Home and Community Based Services (HCBS)
HCBS are long-term services and supports provided to adults and children with developmental disabilities with the most intensive needs. Services are determined by individual needs and person-centered planning, and are designed to comply with HCBS rules which emphasize choice, control, privacy, autonomy, independence, and inclusion. HCBS budgets are based on an all-inclusive daily rate that combines all funded services determined by individual needs.
Home Supports are services, supports and supervision provided for individuals in and around their residences up to 24 hours a day, seven days a week (24/7). Services include support for individuals to acquire and retain life skills, to maintain health and safety, and opportunities for individuals to be as independent as possible in their home and community. Home modifications required for accessibility related to an individual’s disability may be provided as well as cost-effective technology that promotes safety and independence in lieu of paid direct support. A variety of models of home supports are available to meet individual needs:
o Supervised Living- regularly scheduled or intermittent hourly supports are provided to an individual who lives in his or her home or that of a family member. Supports are provided on a less than full time (not 24/7) schedule. Supervised living supports may be provided by CAP staff or by workers hired by a shared living provider or family.
o Staffed Living- 24-hour staffed supports are provided in a home setting for one or two people.
o Group Living (Royce St.)- 24-hour staffed supports are provided in a licensed Level 3 group home setting for four people. Supports are individualized and comprehensive to meet personal care, health, social, and daily living needs. Nursing oversight is provided.
o Shared living - individualized supports are provided for one or two individuals in the home of a contracted shared living provider. Shared living providers may be an individual, couple, or family. Individuals are supported to learn or maintain skills, cultivate relationships, and develop a sense of belonging at home and in the community. CAP provides a range of models to meet the unique needs of each individual. Models range from “roommate” supports to “intensive shared living” supports for individuals with complex needs. In intensive shared living homes additional support maybe provided through 2:1 supports when needed, increased respite, and/or individual crisis responders to assure the needs of the individual are met.
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