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Waivered Services:

• Available to individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

Provides in-home support services for children with developmental disabilities and their families. Services may include:

• Consultation and support to the caregiver

• Development of independent living skills

• Interpersonal skills and communication development

• Respite care in the child's home

• Socialization

• Supervision and training in self-care

Individualized Home Supports with Family Training - Services for people who live in their family home that provide support and/or training in the following community living service categories:

• Community participation
• Health, safety, and wellness
• Household management
• Adaptive skills

*Designed to provide training to the person as well as their family members Individualized Home Supports with Training - Services for people who live in their own home or family home that provide support and/or training in the following community living service categories:

• Community participation
• Health, safety, and wellness
• Household management
• Adaptive skills
• Formal person-centered outcomes
• Completion of skill assessments

*Designed for adults in need of support and training in one of the above-mentioned service categories. Individualized Home Supports without Training - Services for people who live in their own home or family home that provide support in the following community living service categories:

• Community participation
• Health, safety, and wellness
• Household management
• Adaptive skills
• Complimentary support plan (SP)
• Informal and formal person-centered outcomes

*Designed for adults or children who require support in one of the above-mentioned service categories. Specialist Services - Provision services that extend past the scope and duration of available waiver and state plan services including:

• Assessments/individual program plan and program development
• Training and supervision of staff
• Monitoring of specific program implementation

Respite - Short-term care services provided to a person when their primary caregiver is absent or needs relief. Services include:

• In-home respite: Service is provided to a person in their home or the family home.
• Out-of-home respite: Service is provided to a person in a licensed or unlicensed setting that is not the person's home.
• Respite level A: Active, out in the community
• Respite level B: Stay at home and local outings only
• Respite level C: Sleep in
• Respite level D: 24-hour period

Homemaker Services - Services that help a person manage general cleaning and household activities. Services include:

• Cleaning: light housekeeping tasks, laundry services
• Home management: cleaning, transportation arrangement, meal preparation, shopping for food, and household items
• Assistance with ADLs: cleaning, assistance with ADLs (ambulating, bathing, dressing, eating, grooming, toileting)

*Training is not covered under this service. To receive homemaker services, homemaker cleaning must be the primary service provided. County-Funded Semi-Independent Living Services (SILS) - Services needed to maintain and improve an adult's capacity to live in the community. Supports people in ways that enable them to achieve personally desired outcomes and lead self-directed lives including:

• Money management
• Meal preparation
• Shopping
• Obtaining and maintaining a home
• Self administration of medication
• Formal skill building

Provides in-home or out-of-home community based services including:

• 24-hour emergency assistance

?- Adult companion services ?- Homemaker services ?- Individual community living supports ?- Night supervision ?- Respite care

Supports individuals with brain injuries in leading fuller, more independent lives through personalized services tailored to each person's goals. Programs include:

• Community Integration and Inclusion: Structured day programs combining on-site skill development with community experiences to enhance independence, social engagement, and life skills.

• Vocational Services (VS): Comprehensive employment support, including assessments, job preparation, placement, employer education, and ongoing follow-up to help clients secure and maintain community employment.

The program is designed to help individuals living with a disability and mental health needs, live as independently and fully as possible. Community Living Specialists meet with clients one-on-one in their homes to provide the training and support. This service can be customized to meet individual needs and may include:

• In-home support

• Employment support

• Housing support

Waivered Services:

• Available to individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

Provides basic and in home support services for older adults and people with disabilities in their homes or in a community setting to ensure the health and safety of the person and maintain their independence within the community. Basic Support Services

• Individual community living supports (ILCS): For people who need reminders, cues intermittent/moderate supervision, or physical assistance to remain in their own homes.
• 24-hour emergency assistance: On-call counseling and problem-solving and/or immediate response for assistance at a person's home due to a health/personal emergency.
• Companion services: Non-medical care, supervision and socialization to a person age 18 or older.
• Night supervision: Provides overnight assistance and monitoring by an awake staff in the person's home.
• Respite care services: Short-term care due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care.

Intensive Support Services

• Positive support services: Services to increase positive behavior and decrease or eliminate severe, challenging behavior.
• Specialist services: Services designed to promote staff and caregiver competency to meet a person's needs in eligible areas.
• Independent living skills training: Services that develop, maintain and improve the community-living skills of a person.
• Semi-independent living skills: Services needed by an adult with a developmental disability or related condition(s) to live successfully in the community.
• Residential-based habilitation: Including in-home family support and supported living services for adults in their own home: Supported living services provided in a licensed site, including a foster care home, a community residential setting, or a supervised living facility.

