Definitions

Care Provider. Refers to a person who is recruited and paid by a placement agency to provide supports in accordance with the individual's ISP and in a manner to foster community membership, rights and dignity, individual control and decision-making, personal growth and accomplishment, and personal well-being. Day Supports. Refers to supports and services that lead to the acquisition, improvement, and retention of skills and abilities that prepare individuals for work and community participation. The services are provided in accordance with the individual's ISP and include career exploration activities that are predominantly job task oriented, community integration experiences, development of skills in activities of daily living, and the pursuit of personal interests and hobbies. Employment Supports. Refers to supports and services designed to assist individuals to obtain and retain meaningful employment and compensation in integrated work settings that include supports to explore, develop and retain work skills and to obtain and maintain paid work. Employment supports are provided in accordance with the individual's ISP and include individual and small group work intended to assist their movement to competitive employment. Individualized Home Supports. Refers to less than 24 hour per day supports and services that are provided regularly to enable individuals to establish, live in or maintain, on an on-going basis, a household of their own choosing. Services include teaching and fostering the acquisition, retention or improvement of skills related to personal finance, health, shopping and use of community resources, community safety, and other social and adaptive skills necessary to live in the community. Individualized home supports are flexible and designed to meet the individual's needs as specified in his or her ISP. Individualized home supports do not include live-in assistance. (MA REG. # 1318, Dated 7-29-16) Placement Services. Refers to a set of services provided by a placement agency that consists of recruitment, training, supervision and pay of a care provider to provide residential supports, or respite services to one or more individuals in the home of the care provider or in the individual's own home. Residential Supports. Refers to supports and services provided daily on a 24 hour basis to individuals who need daily assistance with care, supervision, and skills training to maximize their independence and participation in typical household activities and routines, participation in community recreational, cultural and leisure activities, and opportunities to maintain or expand their relationships with family and friends. Residential supports are provided in accordance with the individual's ISP and include 24 hour site based respite services and placement services provided in home and community based settings other than the individual's family home. 24 Hour Respite Services. Refer to supports and services that are provided on a 24 hour basis for short term relief for primary caregivers, or short term stabilization services for individuals who, due to behavioral or environmental circumstances, cannot remain in their current residence.