iBudget Florida Services
APD’s iBudget Waiver offers an array of social, medical, residential, and therapeutic services that can be authorized to meet individualized needs and goals. Services are grouped into the 8 service families listed below.
GROUP 1 – LIFE SKILLS DEVELOPMENT
Life Skills Development Level 1 (Companion) • This service 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 (Supported Employment) • This service helps individuals find and keep a job in the community.
Life Skills Development Level 3 (Adult Day Training) • This service provides training and assistance with acquisition, retention, or improvement in self-help, socialization, and adaptive skills in the community. Adult Day services may include recreational and other activities to enhance social development and development of skills in performing activities of daily living and community living.
Life Skills Development Level 4 (Prevocational) • This service provides learning and work experiences, where individuals can develop general, non-job-task-specific strengths and skills that contribute to paid employment. Services are intended to develop and teach general skills that lead to competitive and integrated employment.
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 adults and provides assistance and training in activities of daily living such as eating, bathing, dressing, personal hygiene, and preparation of meals.
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 to individuals in licensed residential facilities that help the clients 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. The types of residential habilitation include:
Standard Residential Habilitation
Behavior-Focused Residential Habilitation
Intensive-Behavior Residential Habilitation
Enhanced Intensive Behavior 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 includes case management through 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.