Services
Below is a list of services available through the Franklin/Fulton Intellectual Disabilities Program. Access to these services is dependent upon the waiting list, individual eligibility and availability of funding. Currently there is a waiting list for all services with the exception of respite services.
Supports Coordination
Supports Coordination: is the supportive process through which each individual in the program is linked to services and resources that best meet their needs. Supports Coordination is offered at no charge. Some of the responsibilities of a Supports Coordinator include scheduling of all appointments related to the individual’s Mental Retardation Services, arranging for services to be provided, ongoing monitoring of individual’s progress, and advocacy for the entire family in dealing with the human service delivery system as well as any other systems that the family is involved with.
Habilitation Services
Home and Community Services: Direct service and services to meet regulatory requirements and/or contract conditions provided in home and community settings to assist individuals in acquiring, retaining, and improving self-help, socialization, and adaptive skills. For the most part, these services differ only with respect to setting or regulatory or contract requirements. These services can only be provided when the administrative entity determines they are necessary to prevent institutionalization.
Licensed Day Habilitation Services – Adult Training Facilities(Title 55, Chapter 2380)
This service is made available to individuals in Adult Training Facilities. Waiver-funded licensed day habilitation services may be provided by qualified Pennsylvania-based providers in contiguous states or by qualified out-of-state providers in contiguous states, with written approval by the ODP Regional Office.
Licensed Day Habilitation Services – Older Adult Day Service (Title 6, Chapter 11)
This service is made available to older individuals with mental retardation in licensed Older Adult Day services.
Companionship Services
Services provided to individuals living in private residences for the limited purpose of providing supervision and minimal assistance that is focused solely on the health and welfare of the adult individual (18 and older) with mental retardation. Comment: According to the thirty hour rule bulletin, if a person owns the home and is the only person living there, then the home does not have to be licensed if the person needs more than thirty hours of support, however, if the person rents or leases under their own name, but they need more than 30 hours of support, they need to be licensed.
Vocational Services
Prevocational Services (Title 55,Chapter 2390) Vocational Facilities
This service is made available to individuals in a licensed vocational facility. Handicapped employment as defined in Title 55, Chapter 2390 is not a service that is eligible through the waivers.
Employment Services
Direct and indirect services that must meet contractual requirements provided in community employment work sites with coworkers who are not disabled. The purpose of Supported Employment Services is to find and support people with mental retardation in competitive jobs of their choice. People must receive minimum wage or higher.
Job Finding/Job Support
Services directed towards supporting individuals in transition to integrated competitive employment through work that occurs in a location other than a facility subject to Title 55, Chapter 2390. The provision of the service is at a maximum staff to individual ratio of 1:20.
Transitional Work Services
Services directed towards supporting people with mental retardation in transition to integrated, competitive employment through work that takes place in a location other than a facility subject to Title 55, Chapter 2380 or Chapter 2390. Transitional work service options include mobile work force, work station in industry, affirmative industry, and enclave.
Residential Services
Residential Habilitation
Direct and indirect services to meet regulatory requirements and waiver contract and agreement conditions, provided in licensed residential settings. Services are provided to assist individuals in acquiring, retaining, and improving self-help, socialization, and adaptive skills. All licensed homes must be integrated and dispersed in the community; homes on campuses are not eligible for waiver funding. All homes must be located in Pennsylvania. Licensed Residential Home and Community Habilitation may not be provided in Domiciliary Care Homes and Personal Care Homes.
Family Living Homes (Title 55, Chapter 6500)
Family Living Homes provide for lifesharing arrangements. People live in host family homes and are encouraged to become contributing members of the family unit. Family Living arrangements are chosen by people and families in conjunction with host families and in accordance with the person’s needs. Licensed Family Living Homes are limited to homes in which there are no more than two individuals living with mental retardation who are not family members or relatives of family members.
