The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including:
1a) Opportunities to seek employment and work in competitive integrated settings
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PROVIDER DOES NOT HAVE TO COMPLETE. DDD IS RESPONSIBLE FOR THIS EXPECTATION. |
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1b) Engage in Community Life |
- Individuals should have their own personal calendars.
- Identify/consider looking at how the specific personal plan outcomes related to or can be addressed in the community/community life and write those into the implementation strategies.
- Encourage natural supports in the community; ensure that individuals have access to contact information of natural supports
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1c) Control Personal Resources |
- Ensure any financial management policies or practices do not restrict people's access to funds.
- Encourage people to be their own payee with only support needed to manage finances.
- Hold training courses for people you support about personal finance; utilize the ICDD funded Financial Wellness for Persons with Developmental Disabilities resources or make connections with people's banks.
- Support informed choice in their bank and financial services
- Support building relationships with their banker
- Support people to access and utilize typical financial products such as banking apps and financial management apps and other online tools.
- Hold training for staff regarding supporting people to better understand money/spending, to make financial decisions and avoid unintentional coercion based on value judgments
- Consider debit cards for people so they can control access to their funds.
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- Pictures of people at the bank, pictures of people writing checks, voided personal checks
- Track if anyone switches to become their own payee
- Training attendance
- Training agendas
- Case notes that discuss individuals managing their finance or withdrawing money for an activity
- Pictures of individual's debit cards
- Data tracking of individuals learning to manage their own money
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1d) Receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS. |
- Support people to maintain a personal calendar
- Identify/consider looking at how the specific personal plan outcomes related to or can be addressed in the community/community life and write those into the implementation strategies.
- Support people to make an informed choice regarding all services. For example, interview prospective medical providers; read Google reviews to choose a pharmacy; use Trip Advisor to choose the best grocery store, restaurants, etc.
- Identify how people who do not receive services engage in the local community and support people to identify community opportunities that might be of interest
- Vehicles should be discrete and not advertise utilization of waiver services
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- Pictures of calendars
- Show pictures that document how vehicles are not marked with agency names or logos or other markings that draw undue attention to the person being in the service system.
- Photos of people doing activities such as shopping, going to the bank, getting their nails done, going to the doctor, in the community
- Case notes showing that people are utilizing the community for activities, shopping, appointments
- Photo of a public transportation card
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2a) The setting is selected by the participant from among setting options including non-disability specific settings and an option for a private unit in a residential setting. |
PROVIDER DOES NOT HAVE TO COMPLETE. DDD IS RESPONSIBLE FOR THIS EXPECTATION. |
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2b) Setting options are based on the individual's needs, preferences |
PROVIDER DOES NOT HAVE TO COMPLETE. DDD IS RESPONSIBLE FOR THIS EXPECTATION. |
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3a) Ensures an individual's rights of privacy |
- Training for people in the house on privacy rights.
- Training for staff members on how to support and uphold privacy.*
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- Monthly reporting notes documenting discussions and steps taken to ensure privacy in shared rooms.
- Examples of changes made to reflect a person's privacy preference
- Satisfaction surveys of people receiving services to garner opinions on privacy.
- Competency (evaluation area) for DSP's
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3b) Ensures an individual's rights of dignity and respect |
- Training for staff on dignity and respect and other rights.
- Training for people receiving services on their rights.
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- Satisfaction surveys of people receiving services to garner opinions on dignity and respect.
- Competency (evaluation area) for DSP's
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3c) Ensures an individual's right of freedom from coercion |
- Training for staff on ANME
- Training for staff on rights and restrictions.
- Training for people about their rights and specifically their right to complain.
- Advocacy training for people
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- Documentation in complaint/grievance logs that people receiving supports are included in complaint process
- Competency (evaluation area) for DSP's
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3d) Ensures an individual's right of freedom from restraint |
- Training for staff and people supported.
- HRC policy, rights policy, positive behavior support policy, training curricula
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- Evidence of modifications (or commitment to follow new process).
- HRC meeting minutes
- Competency (evaluation area) for DSP's
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4a) The setting optimizes, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to daily activities |
- Support people to create and maintain a calendar
- Identify/consider looking at how the specific personal plan outcomes related to or can be addressed in choice of activity and write this into the implementation strategies.
- Self-advocacy training
- Training for DSPs about how to support choice/ informed choice
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4b) Optimizes, but does not regiment individual autonomy, and independence in making life choices, including but not limited to physical environment |
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- Documentation of use of assistive technology and accommodations to address access.
- Documentation about choice and education (if needed) about locking doors.
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4c) Optimizes, but does not regiment individual autonomy, and independence in making life choices, including but not limited to with whom to interact |
- Training for people about sexual health education, internet safety.
- Training on supporting people to develop and maintain relationships
- Self advocacy training on rights to have visitors
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- Implementation strategies that are framed to encourage independence, autonomy, and personal connections.
- Notes or discussions about creating and supporting relationship development of people with others outside the house/ organization.
- Satisfaction surveys of people receiving services to garner opinions on friendships, relationships, and natural supports.
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5) Facilitates individual choice regarding services and supports, and who provides them |
- Support people to maintain individualized schedules.
- Demonstrate how people are involved in interviewing, selecting, and evaluating staff that support them
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6a) Individuals have the freedom and support to control their own schedules and activities, |
- Support people to maintain individualized schedules.
- Training and other strategies to ensure artificial barriers are not inadvertently placed upon people to control their schedules.
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- Individualized schedules
- Internal organizational systems for tracking people's desires and choices to ensure they are addressed and ensure continuity between staff.
- Satisfaction surveys of people receiving services to garner opinions on controlling schedules and activities.
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6b) Individuals have access to food at any time |
- Training for staff
- Self Advocacy/Rights training for people being supported on their rights
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- Take photos of available food.
- Examples of modifications for those who must have modifications.
- Examples of supporting people to shop for food and create their own menus.
- Attendance sheet of rights trainings for people receiving services
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7) Individuals can have visitors of their choosing at any time. |
- Track modifications of right to visitors at any time.
- Policies that state visitors are allowed at any time
- Rights policies and training for people
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- Implementation strategies that are framed to encourage visitors.
- Implementation strategies with modifications to the right to have visitors showing you are following process
- Attendance sheet of rights trainings for people receiving services
- HRC meeting minutes
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8)The Setting is physically accessible to the individual |
- Perform accessibility assessments.
- Physical accessibility may not be modified at any time
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- Accessibility assessment and photos to show it was addressed
- Documentation of home or vehicular modifications performed to make environment accessible.
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