Medicaid Waiver

Family Support Waiver (FSW)  

The POC/service plan is subject to an annual waiver services cost cap of $26,482. Hab – Behavior Management  

  • Intensive Behavioral Intervention Lvl-2 
  • Participant Assistance and Care (PAC) 
  • Transportation – FSW 
  • Workplace Assistance  

Community Integration Habilitation (CIH) 

  • Hab – Behavior Management  
  • Intensive Behavioral Intervention Lvl-2 
  • Workplace Assistance  

 

Hab – Behavior Management  

Available under FSW and CIH waivers 

Behavioral supports are an array of services designed to support individuals who are  experiencing or are likely to experience challenges accessing, and actively participating in the  community as a result of behavioral, social or emotional challenges.  

Behavioral support services are intended to empower individuals and families (by leveraging  their strengths and unique abilities) to achieve self-determination, interdependence, productivity,  integration and inclusion in all facets of community life, across all environments, across the  lifespan. 

 

Intensive Behavioral Intervention (IBI) 

Available under FSW and CIH waivers 

Intensive behavioral intervention (IBI) services focus on developing effective behavior  management strategies for individuals whose challenging behavioral issues put them at risk of  placement in a more restrictive residential setting. IBI services teach the individual, families and  other caregivers how to respond to and deal with intense and challenging behaviors. IBI services  are designed to reduce an individual’s behaviors and improve independence and inclusion in the  community. The need for IBI services is determined by a functional, behavioral needs assessment  of the individual. IBI services are specified in the PCISP. 

 

Participant Assistance and Care (PAC) 

Available only through FSW waiver  

Participant Assistance and Care (PAC) services are provided to allow individuals with  intellectual/developmental disabilities to remain and live successfully in their own homes,  function and participate in their communities, and avoid institutionalization. PAC services 

support and enable the individual in activities of daily living, self-care and mobility with hands on assistance, prompting, reminders, support, and monitoring needed to ensure the health and  safety, of the individual. 

 

Transportation 

Available under the FSW waiver 

Transportation services are services to transfer individuals in a vehicle from the point of pick-up  to a destination point. Transportation services enable individuals to access nonmedical  community services, resources, destinations or places of employment, as well as maintain or  improve their mobility within the community, increase independence and community  participation and prevent institutionalization as specified by the PCISP. 

  • Level 1: Transportation in a private, commercial or public transit vehicle that is not  specially equipped.  

 

Workplace Assistance 

Available under FSW and CIH waivers  

Workplace assistance services provide a range of personal care services and/or supports during  paid competitive community employment hours and in a competitive community employment  setting to enable waiver individuals to accomplish tasks that they would normally do for  themselves if they did not have a disability. Assistance may take the form of hands-on assistance  (actually performing a personal care task for the individual) or prompting the individual to  perform a personal care task. Workplace assistance services may be provided on an episodic or  on a continuous basis.  

Workplace assistance services are designed to ensure the health, safety and welfare of the  individual, thereby assisting in the retention of paid employment for the individual who is paid at  or above the federal minimum wage.