Therapeutic Supports & Wellness

Behavior Analysis

Behavior analysis services assist recipients with learning new, or help increase existing, skills directly related to existing challenging behaviors. Challenging behaviors include those behaviors exhibited by the recipient that pose risk of harm to the recipient or others (i.e., aggression, self-injury, property destruction). Behavior analysis includes the design, implementation, and evaluation of systematic environmental modifications, and includes the writing of a behavior analysis services plan.

Providers must:

Providers will provide services and bill under one of the following:

Diplomas or degrees earned in other countries must be accompanied by authentication documentation that the degree is equivalent to the educational requirements for the position.

Behavior Assistant

The primary purpose of behavior assistant services (BAS) is to provide support in implementing the BASP created by the behavior analysis services provider. 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. The primary focus is working with the caregivers to provide them with the skills to execute the procedures as detailed in the behavior analysis services plan.

Behavior Assistant providers must:

Behavior Assistant providers must have at least:

Providers must also:

Dietician Services

Dietitian services are those services prescribed by a physician, Advanced Registered Nurse Practitioner (ARNP), or Physician Assistant (PA) that are necessary to maintain or improve the overall physical health of a recipient. The services include annually assessing the nutritional status and needs of a recipient; recommending an appropriate dietary regimen, nutritional support and nutrient intake; and providing counseling and education to the recipient, family, direct service staff, and food service staff. The services can also include the development and oversight of nutritional care systems that promote a recipient’s optimal health.

Providers must:

Private Duty Nursing

Private duty nursing services are prescribed by a physician, ARNP, or PA and consist of individual, continuous nursing care provided by registered or licensed practical nurses.

Providers and employees of provider agencies must:

Residential Nursing

Residential nursing services are services prescribed by a physician, ARNP, or PA and consist of individual, continuous nursing care provided by registered or licensed practical nurses.

Providers must:

Skilled Nursing

Skilled nursing is a service prescribed by a physician, ARNP, or PA and consists of part-time or intermittent nursing care visits, provided on a daily basis by registered or licensed practical nurses.

Providers must:

Occupational Therapy

Occupational therapy is a service prescribed by a physician, ARNP, or PA that is necessary to produce specific functional outcomes in self-help, adaptive, sensory motor skill areas, and assist the recipient to control and maneuver within the environment. The service includes an occupational therapy assessment. In addition, occupational therapists must train direct care staff and caregivers (if applicable) to ensure they are carrying out therapy goals correctly. This activity must be performed with the recipient present. 

Occupational therapy is a one-on-one service with a recipient age 21 years and older.

Providers must:

Physical Therapy

Physical therapy is a service prescribed by a physician, ARNP, or PA that is necessary to produce specific functional outcomes in ambulation, muscle control, and postural development and to prevent or reduce further physical disability.

The service can also include a physical therapy assessment. In addition, physical therapists must train direct care staff and caregivers (if applicable) to ensure they are carrying out therapy goals correctly. This activity must be performed with the recipient present. 

Physical therapy is a one-on-one service with a recipient age 21 years or older.

Providers must:

Respiratory Therapy

Respiratory therapy is a service prescribed by a physician, ARNP, or PA and relates to impairment of respiratory function and other deficiencies of the recipient’s cardiopulmonary system. Treatment activities include ventilator support, therapeutic and diagnostic use of medical gases, respiratory rehabilitation, management of life support systems, bronchopulmonary drainage, breathing exercises, and chest physiotherapy. The provider determines and monitors the appropriate respiratory regimen and maintains sufficient supplies to implement the regimen. Respiratory therapists provide training, while the recipient is present, to direct care staff or caregivers (if applicable) to ensure that adequate and consistent care is provided. Respiratory therapy services can also include a respiratory assessment. 

Respiratory therapy is a one-on-one service with a recipient age 21 years or older.

Providers of respiratory therapy and assessments must:

Speech Therapy

Speech therapy is a service prescribed by a physician, ARNP, or PA and is necessary to produce specific functional outcomes in the communication skills of a recipient with a speech, hearing, language disability, or service necessary to remediate swallowing disorders and oral motor functions.

Speech therapy is a one-on-one service with a recipient age 21 years or older.

Providers of speech therapy and assessment services must:

Specialized Mental Health Counseling

Specialized mental health services focus on the unique treatment of psychiatric disorders and rehabilitation for impairments for recipients with developmental disabilities and mental illness and restoration to the best possible functional level. These services include specialized individual, group, and family therapy provided to recipients using techniques appropriate to this population.

Providers must:

Must meet, at a minimum, one of the following requirements:


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