Scope of Day Habilitation

A DH provider must provide the following services. (1) Nursing Services and Health Care Supervision. The DH provider must provide nursing coverage on site. Nursing services must be provided to meet the needs of each member, by nurses either directly hired or contracted by the DH, and must include the following: (a) administration of medications and treatments prescribed by the member’s PCP during the time the member is at the program; (b) education in hygiene and health concerns; (c) coordination of each member's DHSP with other health care professionals including the NF where the member resides, if applicable; (d) monitoring each member's health status and documenting those findings in the member's medical record at least quarterly, or more often if the member’s condition requires more frequent monitoring. Nursing must also document any findings every six months as part of the interdisciplinary team’s semi-annual review; (e) reporting changes in the member’s condition to the member’s PCP; (f) oversight of the implementation of the IDT recommendations, therapy treatment as recommended by a licensed therapist and, as applicable, PCP order; and (g) coordinated implementation of the PCP’s orders with the member, authorized representative, and DH provider staff. (2) Developmental Skills Training. The DH provider must provide skills training in the following areas: self-help development, sensorimotor development, communication development, social development, independent living development, affective development skills, behavior development, and wellness. (3) Therapy Services. The DH provider must provide therapy services when recommended by the SNA. Therapy services include (a) speech/language therapy; (b) occupational therapy; (c) physical therapy; and (d) behavior management. (4) Assistance with Activities of Daily Living (ADL). The DH provider must have sufficient staff at its site to provide assistance with ADLs to members as necessary. (5) Day Habilitation Service Management. The DH provider must undertake activities that ensure implementation of the member’s day habilitation service plan including required reviews described in 130 CMR 419.419(C).