Under iBudget Florida, services have been rearranged and a new service will be added—with the goal of making the new system as flexible as possible for customers and their providers. Below is a brief overview of the new structure of services, which are divided into eight broad categories called service families, also referred to by their group numbers.
GROUP 1 – LIFE SKILLS DEVELOPMENT
Life Skills Development Level 1 • This service was formerly known as companion services. It includes nonmedical care and socialization activities provided to an adult on a one-to-one basis or in groups of up to three recipients.
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 get 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, supports the individual to 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.
Family and Legal Representative Training • This new service will help the customer, family and/or legal representative learn to locate and coordinate services from sources such as the local communities, federal and state government, Medicaid state plan, school services, and waiver services. This service is not yet available.
GROUP 2 – SUPPLIES AND EQUIPMENT
Consumable Medical Supplies • This service provides nondurable supplies and items that enable individuals to perform activities of daily living, not otherwise available through Medicaid State Plan. Examples include incontinence supplies, wipes, and pads.
Durable Medical Equipment and Supplies • This service provides equipment, prescribed by a physician, that is not covered by Medicaid State Plan. Examples include lap trays, grab bars, lifts, 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 him to function with greater independence in the home.
Personal Emergency Response Systems • This service provides the equipment and monitoring service that enables an individual 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.
GROUP 3 – PERSONAL SUPPORTS
Personal Supports • This service is for customers 21 and older who live in their own home or family home. It also applies to those at least 18 but under 21 who live in their own home. It 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 community-based activities that have therapeutic benefits.
Respite Care • This service provides supportive care and supervision to individuals under age 21, 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.
GROUP 4 – RESIDENTIAL SERVICES
Residential Habilitation • These services provide supervision and training that help the customer to 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 on social and adaptive skills that enable the individual to reside in the community. There are four types of residential habilitation:
Standard Residential Habilitation
Behavior-Focused Residential Habilitation
Intensive-Behavior Residential Habilitation
Live-In Residential Habilitation
Specialized Medical Home Care • This service provides up to 24-hour-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 in and maintain homes or apartments of their own.
GROUP 5 – SUPPORT COORDINATION
Support Coordination • These services provide a waiver support coordinator to identify, develop, coordinate, and access supports and services on the person's behalf, regardless of funding source, in the most cost-effective manner possible. There are three types of support coordination:
Limited Support Coordination
Full Support Coordination
Enhanced Support Coordination
GROUP 6 – THERAPEUTIC SUPPORTS AND WELLNESS
Private Duty Nursing • This service is for persons requiring individual, continuous care by registered or licensed practical nurses as prescribed by a physician.
Residential Nursing • This service is prescribed by a physician and consists of continuous care provided by registered or licensed practical nurses to individuals in residential facilities, group homes, or foster homes.
Skilled Nursing • This service is prescribed by a physician and consists of part-time or intermittent care provided by registered or licensed practical nurses.
Dietician Services • These services are prescribed by a physician as being necessary to maintain or improve the overall physical health of an individual. They include assessing nutritional status and needs, recommending an appropriate diet, and providing counseling and education.
Respiratory Therapy • This service relates to impairment of respiratory function and other deficiencies of the cardiopulmonary system. It requires a physician's prescription.
Speech Therapy • This service is prescribed by a physician as 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 by a physician with the goal of producing specific functional 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 physician's prescription.
Specialized Mental Health Counseling • This service is provided to treat or control an individual's mental illness and restore the person to the best possible functional level.
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 supervision by a behavior analyst, to train paid or unpaid support persons in how to assist the individual in functioning more independently.
GROUP 7 – TRANSPORTATION
Transportation • This service provides rides between the individual's home and community-based waiver service providers, enabling the individual 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.
GROUP 8 – DENTAL SERVICES
Adult Dental Services • These services provide dental treatments and procedures that are not otherwise covered by Medicaid State Plan services.