1 / 7

Alternative Community Services Home and Community Based Waiver

Alternative Community Services Home and Community Based Waiver. LEVELS OF CARE. Intermediate Care Facility - Level of Care. Arkansas Statute: Categorical Eligibility Cerebral Palsy: As established by licensed physician

elgin
Télécharger la présentation

Alternative Community Services Home and Community Based Waiver

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Alternative Community ServicesHome and Community Based Waiver LEVELS OF CARE

  2. Intermediate Care Facility - Level of Care Arkansas Statute: Categorical Eligibility • Cerebral Palsy: As established by licensed physician • Epilepsy: As established by neurological examination provided by licensed neurologist or licensed physician • Autism: As established by team evaluation – at least licensed psychologist or psychological examiner and speech pathologist • Intellectual Disabilities: As established by significant intellectual limitations that exist concurrent with deficits in adaptive behavior • Other: Impairment similar to intellectual disabilities, intellectual/adaptive behavior; attributable to dyslexia; • Disability expected to continue indefinitely and Disability constitutes a substantial limitation to person’s ability to function without supports • All developmental disabilities must be manifest prior to age 22

  3. Intermediate Care Facility – Level of Care • Recertification • Ages 22+ or 18-22 with diploma or certificate of high school completion: IQ score obtained at age 22 or thereafter and current adaptive behavior assessment every 5 years • Ages 5 – 22 without diploma or certificate of high school completion: public/private school documentation as to continued need and disability unless eligibility is questioned • Ages birth – 5: IQ and adaptive functional level assessment current within one year of last psychological assessment and each year thereafter until age 5 • Determined by a licensed psychologist or psychiatrist or individuals under the supervision of a licensed psychologist or psychiatrist

  4. Plan of Care – Level of Care • Limited • Supports anticipated to be consistent for the foreseeable future • Individually time limited/may be intermittent • Requires fewer staff/less cost due to parental support, group settings and community assistance • Supports are for: primary care giver relief, employment training, transition, crisis behavior management and assisted living. • Maximum reimbursement $160.00/day

  5. Plan of Care - Continued • Extensive • Needs that require daily supports in one or more of a work, home or community environment • Weekly supports that may be needed daily but less than 24 hours/day and 7 days/week. • Supports are long term. • Crisis intervention as characterized by episodic behavior needs • Limited parental support • Maximum reimbursement $160.00/day

  6. Plan of Care - Continued • Pervasive • Needs require constant supports provided across environments • Potentially life sustaining in nature • Intrusive supports • Long term supports • Supports provided 24 hours/day, 7 days/week and 365 days/year • Requires ICAP assessment • May require behavior treatment plan • May require case management/ caregiver daily progress notes • Maximum reimbursement $356.32/day

  7. Plan of Care – Level of Care • Determinations • Physician • Every 12 months, individual to each person

More Related