Community Homes for People with Mental Retardation (Title 55, Chapter 6400)
A licensed community home is a home licensed under Title 55, Chapter 6400 where services are provided to people with mental retardation. A community home is defined in regulations as, “A building or separate dwelling unit in which residential care is provided to one or more individuals with mental retardation….”the 55 PA Code Chapter 6400 services that may be funded through the waiver are limited to licensed settings established on or before January 1, 1996, with a licensed capacity of ten (10) or fewer residents, and to licensed setting established on or after January 1, 1996, with a licensed capacity of four (4) or fewer residents.
Residential Habilitation – Unlicensed Homes
Direct services to meet contract conditions provided to people who live in provider-owned, leased, rented, or family living homes that do not require licensure
because they serve three or fewer individuals who are 18 years of age or older and who need a yearly average of 30 hours or less of direct habilitation service per week per home. The service is provided to assist people with mental retardation in acquiring, retaining, and improving self-help, domestic, socialization, and adaptive skills.
Home Finding
Direct services provided in accordance with contractual requirements to assist a person with mental retardation to locate and maintain a home, such as assistance in financial planning, arranging for or moving utility hook-ups, managing home responsibilities, arranging for home modifications and repairs, making monthly payments, and purchasing home security devices such as beepers which are necessary to ensure the individual’s health and wellbeing.
In Home Supports
Respite Services
Direct services to meet regulatory and/or contractual requirements that are provided to supervise/support people with mental retardation on a short-term basis due to the absence or need for relief of those persons normally providing care. Respite services do not cover the care provided to a minor child when the primary caregiver or legally responsible individual is absent due to work. Services are limited to people residing in their own (unlicensed) home or the (unlicensed) home of a relative, friend, or other family. Overnight respite is limited to 4 weeks (28 days) per individual per fiscal year, except when extended by an ODP Regional Office waiver. Temporary respite is recommended at a maximum of four sessions per month, but this limit may be adjusted by the Administrative Entity based on individual needs.
Homemaker/ Chore
Indirect services including household cleaning and maintenance and homemaker activities. This service may only be provided when the person, or anyone else in the household is incapable of performing or financially providing for the function; and no other relative, caregiver, landlord, community/volunteer agency, or third party payer is capable of or responsible for their provision. This service is limited to $2,000 per person per fiscal year.
Intermediary Service Organization (ISO), Vendor Fiscal/Employer Agent
An indirect service that must meet policy and contractual requirements that facilitates people with mental retardation and/or their representatives in the direct employment and management of qualified support service workers and vendors of their choice. This service may be provided by Vendor Fiscal/Employer Agent ISO’s on contract with Administrative Entities until March 31, 2008.
Intermediary Service Organization (ISO), Agency with Choice
An indirect service that must meet policy and contractual requirements that facilitates people with mental retardation and/or their representatives in the employment and management of qualified support service workers and vendors of their choice.
Transportation
Transportation Service
Direct services to meet regulatory and/or contractual requirements to provide transportation to people with mental retardation. The purpose of transportation services is to enable people to access services and activities in accordance with their approved individual support plans.
Modifications/Assistive Technology
Environmental Accessibility Adaptations (Vehicles)
Adaptations to vehicles for improved access and/or safety for people with mental retardation. Maximum state participation for vehicle and home adaptations is limited to $20,000 per household.
Environmental Accessibility Adaptations (Homes)
Adaptations to homes for improved access and/or safety for people with mental retardation. Maximum state participation for vehicle and home adaptations is limited to $20,000 per household.
Adaptive Appliances/ Equipment
The purchase or modification of adaptive appliances or equipment for increased functional involvement of people with Mental Retardation.
Therapy
Visual/Mobility Therapy
Evaluation and consultation for people with mental retardation who are blind or have visual impairments. A denial letter from medical assistance fee-for-service or managed care, or other third party insurance must be received prior to any healthcare service being provided.
Physical Therapy
Waiver service not otherwise specified. Service delivered under an outpatient physical therapy plan of care. A denial letter from medical assistance fee-for service or managed care, or other third party insurance must be received prior to any healthcare service being provided.