Homemaker Personal Care (HPC) Services

Question 1

Functional Behavioral Assessment (SELF service)

Answer

A Functional Behavioral Assessment can help a person understand why they do the things
they do. It is meant to help someone who hurts themselves, hurts other people, or damages
property, because they feel upset or stressed, or sometimes without knowing why they do it.
A Functional Behavioral Assessment looks at all kinds of things that may influence how
someone acts, such as where they live, who they live with, how often they go out, and what
medications they take. Then, the assessment is used to make a plan to help someone change behaviors that might be harmful to themselves or others.

Question 2

Waiver Nursing Delegation (WND)

Answer

This service is available only through the Individual Options Waiver. Agency and independent
providers that have a Medicaid nursing provider agreement and have DODD-Waiver Nursing
certification can provide waiver nursing services.
This service is only authorized for people who require a nurse when State Plan Home Health
Nursing and/or Private Duty Nursing is unable to meet all of the person’s nursing needs.
Individual Options Waiver Nursing requires prior authorization by DODD using the same
process described for Private Duty Nursing.
A licensed practical nurse (LPN) or registered nurse (RN) cannot provide Waiver Nursing to
more than three people in a group setting during a face-to-face nursing visit.

Question 3

Community Transition

Answer

Supports people transitioning from living in a facility to a house or apartment, either with others or on their own. This service can support people as they transition from living in a facility to living in a house or an apartment, with others or on their own. It can pay for one-time household expenses like the security deposit for an apartment or start-up fees for utilities. Community Transition can also be used to buy initial cleaning products or household
supplies. The person’s service and support administrator, or SSA, will assess them for a need for
Community Transition purchases. If there is a need, the SSA will include it in the person’s
individual service plan.
Community Transition may be authorized up to 180 calendar days prior to enrollment in the
Individual Options Waiver and for up to 30 days after enrollment. Community Transition
services cannot exceed $2,000 per person. Pre-transportation services covered as Community Transition cannot exceed $500 of the available $2,000.

Question 4

Individualized Service Plan (ISP)

Answer

Will include, but not limited to, each person’s goals, strengths, needs, and/or desires, such as: personalized skill development, structured activities, medication management and community integration. The ISP is client driven.

Question 5

Life Skills Training Services

Answer

May include finance and budgeting, lifestyle change, preventative health measures, diabetes and chronic disease management, conflict resolution, and stress-anxiety reduction techniques.

Question 6

Social Skills

Answer

Fostering a nurturing environment, creating relationships, activities, chores, and workshops, as appropriate.

Question 7

Transitional Services

Answer

Coordination and community support and link to community resources as appropriate to ensure individuals remain health and safety while residing in a community setting, on-going monitoring and follow-up from a professional team as needed.

Question 8

Homemaker Personal Care (HPC)

House of G.R.A.C.E. Residential Services provides direct care staff to accompany individuals in their homes or out in the community to help develop skills and assist in things such as community inclusion, personal hygiene, cooking, laundry, cleaning, health and safety, shopping, and interpersonal skills.

Answer

This service includes help with things like getting dressed, making food, and accessing things in the community. With Participant-Directed Homemaker/Personal Care, a person may decide how much to pay their staff and they may act as the employer. Participant-Directed Homemaker/Personal Care is an option available through all three of the waivers DODD administers. It is not a requirement of the Individual Options or Level
One waivers, but participant-direction is a requirement of the SELF Waiver. The person
enrolled or a representative they choose must be willing and able to direct at least one
service. The person’s service and support administrator, or SSA, will assess them for a need
for Homemaker/Personal Care. If there is a need, the SSA will include it in the person’s
individual service plan. A person can choose to direct their Homemaker/Personal Care services through any of the waivers offered by DODD. Participant-direction gives the person more control and authority to decide who provides their services and how those services are provided. The person must want to be in charge of staff employer responsibility but can receive assistance.

Question 9

Homemaker Personal Care (HPC) Transportation

House of G.R.A.C.E. Residential Services provides non-medical transportation as outlined in the individual's service plan.

Question 10

House of G.R.A.C.E.

Residential Services, LLC