SERVICES

Adult Day Services (ADS):  Structured, non-residential, community-based group programs designed to meet the needs of adults who are elderly and/or with disabilities through individual plans of care. ADS provides a variety of health, social, recreational and therapeutic activities, supervision, support, meals, and in some cases personal care.

Assisted Living:  24 hour site providing personal care and services, homemaker, chore, attendant care, companion services, medication oversight, therapeutic, and social and recreational programming. Licensed (by Indiana State Department of Health) residential care facility. Includes on-site response staff to meet scheduled or predictable needs.

Attendant Care:  Assistance to meet daily living needs and ensure adequate functioning in a community-based setting. Some allowable activities include assistance with dressing, eating, bathing, hygiene, activities of daily living, meal preparation and household chores.

Behavior Management/Behavior Program and Counseling:  Training, supervision, and assistance in appropriate expression of emotions and desires, compliance, assertiveness, acquisition of socially appropriate behaviors, and the reduction of inappropriate behaviors.

Case Management:  In general, a case manager helps people obtain the supports needed to live as independently as possible in their community, by finding and coordinating available resources and services to meet the person’s needs. Case managers also help to plan, monitor and evaluate the person’s services, and assist with the process and necessary paperwork. This service coordination or case management is provided by a Case Manager from an Area Agency on Aging or by an independent case manager.

Environmental Modifications:  Necessary adaptations to the home that ensure the health, safety and welfare of the person, and enable the person to function with greater independence in the home. There is a lifetime cap of $15,000 for these modifications. Documentation of Prior Authorization denial from Medicaid may be required.

Environmental Modifications Maintenance: A $500 per year maximum amount is available to repair or replace modifications.

Home-Delivered Meals:  Provides meals (including the preparation, handling and serving of the meals) to person unable to prepare his/her own daily meals, and for whom there are no other people available to do so. Limited to two meals per day.

Homemaker:  General household activities that assist the person to remain in a clean, safe, healthy home environment, that are provided when the person or an informal caregiver is unable to manage the home.

Occupational Therapy: Evaluation and training programs in areas of gross and fine motor function, self-care and sensory and perceptual motor function. It includes assessments; planning and reporting, direct therapeutic intervention, design, fabrication, and adaptation of materials, and equipment to meet personal needs in assisting independence. (A Medicaid Prior Authorization denial must be obtained before this service can be provided through the Waiver.)

Personal Emergency Response System Supports:  An electronic device that enables the person to secure help in case of an emergency.

Pest Control:  Services that prevent, suppress or eradicate pest infestation such as roaches, mosquitoes, fleas, mites, ticks, rats and mice. There is a cap of $600 per year.

Physical Therapy: Treatment and training designed to preserve and improve abilities for independent functioning, such as gross motor skills, fine motor skills, range of motion, strength, muscle tone and mobility. (A Medicaid Prior Authorization denial must be obtained before this service can be provided thru waivers.)

Respite Care:  Periodic, short-term care to a person when the family member or the primary caregiver cannot be there or needs a rest for his/her care responsibilities. Does not include "child care" to enable the caregiver to work or attend school.

Specialized Medical Equipment and Supplies Devices (communications equipment, computer adaptations, etc.), wheelchairs, environmental controls, safety restraints or other equipment that increase the person’s independence. Includes assessment, inspection and training, as needed. (Equipment and services that are available under the Medicaid State Plan are not allowed to be included in this Waiver service.)

Includes Vehicle Modifications: Vehicle Modifications may be authorized when necessary to increase a person’s ability to function in a home and community-based setting to ensure accessibility. The necessity for such service must be documented in the Plan of Care by a physician’s order. There is a lifetime maximum of $15,000. There is an allowable annual maintenance fee. (A separate Prior Authorization must be obtained before this service can be provided thru waiver.)

Speech / Language Therapy: Service seeks to improve, maintain or slow regression of the person’s ability to communicate. (A Medicaid Prior Authorization denial must be obtained before this service can be provided thru waiver.)

Supported Employment: (Traumatic Brain Injury Waiver) Supports for persons to establish and maintain employment in work settings in which people without disabilities are employed.