Developmental Disabilities Waivers

Group home residential service
Group home residential service consists of skill-building, routine supports, general supports, and safety supports that are provided to enable an individual to acquire, retain, or improve skills necessary to successfully live in the community. This service may be provided to individuals who are living in (i) a group home or (ii) the home of an adult foster care provider. The Group home residential service may be provided to the individual continuously up to 24 hours per day by paid staff who are physically present. This service may be provided either individually or simultaneously to more than one individual living in that home, depending on the required support (i.e., toileting, or other personal care activities).
Criteria/Allowable Activities
Group home residential supports are only available to those individuals on the Community Living (CL) waiver. The allowable activities include, as may be appropriate for the individual as documented in his plan for supports: • Skill-building and providing routine supports related to ADLs and IADLs such as hygiene supports; • Skill-building and providing routine supports and safety supports related to the use of community resources, such as transportation, shopping, restaurant dining, and participating in social and recreational activities, and safety supports to ensure the individual’s health and safety;
- Supporting the individual in replacing challenging behaviors with positive, accepted behavior for home and community environments, for example (not all inclusive): o Developing a circle of friends; o Handling social encounters with others; or o Redirecting challenging behavior.
- Monitoring the individual’s health and physical condition and providing supports with medication and other medical needs; • Providing routine supports and safety supports with transportation to and from community locations and resources; and
- Providing general supports, as needed.

COMMUNITY ENGAGEMENT
Community engagement services support and foster an individual’s abilities to acquire, retain, or improve skills necessary to build positive social behavior, interpersonal competence, greater independence, employability, and personal choices necessary to access typical activities and functions of community life such as those chosen by the general population. These may include participating in community education or training and volunteer activities. Community engagement provides a wide variety of opportunities to facilitate and build relationships and natural supports in the community, while utilizing the community as a learning environment. These activities are conducted at naturally occurring times and in a variety of natural settings in which the individual actively interacts with persons without disabilities (other than those paid to support the individual). The activities enhance the individual’s involvement with the community and facilitate the development of relationships and natural supports.