2013 Adult Service Definitions
Old - Adult Habilitation
New - Customized Community Supports
Customized Community Supports for adults are designed to assist an individual to: increase their independence and potentially reduce the amount of paid supports, establish or strengthen interpersonal relationships, join social networks and participate in typical community life. Customized Community Supports are based upon the preferences and choices of each individual and designed to measure progress toward outcomes specified in the ISP. Activities include: adaptive skill development, adult educational supports, citizenship skills, communication, social skills, self-advocacy, informed choice, community integration and relationship building. Outcomes from this service may include an enhanced capacity for self-determination, development of social networks that allow the individual to experience valued social roles while contributing to his or her community and establishing lasting community connections. Customized Community Supports may be provided in a variety of settings including community, classroom and agency-operated sites. Services provided in any location are required either lead to participation and integration in the community or support the individual to reach his or her personal goals for growth and development.
New - Customized Community Supports
Customized Community Supports for adults are designed to assist an individual to: increase their independence and potentially reduce the amount of paid supports, establish or strengthen interpersonal relationships, join social networks and participate in typical community life. Customized Community Supports are based upon the preferences and choices of each individual and designed to measure progress toward outcomes specified in the ISP. Activities include: adaptive skill development, adult educational supports, citizenship skills, communication, social skills, self-advocacy, informed choice, community integration and relationship building. Outcomes from this service may include an enhanced capacity for self-determination, development of social networks that allow the individual to experience valued social roles while contributing to his or her community and establishing lasting community connections. Customized Community Supports may be provided in a variety of settings including community, classroom and agency-operated sites. Services provided in any location are required either lead to participation and integration in the community or support the individual to reach his or her personal goals for growth and development.
Old - Independent Living
New - Customized In-Home Supports
Customized In-Home Supports are individually designed to instruct or enhance home living skills, community skills and to address health and safety as needed. Customized In-Home Supports provides individuals the opportunity to design and manage the supports needed to live in their own home or their family home. Customized In-Home Supports include a combination of instruction and personal support activities provided intermittently as they would normally occur to assist the individual with activities of daily living, meal preparation, household services and money management. Supports also include providing support to acquire, maintain or improve interaction skills in the community or at the individual’s place of employment. Customized In-Home Supports is not a residential service and is intended for individuals that do not require the level of support provided under Living Supports services.
Customized In-Home Supports consists of two types of living arrangements:
A. Living independently; and
B. Living with unpaid families or natural supports.
New - Customized In-Home Supports
Customized In-Home Supports are individually designed to instruct or enhance home living skills, community skills and to address health and safety as needed. Customized In-Home Supports provides individuals the opportunity to design and manage the supports needed to live in their own home or their family home. Customized In-Home Supports include a combination of instruction and personal support activities provided intermittently as they would normally occur to assist the individual with activities of daily living, meal preparation, household services and money management. Supports also include providing support to acquire, maintain or improve interaction skills in the community or at the individual’s place of employment. Customized In-Home Supports is not a residential service and is intended for individuals that do not require the level of support provided under Living Supports services.
Customized In-Home Supports consists of two types of living arrangements:
A. Living independently; and
B. Living with unpaid families or natural supports.
Old - Individual Supported Employment
New - Customized Integrated Employment (Individual)
The objective of Community Integrated Employment is to provide supports to DDW recipients that results in community employment in jobs which increase economic independence, self-reliance, social connections and the ability to grow within a career. Community Integrated Employment services are geared to place individuals with disabilities in employment situations with non-disabled co-workers within the general workforce; or assist the individual in business ownership. Individuals are supported to explore and seek opportunity for career advancement through growth in wages, hours, experience and/or movement from group to individual employment. Each of these activities is reflected in individual career plans.
