Waiver Services Descriptions

Waiver Services

The proposed non-waiver services include:

 

High-fidelity Wraparound Care Coordination
The wraparound approach is a form of intensive care coordination for children and youth with significant behavioral health challenges. It is a team-based, collaborative process for developing and implementing individualized care plans for children and youth with complex needs and their families. This approach focuses on all life domains and includes clinical interventions, formal and informal supports. The wraparound facilitator is the intensive care coordinator who organizes, convenes and coordinates this process. The wraparound approach is led by a child and family team that includes the child or youth, family members, involved providers and key members of the child or youth’s formal and informal support network, including members from child-serving agencies. The child and family team develops, implements and monitors the service plan. Learn more.

Employment Skills Development/Career Exploration and Assessment/Intensive Supported Employment
Employment services are individually tailored to help youth and young adults find careers and jobs that match their strengths and interests. Individual preferences such as job location or work hours are given special consideration. Intensive supported employment involves employment specialists that help youth and young adults find jobs quickly and provide necessary support to succeed in the workforce. Intensive supported employment helps participants have a paid job at competitive wages in the general workforce.

Short Term Crisis Respite
Respite services are intended to assist children and youth in living in their homes in the community by temporarily relieving the primary caregivers. Respite services provide safe and supportive environments on a short-term basis for children with behavioral health conditions when the youth or family need relief. Respite services are provider in either the home or in approved out-of-home settings.

Individual Directed Goods and Services
Also called “flex funds,” individual directed goods and services allow families to purchase non-recurring, set-up expenses for children and youth. For example, flex funds may be requested for the one-time payment of utilities, rent, furniture, bedding, clothing or other expenses as long as the youth and family demonstrate the ability to pay future expenses. Flex funds can be particularly useful when a youth is transitioning from residential treatment to a family or to independent living. Flex funds may also be used for other purposes such as academic coaching or memberships to clubs that provide a therapeutic benefit identified on the plan of care.

Non-Medical Transportation
Non-medical transportation may be used when a child or youth has no other means of transportation available such as family, friends or neighbors, and non-medical transportation is the most cost-effective manner to meet a goal on the plan of care. For example, if the youth has identified the need for public transportation to get to or from a job, non-medical transportation may be used to pay for the cost of public transportation. As another example, if a youth has set a goal to increase a social support network and needs non-medical transportation to attend a peer-operated program two days per week for the next three months, then non-medical transportation service may appropriate.

Community Psychiatric Support and Treatment (evidence and non-evidence based intensive family services)
These services are therapeutic interventions delivered to children and families in their homes and other community settings to improve youth and family functioning and prevent out-of-home placement. The services are typically developed by a team that can offer a combination of therapy from a licensed clinician and skills training support from a paraprofessional. The components of these services may include individual and family therapy, skills training and behavioral interventions. Typically, staff have small caseloads to allow them work with the child and family intensively, gradually transitioning them to other formal and informal supports.  

The proposed non-waiver services include:
Community Crisis Response and Intervention
Available to Medicaid and non-Medicaid children, youth and adults. 

Peer Support
Parent and youth peer support services are provided by a trained caregiver or youth with lived experience. This service includes linking children, youth and their families with formal and formal supports; navigating service systems; instilling confidence; serving as an advocate, mentor or facilitator for resolution of issues; and helping the child and family team to clearly understand the child, youth, or family’s needs and preferences.

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