Assistive Services are supports or items that meet an individual’s assessed need by improving and/or promoting the person’s health, independence, productivity, or integration into the community, and are directly related to the individual’s Person Centered Support Plan (PCSP) with measurable outcomes. Examples include, but are not limited to wheelchair modifications, ramps, lifts, modifications to bathrooms and kitchens (specifically related to accessibility), and assistive technology (i.e. items that improve communication, mobility or assist with activities of daily living (ADLs) or instrumental activities of daily living (IADLs) in the home and work place).
Day Supports are regularly occurring activities that provide a sense of participation, accomplishment, personal reward, personal contribution, or remuneration and thereby serve to maintain or increase adaptive capabilities, productivity, independence or integration and participation in the community.
Day supports also include the provision of pre-vocational services which are aimed at preparing an individual for paid or unpaid employment, but are not job-task oriented. These services include teaching such concepts as compliance, attendance, task completion, problem solving and safety.
Such activities shall be appropriate for or lead to a lifestyle as specified in the persons’ Person Centered Support Plan (PCSP). These opportunities can include socialization, recreation, community inclusion, adult education, and skill development in the areas of employment, transportation, daily living, self sufficiency, and resource identification and acquisition.
Medical Alert Rental
The purpose of this service is to provide support to a consumer who has a medical need that could become critical at anytime. The medical alert device is a small instrument carried or worn by the consumer which, by the push of a button, automatically dials the telephone of a predetermined responder who will answer the call for help.
The following are examples of medical needs that might require this service:
Sleep Cycle Support
Sleep Cycle Support services are provided to individuals who live with someone meeting the definition of family, or are provided to children in the custody of DCF residing in a setting that does not meet the definition of family. Family is defined as any person immediately related to the beneficiary of services.
Immediate related family members are: parents (including adoptive parent), grandparents, spouses, aunts, uncles, sisters, brothers, first cousins and any step-family relationships. The primary purpose of Sleep Cycle Support is to give overnight assistance to recipients in case of emergencies or to assist with repositioning.
Specialized Medical Care
This service provides long-term nursing support for medically-fragile and technology-dependent beneficiaries. The required level of care must provide medical support for beneficiaries needing ongoing, daily care that would otherwise require the beneficiary to be in a hospital. The intensive medical needs of the beneficiary must be met to ensure that the person can live outside of a hospital or intermediate care facility for persons with an intellectual disability.
For the purpose of this waiver, a provider of Specialized Medical Care must be an RN or an LPN under the supervision of an RN, or another entity designated by the Kansas Department of Social and Rehabilitation Services, Department of Disability and Behavioral Health Services (SRS-DBHS). Providers of this service must be trained with the medical skills necessary to care for and meet the medical needs of beneficiaries within the scope of the State’s Nurse Practice Act.
Personal Assistant Services (PAS)
These services are available to individuals who choose to receive services in a setting that would otherwise be considered a setting requiring services to be provided by an entity licensed by DBHS-CSS. This service provides necessary one-to-one assistance for individuals both in their home and community. Personal Assistant Services means one or more personal assistants assuring the health and welfare of the individual and supporting the individual with the tasks the person would typically do for themselves or by themselves if they did not have a disability. Such services include assisting individuals in performing a variety of tasks promoting independence, productivity, integration, and inclusion.
These supports are provided to waiver recipients who live in a residential setting and do not live with someone meeting the definition of family. Family is defined as any person immediately related to the beneficiary of services. Immediate related family members are; parents (including adoptive parents), grandparents, spouses, aunts, uncles, sisters, brothers, first cousins and any step-family relationships.
This service provides assistance, acquisition, retention and/or improvement in skills related to activities of daily living, such as, but not necessarily limited to, personal grooming and cleanliness, bed making and household chores, eating and the preparation of food, and the social and adaptive skills necessary to enable the individual to reside in a non-institutional setting.
Payments for Residential Supports are not made for room and board, the cost of facility maintenance, upkeep, and improvement, other than such costs for modifications or adaptations to the facility required to assure the health and safety of individuals or to meet the requirements of the applicable life safety code.
Supported Employment is competitive work in an integrated setting with on-going support services for individuals who have MR/DD. Competitive work is work for which an individual is compensated in accordance with the Fair Labor Standards Act. An integrated work setting is a job site that is similar to that of the general work force. Such work is supported by any activity needed to sustain paid employment by persons with disabilities. The following supported employment activities are designed to assist individuals in acquiring and maintaining employment:
Individualized assessment - Individualized job development and placement services that create an appropriate job match for the individual and the employer. On the job training in work and work related skills required to perform the necessary functions of the job. Ongoing monitoring of the individuals performance on the job. Ongoing support services necessary to assure job retention as identified in the person-centered support plan.
Training in related skills essential to secure and retain employment
Overnight Respite Care
Overnight Respite Care services are provided to individuals who live with someone meeting the definition of family, or are provided to children in the custody of SRS residing in a setting that does not meet the definition of family. Family is defined as any person immediately related to the beneficiary of services. Immediate related family members are: parents (including adoptive parents), grandparents, spouses, aunts, uncles, sisters, brothers, first cousins and any step-family relationships. Overnight
Respite Care is designed to provide relief for the individual’s family member who serves as an unpaid primary care giver.
Wellness Monitoring is a process whereby a registered nurse evaluates the level of wellness of a consumer to determine if the consumer is properly using medical health services as recommended by a physician and if the health of the consumer is sufficient to maintain him/her in his/her place of residence without more frequent skilled nursing intervention. Wellness Monitoring includes checking and/or monitoring the following:
1. Orientation to surroundings
2. Skin characteristics
4. Personal hygiene
5. Blood Pressure
8. Adjustments to medication