Community Living Services are individually-tailored supports that assist with the acquisition, retention, or improvement of skills related to living in the community. These supports include adaptive skills development, assistance with activities of daily living, community inclusion, transportation, adult education supports, and social and leisure skills development that assist the participants to reside in the most integrated setting appropriate for his/her needs. Community Living Services includes personal care, protective oversight and supervision.
Community Support Services provide individually tailored supports to assist with the acquisition, retention, or improvement in skills related to living successfully in the community. Community Support Services assist a participant to live in a home or apartment leased by the participant or guardian, or in the family home when the participant requires a range of community-based support to live as independently as possible. Services are based on need and include assisting with common use of the community’s transportation system; teaching the use of police, fire, and emergency assistance; performing routine household activities to maintain a clean and safe home; assisting with health issues, medications, and medical services; managing personal financial affairs; building and maintaining interpersonal relationships; participating in community life; and 24-hour emergency assistance.
Adult Day Services are structured services consisting of meaningful day activities that maximize or maintain skills and abilities; keep participants engaged in their environment and community through optimal care and support; actively stimulate, encourage, develop, maintain, personal skills; introduce new leisure pursuits, establish new relationships, improve or maintain flexibility, mobility, and strength; or build on previous learned skills.
Adult Day Services provide active supports which foster independence, are person-centered to the maximum extent possible, as identified in the participant’s plan of care. Adult Day Services also include personal care, protective oversight, and health maintenance activities such as medication assistance and routine activities that may be provided by unlicensed direct support professionals identified in the plan of care.
Adult Day Services can be provided in a congregate setting. When provided in a congregate community setting, there must be staff on-site within immediate proximity to allow staff to provide support and supervision, safety and security, and provide activities to keep the person in their environment.
Supported Employment Services offers various employment support services and assists a participant 18 years or older who, because of their disability, needs intensive support to find and maintain a job in a competitive, integrated work setting in the general workforce for which an individual is compensated at or above the minimum wage, but not less than the customary wage and level of benefits paid by the employer for the same or similar work performed by an individual without a disability. The outcome of using the employment pathway of support services is to help a participant find and maintain a job that meets personal and career goals.
A Range of supported employment services are available with varying levels of support and intensity to assist the participant in attaining the highest level of paid, community integrated employment. Consistent with the Olmstead decision and with person-centered planning, a participant’s plan of care regarding employment services shall be constructed in a manner that reflects individual choices and goals relating to employment and ensure provision of services in the most integrated setting appropriate.
Companion Services include non-medical care, supervision, socialization, and assistance for participants to maintain safety in the homes and community, and enhance independence. Companions may assist or supervise the individual with such tasks as meal preparation, laundry, and shopping, but do not perform these activities as discrete services. Companions may also perform light housekeeping tasks that are incidental to the care and supervision of the participant. Companion Services include informal training on goals in areas specified in the individual plan of care. The provision of Companion Services does not entail hands-on nursing care, but does include personal care assistance with activities of daily living as needed during the provision of services. Routine transportation is included in Companion Services.