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Home and Community Based Services for Children with Autism Waiver (HCBS-CWA)

Home and Community Based Services for Children with Autism Waiver (HCBS-CWA). Home and Community Based Services for Children with Autism Waiver.

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Home and Community Based Services for Children with Autism Waiver (HCBS-CWA)

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  1. Home and Community Based Services for Children with Autism Waiver (HCBS-CWA)

  2. Home and Community Based Services for Children with Autism Waiver • Advocated for and developed in cooperation with the Autism Society of Colorado, Arcs-Arapahoe/Douglas, Family Voices, Developmental Disabilities Council, Community Centered Boards, other interested parties and families. • 02/06/2004 - Introduced in the Colorado Senate as Senate Bill 04-177 by Senators Gordon and Hefley • 06/01/2004 - Governor Action – Signed into law

  3. The Colorado Revised Statute of 26-4-691 • Authorizes the Department of Health Care Policy and Financing to administer a Medicaid waiver to provide home and community based services for children with autism • Established the Colorado Autism Treatment Fund comprised of Tobacco Settlement Moneys to pay for services

  4. HCBS Children with Autism WaiverRules • 04/14/2006 - Presented to the Medical Services Board for initial approval • 05/12/2006 - Presented for final adoption • 07/01/2006 – Effective date • Implementation – By January, hopefully

  5. HCBS-CWA Waiver Limitations • 75 clients may be served at any one time • Wait list will be maintained for eligible clients • Maximum period of 3 years on the program • Maximum of $25,000 in waiver benefits annually per client

  6. Initial Selection for the Waivered Services • 25 children will be chosen from clients currently on the CES waivers • 25 children will be chosen from clients currently on the CHCBS waivers • 25 children will be chosen from clients currently receiving SSI benefits

  7. HCBS-CWA Waiver Eligibility • Is under 6 years of age • Has a diagnosis of autism as certified by a physician • Be at risk of institutionalization in an intermediate care facility as determined by CCB case manager using the ULTC 100.2 • Can be safely served in the community with Cost Containment

  8. HCBS-CWA Waiver Eligibility • Point of entry is the Community Centered Boards • Level of Care is determined by the CCB case managers through a functional assessment of the applicant using the ULTC 100.2 • Re-evaluations are required for clients every 12 months • Re-evaluations are also required for client’s if there has been a significant change in the client’s functioning

  9. CCB as Case Manager • Inform the parent or guardian of the right to choose enrollment in this or other HCBS waivers for which the child is qualified • Develop the Care Plan based on the ULTC 100.2 functional needs assessment • Assist the parent or guardian’s selection of qualified providers, if needed

  10. Providers for Behavior Therapy Lead Therapist Senior Therapist Line Staff

  11. Lead Therapist: Must be a qualified Medicaid provider or be employed by a Medicaid provider agency Have experience as a behavior therapist Employs or contracts the services of the senior therapist and line staff Prescribes the amount, scope and duration of the therapy and make adjustments when needed Supervises the Senior Therapist and Line Staff Collects and maintains all documentation

  12. Senior Therapist’s: Is a licensed psychotherapy provider with a masters degree in a behavior science and completed 400 hours of direct supervised training in behavioral therapies or Has a bachelor’s degree in a human services field and have completed at least 2,000 hours of direct supervised training in behavioral therapies Provides ongoing supervision and implementation of the treatment plan, including the supervision of line staff. Provides training to the families and conduct team meetings with the family, line staff and other providers to review the child’s progress.

  13. Line Staff: Must be at least 18 years of age and have graduated from high school or have an equivalency degree Must have 30 hours or more of direct supervised experience under the direction of the a Lead or Senior Therapist in the use of behavioral therapies May deliver the behavioral therapies to the client All services shall be under the direction of the senior therapist and shall be documented.

  14. HCBS-CWA Waiver Services Behavior therapies include: Intensive developmental behavioral therapies Treatment goals that are consistent with building elementary verbal skills, teaching imitation, establishing appropriate toy play, interactive play with other children, teaching appropriate expression of emotions and behaviors, and where necessary, reducing self stimulation and aggressive behaviors

  15. “Best Practice Guidelines” document for waiver programs is being written Emphasizes on the important roll of the family in the development and implementation of the child’s program Collaboration between home and school is highly recommended to enhance outcomes /www.chcpf.state.co.us/HCPF/msb/attach_06/MSB%2005-10-11-A%20HCBS%20Autism%20strgrl%20April%20Initial.pdf Recommendations by Autism Waiver Committee

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