Service Options
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Persons enrolled in Good Home Community Living’s HCS program, may receive the following services, based on individual needs and eligibility:
- Residential Assistance: includes the provision of assistance and support necessary for the consumer to:
- complete personal care, health maintenance, and independent living tasks
- participate in community activities
- develop, retain and improve community living skills
| Residential Assignment |
Residential Assistance Type |
| Own/Family Home |
Supported Home Living: provided to individuals residing in
their own residence or the residence of their natural or adoptive
family; or to individuals receiving foster care services from
the Teas Department of Protective and Regulatory Services. |
| HCS Foster/Companion Care Home |
HCS Foster/Companion Care: provided to consumers living in
the home of a foster care provider or with a companion care provider.
Consumers receiving Foster Care Services are not eligible for Respite Services. |
Residential Support
Shift Staffed Residence
Supervised Living |
Residential Support: provided to consumers living in a setting in which
services are provided by employees assigned on a scheduled shift basis.
Supervised Living: is provided in a residence in which the HCS program provider holds a property interest. Supervised Living is provided by residential assistance providers who provide services and supports as needed by individuals and who are present in the residence during normal sleeping hours. |
Residential assistance includes the following:
- Providing direct personal assistance with activities of daily living (grooming, eating bathing, dressing, and personal hygiene)
- Assisting with meal planning and preparation
- Securing and providing transportation
- Assisting with housekeeping
- Assisting with ambulation and mobility
- Reinforcing counseling and therapy activities
- Assisting with medications and the performance of tasks delegated by a Registered Nurse
- Supervising individuals’ safety and security
- Facilitating inclusion in community activities, use of natural supports, social interaction, participation in leisure activities, and development of socially valued behaviors
- Providing habilitation, exclusive of Day Habilitation
- Case Management: provided to each consumer by a single, identified HCS provider staff person for the purpose of:
- Coordinating the development and implementation of a
consumer’s Individual Plan of Care and Individual Service Plan
- Coordinating and monitoring the delivery of services
- Arranging for transportation
- Planning and arranging for a consumer’s discharge or transfer
- Integrating various aspects of services delivered under the waiver and through other sources
- Recording each person’s progress
- Pre-discharge plan development.
- Day Habilitation: includes age-appropriate activities designed to assist in acquisition, retention, and/or improvement in adaptive skills necessary for continued community residence.
Day habilitation includes:
- Assisting individuals in acquiring, retaining, and/or improving self-help, socialization, and adaptive skills necessary to reside successfully in the community.
- Providing individuals with relevant activities that enhance self-esteem and maximize functional level.
- Complementing any counseling and therapies listed in the IPC.
- Reinforcing skills or lessons taught in school, therapy, or other settings.
- Providing training and support activities which promote the individual’s integration and participation in the community.
- Providing assistance for individuals whom cannot manage their personal care needs during day habilitation activities.
- Providing transportation necessary for the individual’s participation in day habilitation activities.
- Providing services which are not being provided under Section 110 of the Rehabilitation Act of 1973 or Section 602(16) and (17) of the Individuals with Disabilities Education Act.
Supported Employment: includes training and supervision provided to consumers with a documented/identified need and desire for employment and who are employed in an integrated work setting outside of the consumer’s residence.
- Supported employment is provided in an integrated provision of ongoing individualized support services needed to sustain paid work by the individual, including supervision and training.
- The individuals receiving supported employment are compensated by the employer in accordance with the Fair Labor Standards Act.
- Supported employment is provided when these services are not available or funded through the state education agency or the state rehabilitation agency.
Nursing Services: includes the performance of health care procedures and monitoring an individual’s health condition by Registered Nurses or Licensed Vocational Nurses.
- Administering medication
- Monitoring the individual’s use of medication
- Monitoring health data and information
- Assisting the individual and/or LAR to secure emergency medical services for the individual
- Making referrals for appropriate medical services
- Performing health care procedures ordered or prescribed by a physician/medical practitioner and required by standards of professional practice or law to be performed by licensed nursing personnel
- Delegating and monitoring tasks assigned to other service providers by a registered nurse (RN) in accordance with state law.
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