The Medicaid Waiver Program
is designed to assist people with developmental disabilities that cannot
live independently. Services are divided into two basic categories:
Case Management:
When a consumer chooses a service provider, like Focus, the agency
assigns a case manager. It is the case manager’s job to make certain
that the consumer’s needs are met, that he/she has the services that
they desire and require, and that their paperwork is up-to-date and
correct so that services will not be interrupted. If the consumer
requires assistive technology, like wheelchairs or talking computers, or
certain household renovations that make his/her environment more
accessible, the case manager will lead the effort to obtain those items.
Integrated Supports:
Integrated Supports refers to the battery of services provided to the
individual consumer through the Medicaid Waiver program. This usually
means hiring an implementer, or one-on-one worker, who will provide
direct care and assist the consumer to meet their annual goals and
objectives. They may teach the consumer to budget his/her money, to
shop, to do laundry, to cook, to do household maintenance tasks, or
whatever the consumer requires. They often assist the consumer to
participate in fun activities as well: basketball, bowling, community
events, etc.
The chosen agency will also
assign an Integrated Supports Coordinator. It is the Coordinator’s job
to hire and supervise the implementer, and to stay aware of and
participate in all issues and decisions concerning the consumer.
At least once per year, the
consumer’s Waiver team meets to discuss progress and needs for the
future. This team may consist of the consumer, a legal guardian, if
any, family members, the case manager, the Integrated Supports
Coordinator, a representative from DDS, representatives from other
agencies that serve the consumer, and/or anyone that the consumer wishes
to have present at the meeting. This meeting generates a plan for the
next year that is sent in to the state for approval. If and when the
plan is approved, it becomes the blueprint for services for the year to
come.
The consumer is visited at
least once monthly by both the Case Manager and the Integrated Supports
Coordinator to ensure that all needs are being met.
To apply for Medicaid
Waiver services, contact your local DHHS office. If you wish to choose
Focus as your service provider, tell your DHHS representative.