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The selection of supports and services is the final step in the development of an ISP. The ISP contains identified outcomes for the individual. Supports and services selected by a team must relate to an identified outcome and maintain, enhance or develop skills. The intent of the delivery of any support or service is to assist the individual to achieve the identified outcome.
Once registered with the Developmental Disabilities Office, an individual selects their Supports Coordination Office. Supports Coordinator Organizations (SCO) are providers with the primary responsibilities of locating, coordinating, and monitoring needed services and supports for Waiver/Program participants. SCOs work with individuals and families to develop the initial Individual Support Plan (ISP). SCOs can monitor individual health, safety, and service delivery.
The selection of supports and services is the final step in the development of an ISP. Services are based on the availability of funding. Supports and Services are funded through the county program under two types of funding, through the Block Grant and Waiver Funding (link to Waiver Funding Eligibility – as noted below).
The ISP contains identified outcomes for the individual. Supports and services selected by the team must relate to an identified outcome and work to maintain, enhance or develop skills. The intent of the delivery of any support or service is to assist the individual to achieve the identified outcome.
The Office of Developmental Disabilities, in two separate bulletins, defines supports and services. The bulletins are Developmental Disabilities Bulletin, Number 00-03-12 titled Service Definitions and Procedure Codes for Healthcare and Non-Healthcare Waiver and Base Services, and Developmental Disabilities Bulletin, Number 00-04-10 titled Service Definitions and Procedure Codes for Healthcare Waiver and Base Services. These bulletins identify the type of service eligible for reimbursement and the conditions for the delivery of specific services.
A broad array of supports and services are available to support individuals. These supports and services are defined as follows and described in more detail in our brochure:
- Supports Coordination
- Supported Employment
- Transitional Work Services
- Vocation Services/Day Programs
- Community Participation Services
- Home and Community Habilitation
- Respite Services
- Transportation Services
- Residential Habilitation
Waiver Funding Eligibility
The following documentation is required as part of the formal Level of Care (LOC) evaluation process.
- The results of a medical evaluation completed within the previous 365 calendar days that reflects the individual’s current medical condition. A recommendation for ICF/ID Level of Care must be made by the practitioner.
- The results of a standardized intelligence test conducted by a licensed psychologist, certified school psychologist, psychiatrist, developmental pediatrician, or licensed physician who practices psychiatry that shows significantly sub-average intellectual functioning.
- The results of an adaptive behavior skills standardized assessment (for example, the Vineland Adaptive Behavior Scales) that shows the individual has substantial functional limitation in three or more of the following areas of major life activity:
- Receptive and expressive language
- Capacity for independent living
- Documentation that substantiates that these conditions of intellectual and adaptive functioning manifested before the individual reached 22 years of age.
- Documentation that a diagnosis of Intellectual Disability was made or confirmed by a licensed clinician.