Provides in- and out-of-home based services and supports, including:

• Adult companion services

• Adult day programs

• Homemaker services

• Independent living skills training

• Personal care assistant services

• Respite care

• Semi-independent living skills

• Supported living services for adults

• 24/7 supervision and emergency assistance

Provides in-home or out-of-home community-based services, including:

• 24 hour emergency assistance

• Adult companion services

• Homemaker services

• Individual community living support

• Individualized home support

• Night supervision

• Personal support

• Respite care

Waivered Services:

• Available to individuals with a variety of disabilities

• CADI (Community Access for Disability Inclusion) Waiver supports individuals with disabilities to live as independently as possible in their communities

• Waivered services are flexible and can be tailored to meet individual needs in a variety of settings

Waiver Programs for Individuals Who Need a Nursing Facility Level of Care:

• AC (Alternative Care) Waiver supports older adults who do not qualify for traditional Medical Assistance due to assets but would otherwise require nursing home care. Services may include personal care assistance, independent living skills training, homemaking, respite, and in-home family support.

• EW (Elderly Waiver) supports older adults who would otherwise need to live in a nursing facility, helping them remain in their homes or community-based settings

• MR/RC (Developmental Disabilities) Waiver provides services to individuals of all ages with developmental disabilities or related conditions, supporting them in living meaningful and inclusive lives

• TBI (Traumatic Brain Injury) Waiver supports individuals who have experienced a significant brain injury due to accident, stroke, illness, or other causes, helping them live as independently as possible in the setting of their choice

Personal Care Assistants (PCAs):

• PCAs assist individuals with daily living activities such as bathing, dressing, taking medications, light housekeeping, and meal preparation

• PCAs may also provide support with behavioral needs, helping individuals manage challenges in positive and supportive ways

• PCAs can support individuals in a variety of settings, including their own homes, family homes, or foster care placements

Other Services:

• Individuals who are not eligible for the Developmental Disabilities Waiver may still qualify for similar supports through the CADI or PCA programs

• In-home family support services help individuals build daily life skills such as self-care, communication, social interaction, sensory and motor development, and community living skills

• In-home family support and respite services provided by RSI (or other organizations) offer valuable assistance to caregivers and families supporting individuals with disabilities

• Respite services offer caregivers a temporary break, from a few hours to several days, either in the family home or in other supportive settings

• Respite and in-home family supports are often part of waivered service programs and can be personalized to fit the needs and preferences of the individual and their family

Offers supportive services and training for adults with disabilities, including:

• Communication skills training

• Individual and group activities

• In-home support services

• Life skills training

• Money management

• Personal grooming skills

• Residential living skills (housekeeping, shopping, food preparation, etc.)

• Vocational training (resume development, community job placement, etc.)

Community-Based Residential Homes

• Advocacy

• Community involvement

• Nursing and support therapies

• Respite support

Family Support Services-FSS? Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through:

• Community involvement

• Lifetime skills training

• Personal needs training

• Recreation/leisure activities

• Social activities

In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include:

• Assistance in getting up and ready for school/work

• Assistance with homework

• Participation in evening or weekend leisure activities

Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include:

• Crafts and cooking

• Domestic training

• Personal safety training

• Social skills training

• Summer field trips

Community-Based Residential Homes

• Advocacy

• Community involvement

• Nursing and support therapies

• Respite support

Family Support Services-FSS? Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through:

• Community involvement

• Lifetime skills training

• Personal needs training

• Recreation/leisure activities

• Social activities

In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include:

• Assistance in getting up and ready for school/work

• Assistance with homework

• Participation in evening or weekend leisure activities

Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include:

• Crafts and cooking

• Domestic training

• Personal safety training

• Social skills training

• Summer field trips

Provides individualized supportive services to children and adults with intellectual and developmental disabilities, which are specifically tailored to support their needs in the home, apartment or other community living situation. These services reinforce personal responsibility and include activities such as daily living skills (getting dressed, taking medication, preparing meals, job coaching, residential supports, and managing money) and developing interpersonal and communication skills needed for community integration. Services may include:

• Day program employment

• Help making decisions

• Skill development

?- Support with doctor's appointments

Personal and daily living skill development for people living with developmental disabilities and brain injuries Skill development in the areas of:

• Community integration

• Financial management

• Home living

• Meal planning and preparation

• Recreational skills

• Self-care

• Social skills

• Utilization of transportation

Services provided may include:

• Attending community activities

• Budgeting and finance

• Exercise and fitness programs

• Following medical recommendations

• Grocery shopping, cooking, and making nutritional choices

• Personal care

• Social skills and maintaining healthy relationships

• Using public transportation

Offers services for individuals with intellectual/developmental disabilities, including:

• Community-based employment

• Day support services

• Individualized home support services including medication management, grocery shopping, cleaning skills, and more

• Prevocational services

• Employment support services and exploration support

• Structured day services