Medicaid Managed Care - U.S. Senate Special Committee on Aging

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reolem s end use of equipment spooifled it the plan of care, end
shall include updates as necessary to safely meintain the
individa 1t home. All family -rnimio mus he included in the
individu e's written plum of care
Hebilistion Services designed in assist individuels in
ecquicing, reteinineg md improving the self-help, sccielieetiom end
adaptive skills necesssy To reside successfully in tame end
coosonity-based settings This service includes:
-- nesidentisl habilistion Assistence mith acquisition.
reten ' "or iprove-ent in skills related to ativities of
doily living. suchas personal grooming end cleanl iessh bad
makine end household choes. esting end the preoction of fend,
and the social end ndaptive skills necessery to enable the
individuel to cesids iaton- institutuotl setting. Payments
for restidentl hahbilitatiom are not ends for room end board
the cost of facility mauntenane. upheep end iprovment othec
then sush costs for adific-tions or adaptetio.s to a feciluty
required to assure the health end safety of re-idete, or to
meet the requirmns of the applicsble life esfety cede.
Payment far resident-il hebilitatiom does not include payments
made, directly or indirectly, to me brs of the lodividuel's
immedinte family. Payments ill not he made for the routine
rare end supervision ehich mould he empected to hb provided by a
fami ly or grou p home proider, orfraciiie rspervisio
for which e payment is made by soudrce cerhen or edisid.
Day habil itetion Asistenoe with ecquisution. retention, or
improvement in self-help. socisliestiom end adaptive skills
shinh tokes plane to a moo-residential setting, separate from
the home or facility in which the individual resides Services
shall noomally he furnished 4 or mre hours per day on a
regularly scheduled hosts, fur 1 or more days per seek unless
provided es en -djunot to other day activities itcluded in en
individuel's plsn of cae. Pay habilitatiom services shel
focus on enabling the individual toattait or maintain his or
her samen fu..ntin.l level end shall he coordimnted mith amy
physial, occupetinel. - or speech therepies listed in the plen
of care. Inadditiam, they may serve to reinforce stills or
lessons sught i, school. rher-py, Or other setings.
Prevacetiomel services not svailable under a program funded
udr sectio ill oIftthe Oehahllirs...
u
ot of1
r2(16 med d
197 or section
171 of the Idihviduel1 sith Diisbilities Education
Act (21 USnC. 1401 (16 end 17)). Services re simad at
preparing en individmal for paid or unpeid emplaoyent hot are
not job-task oriented services include teathing such con.ept.
as complienco ettendance, task ompletuan problem solving end
safety. Prvocettonal services are provided to persons met
empected to he able to jmoi the gente.l mark farce or
participate in a transitional sheltered workshop mithin one year
leAcluding supported mloynt pogre). Pr-vocational
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