Introductions to Waivers

1. Introductions to Waivers Drake Class

2. Home and Community Based Services • Home and Community Based waivers are Medicaid programs from the federal government which have rules set aside or waived. • Iowa currently has seven Medicaid waivers: • Aids • Brain Injury • Children’s Mental Health Waiver • Elderly Waiver • Ill and Handicapped Waiver • Intellectual Disability • Physical Disability

3. Common Services for All Waivers • Service coordination- Case manager /service worker helps to plan and receive the services you need. • Individual Planning- All people that receive waivers should have an comprehensive plan • Quality Assurance- People will be asked questions about there service. • Easy Access- People should be able to receive the medical help they need • Flexible supports- Making sure individuals needs are being addressed in effective way. • Person Centered Approach- Valued partner in the planning and delivery of service • Health and Safety- Requires all providers to provide high quality supports to keep people healthy and safe.

4. HCBS AIDS Waiver • The AIDS/HIV waiver offers services for those who have been diagnosed with AIDS or HIV. • ● Adult Day Care • ● Consumer Directed Attendant Care (CDAC) • ● Counseling Services • ● Home Delivered Meals • ● Home Health Aide • ● Homemaker • ● Nursing • ● Respite

5. HCBC Brain/Injury Waiver • This waiver offers services for those who have been diagnosed with a brain injury due to an accident or illness. You must one month of age but less than 65 years of age for this waiver. • ● Adult Day Care • ● Behavioral Programming • ● Case Management • ● Consumer Directed Attendant Care (CDAC) • ● Family Counseling & Training • ● Home & Vehicle Modification • ● Interim Medical Monitoring & Treatment • ● Personal Emergency Response • ● Prevocational Services • ● Respite • ● Specialized Medical Equipment • ● Supported Community Living • ● Supported Employment • ● Transportation

6. HCBS Elderly Waiver • The Elderly waiver provides services for elderly persons. An applicant must be, at least, 65 years of age. These are the services you may receive if there is a need: • ● Adult Day Care • ● Assistive Devices • ● Case Management • ● Chore • ● Consumer Directed Attendant Care (CDAC) • ● Home & Vehicle Modification • ● Home Delivered Meals • ● Home Health Aide • ● Homemaker • ● Mental Health Outreach • ● Nursing • ● Nutritional Counseling • ● Personal Emergency Response • ● Respite • ● Senior Companion • ●Transportation

7. HCBS Ill and Handicapped Waiver • The IH waiver provides services for persons who are blind or disabled. An applicant must be less than 65years of age for this waiver. These are the services you may receive is there is a need: • ● Adult Day Care ● Homemaker • ● Consumer Directed ● Interim Medical Attendant Care (CDAC) Monitoring & Treatment • ● Counseling ● Nursing • ● Home & Vehicle Modification ● Nutritional Counseling ● Personal Emergency Response● Home Delivered Meals • ● Home Health Aide ● Respite

8. HCBS Intellectual Disability Waiver • This waiver provides services for persons who have been diagnosed with mental retardation. These are the services you may receive if there is a need for this waiver: • ● Adult Day Care ● Personal Emergency response • ● Consumer Directed Attendant Care (CDAC) ● Prevocational • ● Day Habilitation ● Respite • ● Home & Vehicle modification ● Supported Community Living • ● Home Health Aide ● Supported Community living –Residential Based • ● Interim Medical Monitoring &Treatment ● Supported Employment • ● Nursing ● Transportation

9. HCBS Physical Disability Waiver • This waiver provides services for persons who are physically disabled. An applicant must be at least 18 years of age, but less than 65 years of age. These are the services you may receive is there is a need for this waiver: • ● Consumer Directed Attendant Care (CDAC) • ● Home & Vehicle Modification • ● Personal Emergency Response • ● Specialized Medical Equipment • ● Transportation

10. HCBS Children’s Mental Health Waiver • This waiver offers services for children who have been diagnosed with serious emotional problems. These are the services you may receive is there is a need for this waiver: • ● Environmental Modifications & Adaptive Devices • ● Family & Community Support Services • ● In-Home Family Therapy • ● Respite

11. Consumer Choice Option • The Consumer Choices Option is available under the HCBS waivers. • It will give you control over some Medicaid dollars. You will use these dollars to make a budget plan to meet your needs by hiring employees and/or purchasing other goods and services. • The Consumer Choices Option gives you more choice, control and flexibility over your services as well as more responsibility.

12. HCBS Habilitation Services Program • Program Summary: Habilitation Services is a program to provide Home and Community Based Services (HCBS) for Iowans with the functional impairments typically associated with chronic mental illnesses. • The federal Deficit Reduction Act of 2005 permitted states to offer home- and community-based services (HCBS) as a state plan option effective January 1, 2007. • Using this option, the Department worked with the Centers for Medicare and Medicaid services to design a program to meet the service needs of Iowans with the functional limitations typically associated with chronic mental illness.

13. Habilitation Continued • Habilitation Services are designed to assist participants in acquiring, retaining and improving the self-help, socialization and adaptive skills necessary to reside successfully in home and community-based settings. Services available through the program include: • Case Management - Provides service coordination and monitoring. Available as a Habilitation service when the individual does not otherwise qualify for targeted case management (Iowa Plan or IME funded). • Home-Based Habilitation - Services provided in the person's home and community. Typical examples would be assistance with medication management, budgeting, grocery shopping, personal hygiene skills, etc. • Day Habilitation - Services that are usually provided in a day program setting outside the home. Focuses on areas such as social skills, communication skills, behavior management, etc. • Prevocational Services - Can be provided in a variety of settings, and focus on developing generalized skills that prepare a person for employment. Typical examples include attendance, safety skills, following directions, and staying on task. • Supported Employment - Assists in obtaining and keeping a job in the community. Assists in placing the individual in a job in a regular work setting with persons without disabilities at minimum wage or higher, and provides support to maintain the job. Typical examples would include: skills assessments, consultation with the employer, job coaching, and behavior management.

14. Information • All information included in this slide show was taken from the Iowa Department of Human Services brochure entitled, “Are Home and Community Based Services Right for You?” • Habilitation option information was obtained obtained at www.ime.state.ia.us