Examples of IDD Supports & Services
Adult Day Program
Adult Day Program services are furnished four or more hours per day on a regularly scheduled basis, for one or more days per week, or as specified in the IPOS, in a noninstitutional, community-based setting, encompassing both health and social services needed to ensure the optimal functioning of the individual. Physical, occupational and speech therapies may be furnished as component parts of this service.
Adult Day Program services are furnished four or more hours per day on a regularly scheduled basis, for one or more days per week, or as specified in the IPOS, in a noninstitutional, community-based setting, encompassing both health and social services needed to ensure the optimal functioning of the individual. Physical, occupational and speech therapies may be furnished as component parts of this service.
Adult Foster Care
A housing option that is licensed under Act 218 as an adult foster care (AFC) facility if it provides personal care, supervision and protection in addition to room and board to 20 or fewer unrelated persons who are aged, mentally ill, developmentally disabled, or physically disabled, for 24 hours a day, 5 or more days a week, for 2 or more consecutive weeks for compensation.
Assessment
Any testing tool required by Community Mental Health professionals to determine diagnosis, level or care, and treatment options.
Assistive Technology
The Assistive Technology service includes technology items used to increase, maintain, or improve an individual’s functioning and promote independence. The service may include assisting the individual in the selection, design, purchase, lease, acquisition, application, or use of the technology item. This service also includes vehicle modifications to the vehicle that is the individual's primary method of transportation. This service includes repairs and maintenance of assistive technology devices. Vehicle modifications must be of direct medical or remedial benefit to the individual and specified under the IPOS. Some examples of assistive technology include, but are not limited to, van lifts, hand controls, computerized voice system, communication boards, voice activated door locks, power door mechanisms, adaptive or specialized communication devices, assistive dialing device, adaptive door opener and specialized alarm or intercom.
Community Living Supports
Community Living Supports are used to increase or maintain personal self-sufficiency, facilitating an individual’s achievement of her or his goals of community inclusion and participation, independence or productivity. The supports may be provided in the participant’s residence or in community settings (including, but not limited to, libraries, city pools, camps, etc.).
Community Living Supports are used to increase or maintain personal self-sufficiency, facilitating an individual’s achievement of her or his goals of community inclusion and participation, independence or productivity. The supports may be provided in the participant’s residence or in community settings (including, but not limited to, libraries, city pools, camps, etc.).
Chore Services
Chore Services are needed to maintain the home in a clean, sanitary and safe environment. This service includes heavy household chores such as washing floors, windows and walls, tacking down loose rugs and tiles, and moving heavy items of furniture in order to provide safe access and egress. Other covered services might include yard maintenance (mowing, raking and clearing hazardous debris such as fallen branches and trees) and snow plowing to provide safe access and egress outside the home. These types of services are allowed only in cases when neither the participant nor anyone else in the household is capable of performing or financially paying for them, and where no other relative, caregiver, landlord, community or volunteer agency, or third party payer is capable of, or responsible for, their provision. In the case of rental property, the responsibility of the landlord, pursuant to the lease agreement, will be examined prior to any authorization of service.
Crisis Interventions
Unscheduled activities conducted for the purpose of resolving a crisis situation requiring immediate attention. Activities include crisis response, crisis line, assessment, referral, and direct therapy.
Family Support and Training
Family-focused services provided to family (natural or adoptive parents, spouse, children, siblings, relatives, foster family, in-laws, and other unpaid caregivers) of persons with serious mental illness, serious emotional disturbance or developmental disability for the purpose of assisting the family in relating to and caring for a relative with one of these disabilities. The services target the family members who are caring for and/or living with an individual receiving mental health services.
Fiscal Intermediary Service
Fiscal Intermediary Services is defined as services that assist the adult beneficiary, or a representative identified in the beneficiary’s individual plan of services, to meet the beneficiary’s goals of community participation and integration, independence or productivity while controlling his individual budget and choosing staff who will provide the services and supports identified in the IPOS and authorized by the PIHP. The fiscal intermediary helps the beneficiary manage and distribute funds contained in the individual budget.
Housing Assistance
Housing assistance provides support locating and acquiring appropriate housing for achieving independent living; finding and choosing roommates; utilizing short-term, interim, or one-time-only financial assistance in order to transition from restrictive settings into independent integrated living arrangements; making applications for Section 8 Housing vouchers; managing costs of room and board utilizing an individual budget; purchasing a home; etc. (reported as Supports Coordination).
Mental Health Therapy and Counseling
Outpatient mental health services provided by physicians, clinical social workers, and clinical psychologists. Therapies (i.e., psychiatric occupational/recreational therapy) in a mental health treatment center that are active, restorative, and designed to prevent, correct, or compensate for a specific medical problem.
Occupational Therapy
Occupational Therapy (OT) is therapy provided by a licensed occupational therapist (OT);
Occupational Therapy (OT) is therapy provided by a licensed occupational therapist (OT);
A licensed occupational therapy assistant (OTA) under the supervision of an OT (i.e., the OTA’s services must follow the evaluation and treatment plan developed by the OT, and the OT must supervise and monitor the OTA’s performance with continuous assessment of the beneficiary’s progress). All documentation must be reviewed and signed by the appropriate supervising OT; or
A student completing his clinical affiliation under the direct supervision of (i.e., in the presence of) an OT. All documentation must be reviewed and signed by the supervising OT.
A student completing his clinical affiliation under the direct supervision of (i.e., in the presence of) an OT. All documentation must be reviewed and signed by the supervising OT.
OT must be medically necessary, reasonable and required to:
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Return the beneficiary to the functional level prior to illness or disability;
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Return the beneficiary to a functional level that is appropriate to a stable medical status; or
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Prevent a reduction in medical or functional status had the therapy not been provided.