New - Customized Integrated Employment (Individual)
The objective of Community Integrated Employment is to provide supports to DDW recipients that results in community employment in jobs which increase economic independence, self-reliance, social connections and the ability to grow within a career. Community Integrated Employment services are geared to place individuals with disabilities in employment situations with non-disabled co-workers within the general workforce; or assist the individual in business ownership. Individuals are supported to explore and seek opportunity for career advancement through growth in wages, hours, experience and/or movement from group to individual employment. Each of these activities is reflected in individual career plans.
Old - Supported Living
New - Living Supports – Supported Living
Living Supports are residential habilitation services that are individually tailored to assist participants eighteen (18) years or older who are assessed to need daily support and/or supervision with the acquisition, retention, or improvement of skills related to living in the community to prevent institutionalization. Living Supports include residential instruction that is intended to increase and promote independence and to support individuals to live as independently as possible in the community in a setting of their own choice. Living Support services assist and encourage individuals to grow and develop, to gain autonomy, become self-governing, and pursue their own interests and goals. Living Support providers take positive steps to protect and promote the dignity, privacy, legal rights, autonomy and individuality of each person who receives services. Services promote inclusion in the community and individuals are provided the opportunity to be involved in the community and actively participate using the same resources and doing the same activities as other community members. Living Supports will assist individuals to access generic and natural supports, and the opportunities to establish or maintain meaningful relationships throughout the community. Living Supports providers are responsible for providing an appropriate level of services and supports twenty-four (24) hours per day, seven (7) days per week. Living Supports will be provided in accordance with all applicable regulations and policies and procedures.
New - Living Supports – Supported Living
Living Supports are residential habilitation services that are individually tailored to assist participants eighteen (18) years or older who are assessed to need daily support and/or supervision with the acquisition, retention, or improvement of skills related to living in the community to prevent institutionalization. Living Supports include residential instruction that is intended to increase and promote independence and to support individuals to live as independently as possible in the community in a setting of their own choice. Living Support services assist and encourage individuals to grow and develop, to gain autonomy, become self-governing, and pursue their own interests and goals. Living Support providers take positive steps to protect and promote the dignity, privacy, legal rights, autonomy and individuality of each person who receives services. Services promote inclusion in the community and individuals are provided the opportunity to be involved in the community and actively participate using the same resources and doing the same activities as other community members. Living Supports will assist individuals to access generic and natural supports, and the opportunities to establish or maintain meaningful relationships throughout the community. Living Supports providers are responsible for providing an appropriate level of services and supports twenty-four (24) hours per day, seven (7) days per week. Living Supports will be provided in accordance with all applicable regulations and policies and procedures.
Old - Tier III
New - Crisis Supports (Individual's residence/alternate residential setting)
Crisis Supports are designed to provide an intensive level of supports by trained staff to an individual experiencing a behavioral or medical crisis either within the individual's present residence or in an alternate residential setting:
Crisis Supports in the Individual's Residence: Crisis Supports in the individual's residence will include provision of Crisis Response Staff (CRS) to assist in supporting and stabilizing the individual while also training and mentoring staff, family members and other natural supports that normally support the individual, in order to remediate the crisis and minimize or prevent recurrence.
Crisis Supports in an Alternate Residential Setting: Crisis Supports are provided in an alternate residential setting and include: arranging for a different residential setting and providing CRS to support the individual in that setting, in order to stabilize and prepare the individual to return to their original residence, or to move into a new permanent residence. In addition, the provider agency will arrange to train and mentor staff, family members and other natural supports that will support the individual on a long-term basis once the crisis has stabilized, in order to minimize or prevent recurrence.
New - Crisis Supports (Individual's residence/alternate residential setting)
Crisis Supports are designed to provide an intensive level of supports by trained staff to an individual experiencing a behavioral or medical crisis either within the individual's present residence or in an alternate residential setting:
Crisis Supports in the Individual's Residence: Crisis Supports in the individual's residence will include provision of Crisis Response Staff (CRS) to assist in supporting and stabilizing the individual while also training and mentoring staff, family members and other natural supports that normally support the individual, in order to remediate the crisis and minimize or prevent recurrence.
