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  • Be a member of the resident’s interdisciplinary team;
  • Have a current VA DMAS Provider Agreement that authorizes the provider to bill for Supportive In-Home Service under the Waiver;
  • Maintain a copy of the most recent ISP that the CSB Support Coordinator has approved for each person:
  • Ensure that all in-home support services staff are prepared to facilitate interpreters for non-English speaking persons;
  • Ensure that the service provided is consistent with the person’s ISP;
  • Offer the Hepatitis B vaccination to each person providing services under these rules;
  • Provide staff training in infection control procedures consistent with the standards established by the Federal Centers for Disease Control and Prevention and
  • Ensure compliance with policies governing reporting of unusual incidents, human rights, behavior management, and protection of a person’s funds.

DSPs shall meet all of the requirements to provide professional and person-centered services to the person served in addition to the requirements set forth below:

  • Complete competency-based training in communication with people with developmental disabilities;
  • Complete competency-based training in emergency procedures;
  • Be certified annually in cardiopulmonary resuscitation (CPR) and First Aid,
  • Complete TB testing
  • Med Tec training
  • TOVA Training.
  • FBI background checks and DSS Checks.

PLAUSIBLE CARE, INC., in providing Supportive In-Home Service, shall maintain progress notes weekly, or more frequently if indicated, on the ISP. We shall also maintain current financial records of expenditures of private funds for each person, if applicable. Progress notes shall include, at a minimum:

  • Progress in meeting each goal in the ISP assigned to the PLAUSIBLE CARE, INC.
  • List all community activities the person participates in and the person’s response to each training;
  • Any unusual health events, side effects to medication, change in health status, behavioral event, use of a restrictive procedure, or unusual incident;
  • Any visitor the person receives, special events, and any situation or event requiring follow-up during the delivery of the in-home support services; and the dates and times services are delivered.
  • Progress notes shall be maintained in Therapy Tlogs and ISP checklist.

PLAUSIBLE CARE, INC. shall review the person’s ISP goals, objectives, and activities at least quarterly and more often as needed and propose modifications to the ISP as appropriate. The results of these reviews shall be submitted to the Support Coordinator quarterly.

At PLAUSIBLE CARE, INC., reimbursement for Supportive In-Home Service shall not include the following:

  • Room and board costs;
  • The family or natural caregivers usually provide routine care and general supervision;
  • Services or costs for which payment is made by a source other than Medicaid or
  • Travel or travel training to Supportive Employment, Day Habilitation, or Pre-Vocational Services.

Supportive in-home Service may be combined with Medicaid State Plan Personal Care and Home and Community Services so long as the services are not provided during the same period of the day.

Supportive In-Home Services are not available to participants receiving Host Home, Residential Habilitation, or Supported Living Services.

Services Provided:

  • The Community Services Board Support Coordinator must complete a Support Intensity Scale (SIS) before anyone can be admitted to the Supportive In-Home Service. The SIS is conducted to determine if the individual meets the admission criteria.

  • The QDDP shall ensure that the initial ISP and the comprehensive ISP shall be developed based on the respective assessment with the participation and informed choice of the individual receiving services. To ensure that this happens, the QDDP will make sure that the following shall be explained to the individual or the individual’s authorized representative, as applicable, reasonably and understandably:

    1. The proposed services to be delivered.
    2. Any alternative services that might be advantageous for the individual; and,
    3. Any accompanying risks or benefits of the proposed and alternative services,
  • The comprehensive assessment is completed by the QDDP within 60 days of admission and is used to develop the initial PCP.
  • The QDDP then develops a Person-Centered Plan that addresses the individuals’ goals and objectives and the strategies needed to achieve such.
  • Program staff then implements the Plan according to a schedule of assistance, supportive services, or educational activities developed as part of the Plan.
  • Program staff coordination with outside resources as needed and requested by the individuals, including health care services, mental health services, social services, and entitlement programs.
  • Assistance and support are provided in developing and maintaining a variety of meaningful social networks guided by the individuals’ interests and desires.
  • Program staff provide transportation and medication assistance as indicated.
  • Program staff provide discharge planning and assistance in moving to another program provider, should the individual choose to do so or if the individual’s needs and wants exceed the program’s ability to provide adequate services.