Attention IDD Providers:
Members of the Innovations services definitions workgroup have been developing scenarios to fund the generalization portion of waiver services.The North Carolina Division of Medical Assistance asked the members of the workgroup to share these scenarios with the NC Provider Council and IDD network providers for feedback.
If you are an IDD provider, please respond by reviewing the information below and choosing a preferred scenario and providing any feedback to Stephanie Norman at snorman@partnersbhm.org by Friday, January 16, 2015.
Three scenarios to potentially fund the generalization portion of waiver services
- Generalization of skills, previously called maintenance, has always been a component of the implementation of formal and informal habilitative skills.
- The Generalization of skill component of the habilitative service definitions is an effort to increase support available for individuals to use skills they have already learned and streamline the process for providers to be reimbursed for that activity.
- We would appreciate your feedback on the scenarios below as we are trying to determine the correct staff to complete this activity and what training or competency that staff person would need.
Please indicate which of three scenarios would promote greater opportunities to expand the education of supports and simplify the process for providers.
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Scenario #1
- Once trained, by Specialized Consultative Services, in the competencies outlined in the service definition, the Direct Support Professional would coach the caregiver or other unpaid support, within the private home or community, on the intervention strategies used to support the participant in the learned skill. This training could be accomplished through face to face coaching/modeling, the use of video/Skype, or other remote technology. There would be no special billing code to complete this task and the hours of billable service would be included in the hours determined in the ISP for habilitative services. Documentation of this activity would be included in the habilitation notes.
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Scenario #2
- The Individual Support team would determine the competencies required by the Direct Support Professional to coach the caregiver or other unpaid support, within the private home or community, on the intervention strategies used to support the participant in the learned skill. This training could be accomplished through face to face coaching/modeling, the use of video/Skype, or other remote technology. There would be no special billing code to complete this task and the hours of billable service will be included in the hours determined in the ISP for habilitative services. Documentation of this activity will be included in the habilitation notes.
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Scenario #3
- The Qualified Professional who oversees the habilitation provided by the Direct Support Professional would coach the caregiver or other unpaid support, within the private home or community, on the intervention strategies used to support the participant in the learned skill. This training could be accomplished through face to face coaching/modeling, the use of video/Skype, or other remote technology. There would be no special billing code to complete this task and the hours of billable service will be included in the hours determined in the ISP for Community Living Supports. Documentation of this activity would be included in the habilitation notes.
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Thank you for taking the time to provide your thoughts about generalization funding for waiver services. If you have any questions, please contact Stephanie Norman at 828-323-8060 or snorman@partnersbhm.org.
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