Crisis Supports in an Alternate Residential Setting: Crisis Supports are provided in an alternate residential setting and include: arranging for a different residential setting and providing CRS to support the individual in that setting, in order to stabilize and prepare the individual to return to their original residence, or to move into a new permanent residence. In addition, the provider agency will arrange to train and mentor staff, family members and other natural supports that will support the individual on a long-term basis once the crisis has stabilized, in order to minimize or prevent recurrence.
Old - Community Access
New - Customized Community Supports (Individual & Small Group)
Customized Community Supports for adults are designed to assist an individual to: increase their independence and potentially reduce the amount of paid supports, establish or strengthen interpersonal relationships, join social networks and participate in typical community life. Customized Community Supports are based upon the preferences and choices of each individual and designed to measure progress toward outcomes specified in the ISP. Activities include: adaptive skill development, adult educational supports, citizenship skills, communication, social skills, self-advocacy, informed choice, community integration and relationship building. Outcomes from this service may include an enhanced capacity for self-determination, development of social networks that allow the individual to experience valued social roles while contributing to his or her community and establishing lasting community connections. Customized Community Supports may be provided in a variety of settings including community, classroom and agency-operated sites. Services provided in any location are required to either lead to participation and integration in the community or support the individual to reach his or her personal goals for growth and development.
New - Customized Community Supports (Individual & Small Group)
Customized Community Supports for adults are designed to assist an individual to: increase their independence and potentially reduce the amount of paid supports, establish or strengthen interpersonal relationships, join social networks and participate in typical community life. Customized Community Supports are based upon the preferences and choices of each individual and designed to measure progress toward outcomes specified in the ISP. Activities include: adaptive skill development, adult educational supports, citizenship skills, communication, social skills, self-advocacy, informed choice, community integration and relationship building. Outcomes from this service may include an enhanced capacity for self-determination, development of social networks that allow the individual to experience valued social roles while contributing to his or her community and establishing lasting community connections. Customized Community Supports may be provided in a variety of settings including community, classroom and agency-operated sites. Services provided in any location are required to either lead to participation and integration in the community or support the individual to reach his or her personal goals for growth and development.
Old - Group Supported Employment
New - Customized Integrated Employment (Group)
In Group Community Integrated Employment more than one individual works in an integrated setting with staff supports on site. Regular and daily contact with non-disabled co-workers and/or the public occurs.
New - Customized Integrated Employment (Group)
In Group Community Integrated Employment more than one individual works in an integrated setting with staff supports on site. Regular and daily contact with non-disabled co-workers and/or the public occurs.
Old - Family Living
New - Living Supports – Family Living
Living Supports are residential habilitation services that are individually tailored to assist DDW recipients 18 years or older who are assessed to need daily support and/or supervision with the acquisition, retention, or improvement of skills related to living in the community to prevent institutionalization. Living Supports include residential instruction that is intended to increase and promote independence and to support individuals to live as independently as possible in the community in a setting of their own choice. Living Support services assist and encourage individuals to grow and develop, to gain autonomy, become self-governing and pursue their own interests and goals. Living support providers take positive steps to protect and promote the dignity, privacy, legal rights, autonomy and individuality of each person who receives services. Services promote inclusion in the community and individuals are provided the opportunity to be involved in the community and actively participate using the same resources and doing the same activities as other community members. Living Supports will assist individuals to access generic and natural supports and the opportunities to establish or maintain meaningful relationships throughout the community. Living Support providers are responsible for providing an appropriate level of services and supports twenty four (24) hours per day, seven (7) days per week. Living Supports will be provided in accordance with all applicable regulations and policies and procedures.
