Long Term Community Supports, Innovations, Developmental Therapy, and Personal Assistance
Long Term Community Supports, Innovations, Developmental Therapy, and Personal Assistance are some one on one services provided for high needs individuals for the purpose of habilitation and person centered training.
Long Term Community Supports
Scope/Intent
The N.C. Innovations Waiver is a home and community-based service funded by Medicaid. The Innovations Waiver program provides services and support that allow people with an intellectual or developmental disability to live as independently as possible within their communities—rather than in an institution such as a developmental center.
Developmental Therapy
Developmental Therapy is a developmental disability service that includes individually designed instruction, training or functional developmental intervention activities based on the assessment of, and unique strengths and needs of the individual adult. It is designed to support the individual in the acquisition of skills that the recipient has not gained during the developmental stages of life, and is not likely to develop without additional training and supports. Developmental Therapy may include training in activities to strengthen appropriate developmental functioning in areas such as self-care, mobility, socialization, independent living, self-advocacy and rights.
Personal Assistance
Personal Assistance is a support service which provides aid to a client so that the client can engage in activities and interactions from which the client would otherwise be limited or excluded because of his disability or disabilities. The assistance includes: (1) assistance in personal or regular living activities in the client's home, (2) support in skill development, or (3) support and accompaniment of the client in regular community activities or in specialized treatment, habilitation or rehabilitation service programs.
Scope/Intent
- “In lieu of” intermediate care facility for intellectual disabilities (ICF-ID) services
- Broad range of services for adults with developmental disabilities who, through the person-centered planning (PCP) process, choose to access active treatment to assist them with skills to live as independently as possible in the community.
- Provides active treatment through a continuous and consistent implementation of a program of specialized and generic training, treatment, and integrated health or related services directed toward helping the enrollee function with as much self-determination and independence as possible
- Comprehensive community living support benefit for eligible IDD adults with Medicaid
- Provides for services, including integrated health care services and nutrition, as a part of the active treatment and may include nursing support when needed based on the PCP
- Service needs are based on an evaluation and the PCP is developed with the person with input from their chosen provider agency and team
- Level 5 is Group Living (group homes with 4 or less people with overnight staffing or virtual monitoring) and day services up to 6 hours per day with different staff
- Level 2 Independent Living (living in own apartment no overnight staff but may include virtual monitoring) and day services up to 6 hours per day
- Level 1 Home Living (living at home with family or no supports) and attend a Day Program to maintain and develop skills of active treatment
The N.C. Innovations Waiver is a home and community-based service funded by Medicaid. The Innovations Waiver program provides services and support that allow people with an intellectual or developmental disability to live as independently as possible within their communities—rather than in an institution such as a developmental center.
Developmental Therapy
Developmental Therapy is a developmental disability service that includes individually designed instruction, training or functional developmental intervention activities based on the assessment of, and unique strengths and needs of the individual adult. It is designed to support the individual in the acquisition of skills that the recipient has not gained during the developmental stages of life, and is not likely to develop without additional training and supports. Developmental Therapy may include training in activities to strengthen appropriate developmental functioning in areas such as self-care, mobility, socialization, independent living, self-advocacy and rights.
Personal Assistance
Personal Assistance is a support service which provides aid to a client so that the client can engage in activities and interactions from which the client would otherwise be limited or excluded because of his disability or disabilities. The assistance includes: (1) assistance in personal or regular living activities in the client's home, (2) support in skill development, or (3) support and accompaniment of the client in regular community activities or in specialized treatment, habilitation or rehabilitation service programs.
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