Supported Living Services for Intellectual/Developmental Disabilities Service

Supported Living Services for Intellectual/Developmental Disabilities Service Components A. Supported Living Services are provided to people who reside in their own residences (either owned or leased by themselves or an agency provider) for the purposes of increasing and enhancing independent living in the community. Supported Living Services are for people who need less than 24-hour employee support per day. Employees must be on-call 24/7 in order to respond to emergencies via phone call or return to the living site, depending on the type of emergency. B. Supported Living Services are for people age 18 and above who have intellectual/developmental disabilities. Supported Living Services are provided in a home- like setting where people have access to the community to the same extent as people who do not have an intellectual/developmental disability. C. A person may choose to rent or lease a DMH-certified Supervised Living, Shared Supported, or Supported Living location (owned and/or controlled by the agency provider) with four (4) or fewer people. If in a Shared Supported location with a maximum capacity above four (4), the individual apartment must have less than four (4) people residing in the apartment. D. Agencies providing Supported Living are required to utilize Electronic Visit Verification (EVV) as directed by the DOM. Staff providing Supported Living cannot be counted in the staffing requirements for Supervised Living or Shared Supported Living during the hours providing the Supported Living service. E. Supported Living Services provide assistance with the following, depending on each person’s support needs: 1. Grooming; 2. Eating; 3. Bathing; 4. Dressing; and 5. Other personal needs. F. Supported Living Services provide assistance with instrumental activities of daily living (ADLs) which include assistance with: 1. Planning and preparing meals; 2. Cleaning; 3. Transportation; 4. Mobility both at home and in the community; 5. Supervision of the person’s safety and security; 6. Banking; 7. Shopping; 8. Budgeting; 9. Facilitation of the person’s participation in community activities; 10. Use of natural supports and typical community services available to everyone; 11. Social activities; 12. Participation in leisure activities; 13. Development of socially valued behaviors; and 14. Scheduling and attending appointments. G. Agency providers facilitate meaningful days and independent living choices. H. The amount of service hours is determined by the level of support required for the person. The maximum amount of hours shall not exceed eight (8) hours per 24-hour period. I. Supported Living Services personnel must assist the person in participation of community activities. Supported Living Services for community participation activities may be shared by up to three (3) people who may or may not live together and who have a common direct service provider. In these cases, people may share Supported Living Services personnel when agreed to by the people and when the health and welfare can be assured for each person. J. People receiving Supported Living Services cannot also receive: Supervised Living Services, Host Home Services, In-Home Nursing Respite, In-Home Respite, Home and Community Supports, Shared Supported Living, or Community Respite Services. K. Nursing services must be provided as a component of Supported Living Services in accordance with the nurse’s applicable scope of practice. Nursing services must be provided on an as-needed basis. Only activities within the nurse’s scope of practice can be provided. (Refer to Chapter 13). Services a nurse may provide include, but are not limited to, monitoring vital signs, monitoring blood sugar, administration of medication, weight monitoring, periodic assessment, and accompanying people on medical appointments. For requirements regarding assistance with medication usage by non-licensed personnel, refer to Chapter 13. L. All employees the person invites to the Plan of Services and Supports meeting must be allowed to attend and participate in the development and review of the person’s Plan of Services and Supports. M. Supported Living Services personnel who did not participate in the development of the person’s initial Plan of Services and Supports must be trained regarding the person’s Plan of Services and Supports and Activity Support Plan prior to beginning work with the person. The training must be documented. N. Each person must have an Activity Support Plan, developed with the person, which is based on their Plan of Services and Supports. O. Behavior Support may be provided during the provision of Supported Living Services to provide direct services, as well as modify the environment and train employees in implementation of the Behavior Support Plan. P. Crisis Intervention Services may be provided in the home of someone receiving Supported Living Services to intervene in and mitigate and identify a crisis situation. Crisis intervention personnel may remain in the home with the person until the crisis is resolved. This could be in 24-hour increments (daily) or less than 24-hour increments (episodic), depending on each person’s need for support. Q. In living arrangements in which people pay rent and/or room and board to the agency provider, there must be a written financial agreement which addresses, at a minimum, the following: 1. Procedures for setting and collecting fees and/or room and board (in accordance with Chapter 10 Fiscal Management). 2. A detailed description of the basic charges agreed upon (e.g., rent [if applicable], utilities, food, etc.). 3. The time period covered by each charge (must be reviewed at least annually or at any time charges change). 4. The service(s) for which special charge(s) are made (e.g., internet, cable, etc.). 5. The written financial agreement must be explained to and reviewed with the person/legal representative(s) prior to or at the time of admission and at least annually thereafter or whenever fees are changed. 6. A requirement that the person’s record contains a copy of the written financial agreement which is signed and dated by the person/legal representative(s) indicating the contents of the agreement were explained and the person/legal representative(s) is in agreement with the contents. A signed copy must also be given to the person/legal representative(s). 7. The written financial agreement must include language specifying the conditions, if any, under which a person might be evicted from the living setting that ensures that the agency provider will collaborate with Support Coordination/Targeted Case Management to arrange an appropriate replacement living option to prevent the person from becoming homeless as a result of discharge/termination from the community living provider. 8. People receiving ID/DD Waiver Services or IDD Community Support Program Services must be afforded the rights outlined in the Landlord/Tenant laws of the State of Mississippi. R. People must have control over their personal resources. Agency providers cannot restrict access to personal resources. Agency providers must offer informed choices of the consequences/risks of unrestricted access to personal resources. There must be documentation in each person’s record regarding all income received and expenses incurred and how/when income and expenses are reviewed with the person. S. Visiting hours cannot be restricted unless associated with an assessed risk and documented in the Plan of Services and Supports. T. The setting is selected by the person from setting options including non-disability specific settings and the option of having a private unit, to the degree allowed by personal finances, in the residential setting. This must be documented in the person’s record.