NHTD Waiver Services Available

Service Coordination

The Service Coordinator helps eligible persons to become waiver participants and coordinates their waiver services. When you become a waiver participant, you should remember that you are the primary decision maker in the development of your goals. Together with your Service Coordinator and other individuals that you choose, you select your service providers and other supports. It is your Service Coordinator’s responsibility to learn about you, your situation, and your goals.

• You and your Service Coordinator will meet in person at least once a month to go over your plan. A meeting will be held in your home at least every three months.

• Your Service Coordinator is responsible for making sure that your service providers provide what you need.

• Your Service Coordinator must give you a copy of your service plan, service reports and contact information for all of your providers.

Because FLXCC is “Conflict-Free,” your Service Coordinator will assist you in securing the services described below from other agencies.

Independent Living Skills Training

The purpose of Independent Living Skills Training and Development Services (ILST) is to help you live as independently as possible. These services may include help with self-care, task completion, medication management, problem solving, running your household and money management. ILST services are used to help you become as independent as possible but are not long term.

STRUCTURED day program

Structured Day Program Services are provided in the community and are focused on improving or maintaining your skills and your ability to live as independently as possible. These services may include activities that improve socialization; problem solving skills; supervision of, or assistance with, self-care; medication management; task completion; communication skills; mobility; transportation skills; money management skills; and the skills needed to maintain a household.

community transitional services

Community Transitional Services (CTS) provide funding for the reasonable costs of one-time expenses for you to transition from a nursing home to your own home or apartment in the community.

Positive Behavioral Interventions and Support Services

Positive Behavioral Interventions and Support Services (PBIS) are designed to help you if you have behavioral difficulties that put you at risk for not being able to remain in the community. If you have difficulty responding appropriately to events in your environment, PBIS services will help you to decrease the intensity or frequency of inappropriate behaviors and learn ways to replace them with behaviors that are more socially appropriate.

community integration counseling services

Community Integration Counseling Services (CIC) are designed to help you manage emotional difficulties that can arise from living in the community. Counseling services may help you in relation to your other family members and friends.

home and community support services

Home and Community Support Services (HCSS) are provided when you need oversight and supervision to help maintain your health and welfare to live in a community setting. These services may include personal care assistance with Activities of Daily Living (dressing, bathing, hygiene, grooming, toileting, and eating). They may also include Instrumental Activities of Daily Living (housekeeping, shopping, meal preparation, and laundry). These services are supervised by a Registered Nurse and may only be provided if ordered by your physician.

respite services

Respite Services provide relief to informal, non-paid supports, such as family and friends, who help you with primary care and support. These services may be provided in your home or another home in the community.

environmental modifications

Environmental Modifications (E-mods) are physical adaptations to your home or vehicle, which are necessary to ensure your health, welfare, and safety. They are designed to give you greater independence and to help you to remain in the community. Examples of E-mods in your home are ramps, lifts, widened doorways, handrails, and water faucet controls. Examples of E-mods in your vehicle are hand controls, spinner knobs, wheelchair lock downs, and wheelchair lifts.

assistive technology services

Assistive Technology Services are provided to help you with your independence, your ability to access needed supports and services in the community, to maintain or improve your health and safety and which are medically necessary. Examples are devices that help with memory or speech. All other resources must be utilized before considering this service.

WELLNESS counseling services

Wellness Counseling Service is a service intended to assist the medically stable waiver participant in maintaining optimal health status. A Registered Professional Nurse can reinforce or teach healthy habits such as the need for daily exercise, weight control, or avoidance of smoking. Additionally, the Registered Professional Nurse will be able to offer support for control of any diseases or disorders such as high blood pressure, diabetes, morbid obesity, asthma or high cholesterol. In addition to these services, the Registered Professional Nurse can assist the waiver participant to identify signs and symptoms that may require intervention so as to prevent further complications from the disease or disorder.