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

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Stadad Seee - Defind i. DCFA'.
1915(e) Wa- Ae ApplieOD. Font
ser-ices ore available only to individuols who hove prei.o.sly heo.
diacharged from a StF [skilled norsing facility) IC. [itermedate
care tocility). 5F [oursinc facilityl or yCFIn 4In-er-ediate care
fcility for mental retrdaticci. Activities included in thia
rvice are not lnirliW directed at teaching specific job kills.,
hot at underlyino htbilicative gools. such as attention spac and
etnr okills. All prevocarioil serviceosi 11 be collected in the
individnal's plan of care ao directed to habilitative. rakher than
opliocit employment objectives.
-ducational services, chich consist if speciel ed-uccioc and
related services as defined in setions (15) and (11) of the
Individuels a ih Disabilities EdAcetion Act, to the extent to
which they ore net available coder a program funded by ennA.
- pported employment serviceswhich consist f paid cplyment
for personn for whom cnnpetitive employment at orabvethe
minim sage is unlikely. end who. beciuse of their
disabilities, need ictensive onoing supportt performin a
work setting. nipprted employment is conducted i a variety of
settings, particuarly work sites in which persons eithout
disabilities ore smployed tupporled mmployment icludes
activities needed to sustain paid cork by individuals receivicg
waiver services, including siperisio and traning. Whe
oupporned employmect sertices are prvoided at a sorb site in
chich persons winheat disabilities are mployed, payment sill be
made only for the adaptation, supervsion and training reguired
by individuals receiving waiver services asaresult of their
disabilities. ard eill lot inclode p.ymeci for the supervisory
etnivities rendered as a normal port of the business setting
hupported emplymect services furniohed ucder the waiver are tno
availeble under a progran funded by either the Rehabilitation
Act of 1973 or P.L. 94-142.
Homemaker: Services consisting of general household activitins
(meal reparation and routine household care) provided by a trained
homemaker, when the individul regularly responsible for these
activities its tprarily ahoent or nnable to manage ihe home and
care for hin or herself or others in the hone. Hovemakers stall
seen such standards of edication and training as are established by
the state for the provisiun of these actvites.
Personal care services: Assistance ih eating, bathing. dresoino.
personal hygiene, actiities of daily lving. This service may
include asssisnrce with preparatic cf meals. but dces not inclide
the unit of the meals thennelves ohen pecified in the plan of
care. this service mapy lse include such h.osekeeping chores as
bedmakino dsting andnacuming, which are incidental no the cre
furnished. or hich ee essen. tl to the health and welfare ef the
individual, rather then th. individnalt family. Personal care
providers most meet Scne standards fr this ervice
Personal imergency Response Syste- (-PES): PERS is an electronic
devite shinh enables certain individuals at high risk of
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