas, and assisting the individual to control and maneuver within the environment. Physical Therapy This service produces specific functional outcomes in ambulation, muscle control, and postural development and prevents or reduces further physical disability. It requires a prescription. TRANSPORTATION Transportati on This service provides rides between the individual’s home and communitybased waiver services, enabling the person to receive the supports and services identified on both the support plan and approved cost plan, when such services cannot be accessed through natural (unpaid) supports. DENTAL SERVICES Adult Dental Services These services provide dental treatments and procedures for individuals 21 and older who are not otherwise covered by Medicaid State Plan. Complete definitions, provider qualifications, service limitations, and documentation requirements can be found in the Developmental Disabilities Waiver Services Coverage and Limitations Handbook, which is available here: http://apdcares.org/waiver/hcbs (map of state) 4030 Esplanade Way, Suite 380 Tallahassee, FL 32399-0950 1-866-APD CARES (1-866-273-2273) (850) 488-4257 apdcares.org May 2013