New - Living Supports – Family Living
Living Supports are residential habilitation services that are individually tailored to assist DDW recipients 18 years or older who are assessed to need daily support and/or supervision with the acquisition, retention, or improvement of skills related to living in the community to prevent institutionalization. Living Supports include residential instruction that is intended to increase and promote independence and to support individuals to live as independently as possible in the community in a setting of their own choice. Living Support services assist and encourage individuals to grow and develop, to gain autonomy, become self-governing and pursue their own interests and goals. Living support providers take positive steps to protect and promote the dignity, privacy, legal rights, autonomy and individuality of each person who receives services. Services promote inclusion in the community and individuals are provided the opportunity to be involved in the community and actively participate using the same resources and doing the same activities as other community members. Living Supports will assist individuals to access generic and natural supports and the opportunities to establish or maintain meaningful relationships throughout the community. Living Support providers are responsible for providing an appropriate level of services and supports twenty four (24) hours per day, seven (7) days per week. Living Supports will be provided in accordance with all applicable regulations and policies and procedures.
ADULT NURSING SERVICES
Adult Nursing Services are designed to meet a variety of health conditions experienced by adults receiving services on the Developmental Disabilities Waiver (DDW) Program. These services are intended to support the highest practicable level of health, functioning and independence for individuals, age twenty-one (21) and older, who reside in a Family Living setting; receive Customized In-Home Supports; or participate only in Customized Community Supports and/or Community Integrated Employment without accessing any Living Supports or Customized In-Home Supports. There are two categories of Adult Nursing Service, which are described in detail in the Scope of Services. The first category is Nursing Assessment and Consultation Services. This core nursing service provides an initial and annual comprehensive health assessment and subsequent consultation from the nurse to the individual, family/guardian and, as requested, with the team. This activity is required for all participants in Family Living and is available to all individuals in the service settings listed above. The second category, Ongoing Adult Nursing Services, provides focused nursing supports that are based on the needs identified in the comprehensive health assessment. Ongoing Adult Nursing requires prior authorization and is an optional service that can be selected by individuals, their families, and guardians. Several elements of ongoing Adult Nursing Services are required for certain individuals receiving Family Living. Adult Nursing Services support the delivery of professional nursing services in compliance with the New Mexico Nurse Practice Act and in accordance with professional standards of practice. Adult Nursing Services are a model of nursing intended to support the individual and their family towards a goal of maximum practicable independence and access to the general health care system, while providing a framework of ongoing DDW nursing supports as needed. Children and young adults up to the age of twenty-one (21) receive medically necessary nursing services through the Medicaid State Plan Early Periodic Screening Diagnosis and Treatment.
Adult Nursing Services are designed to meet a variety of health conditions experienced by adults receiving services on the Developmental Disabilities Waiver (DDW) Program. These services are intended to support the highest practicable level of health, functioning and independence for individuals, age twenty-one (21) and older, who reside in a Family Living setting; receive Customized In-Home Supports; or participate only in Customized Community Supports and/or Community Integrated Employment without accessing any Living Supports or Customized In-Home Supports. There are two categories of Adult Nursing Service, which are described in detail in the Scope of Services. The first category is Nursing Assessment and Consultation Services. This core nursing service provides an initial and annual comprehensive health assessment and subsequent consultation from the nurse to the individual, family/guardian and, as requested, with the team. This activity is required for all participants in Family Living and is available to all individuals in the service settings listed above. The second category, Ongoing Adult Nursing Services, provides focused nursing supports that are based on the needs identified in the comprehensive health assessment. Ongoing Adult Nursing requires prior authorization and is an optional service that can be selected by individuals, their families, and guardians. Several elements of ongoing Adult Nursing Services are required for certain individuals receiving Family Living. Adult Nursing Services support the delivery of professional nursing services in compliance with the New Mexico Nurse Practice Act and in accordance with professional standards of practice. Adult Nursing Services are a model of nursing intended to support the individual and their family towards a goal of maximum practicable independence and access to the general health care system, while providing a framework of ongoing DDW nursing supports as needed. Children and young adults up to the age of twenty-one (21) receive medically necessary nursing services through the Medicaid State Plan Early Periodic Screening Diagnosis and Treatment.
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