Physical Therapy
Physical Therapy (PT) must be medically necessary and reasonable for the maximum reduction of physical disability and restoration of a beneficiary to his/her best possible functional level. PT is covered if it can be reasonably expected to result in a meaningful improvement in the beneficiary’s ability to perform functional day-to-day activities that are significant to the beneficiary’s life roles despite impairments, activity limitations or participation restrictions.
Physical Therapy (PT) must be medically necessary and reasonable for the maximum reduction of physical disability and restoration of a beneficiary to his/her best possible functional level. PT is covered if it can be reasonably expected to result in a meaningful improvement in the beneficiary’s ability to perform functional day-to-day activities that are significant to the beneficiary’s life roles despite impairments, activity limitations or participation restrictions.
Prevocational Services
Prevocational services involve the provision of learning and work experiences where a beneficiary can develop general, non-job-task-specific strengths and skills that contribute to employability in paid employment in integrated, community settings.
Respite Services
Respite services are provided to participants unable to care for themselves and are furnished on a short-term basis due to the absence of, or need of relief for, those individuals normally providing services and supports for the participant. Services may be provided in the participant’s home, in the home of another, or a licensed Adult Foster Care facility. Respite does not include the cost of room and board, except when provided as part of respite furnished in a facility approved by MDHHS that is not a private residence.
Respite services are provided to participants unable to care for themselves and are furnished on a short-term basis due to the absence of, or need of relief for, those individuals normally providing services and supports for the participant. Services may be provided in the participant’s home, in the home of another, or a licensed Adult Foster Care facility. Respite does not include the cost of room and board, except when provided as part of respite furnished in a facility approved by MDHHS that is not a private residence.
Skill-Building Assistance
Skill-building assistance consists of activities identified in the individual plan of services and designed by a professional within his/her scope of practice that assist a beneficiary to increase his economic self-sufficiency and/or to engage in meaningful activities such as school, work, and/or volunteering. The services provide knowledge and specialized skill development and/or support. Skill-building assistance may be provided in the beneficiary’s residence or in community settings.
Speech & Language Therapy
This therapy must be reasonable, medically necessary and expected to result in an improvement and/or elimination of a specified problem within a reasonable amount of time (i.e., when treatment is due to a recent change in medical or functional status affecting speech, and the person would experience a reduction in medical or functional status without therapy). Speech therapy services must be skilled (i.e., require the skills, knowledge and education of a licensed Speech and Language Pathologist (SLP) to assess the beneficiary for deficits, develop a treatment program and provide therapy). Speech therapy must relate to a medical diagnosis, and is limited to services for:
This therapy must be reasonable, medically necessary and expected to result in an improvement and/or elimination of a specified problem within a reasonable amount of time (i.e., when treatment is due to a recent change in medical or functional status affecting speech, and the person would experience a reduction in medical or functional status without therapy). Speech therapy services must be skilled (i.e., require the skills, knowledge and education of a licensed Speech and Language Pathologist (SLP) to assess the beneficiary for deficits, develop a treatment program and provide therapy). Speech therapy must relate to a medical diagnosis, and is limited to services for:
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Articulation
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Language
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Rhythm
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Swallowing
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Training in the use of an speech-generating device
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Training in the use of an oral-pharyngeal prosthesis
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Voice
Supported/Integrated Employment Services
Supported employment is the combination of ongoing support services and paid employment that enables the beneficiary to work in the community. the definition of "supported employment" is:
- Community-based, taking place in integrated work settings where workers with disabilities work alongside people who do not have disabilities.
- For beneficiaries with severe disabilities who require ongoing intensive supports such as job coach, employment specialist, or personal assistant.
- For beneficiaries who require intermittent or diminishing amounts of supports from a job coach, employment specialist or personal assistant.
Supports Coordination
Supports Coordination is provided to ensure the provision of supports and services required to meet the participant’s health and welfare needs in a home and community-based setting. Without these supports and services, the participant would otherwise require institutionalization. The supports coordination functions to be performed and the frequency of face-to-face and other contacts are specified in the person-centered service plan. The frequency and scope of supports coordination contacts must take into consideration health and welfare needs of the participant.
Targeted Case Management
Targeted case management is a covered service that assists beneficiaries to design and implement strategies for obtaining services and supports that are goal-oriented and individualized. Services include assessment, planning, linkage, advocacy, coordination and monitoring to assist beneficiaries in gaining access to needed health and dental services, financial assistance, housing, employment, education, social services, and other services and natural supports developed through the person-centered planning process. For children and youth, a family driven, youth guided planning process should be utilized. Targeted case management is provided in a responsive, coordinated, effective and efficient manner focusing on process and outcomes. Targeted case management services must be available for all children with serious emotional disturbance, adults with serious mental illness, persons with a developmental disability, and those with co-occurring substance use disorders who have multiple service needs, have a high level of vulnerability, require access to a continuum of mental health services from the PIHP, and/or are unable to independently access and sustain involvement with needed services.
Treatment Planning
Activities associated with the development and periodic review of the plan of service, including all aspects of the person-centered planning process, such as pre-meeting activities, and external facilitation of person-centered planning. This includes writing goals, objectives, and outcomes; designing strategies to achieve outcomes (identifying amount, scope, and duration) and ways to measure achievement relative to the outcome methodologies; attending person-centered planning meetings per invitation; and documentation. Monitoring of the individual plan of service, including specific services when not performed by the case manager or supports coordinator, is included in this coverage. For children and youth, a family-driven, youth-guided planning process should be utilized.