Current through all regulations passed and filed through September 16, 2024
(A)
" Community
integration"
means independent living assistance
and community support coaching activities that are necessary to enable an
individual to live independently and have access to, choice of, and an
opportunity to participate in, a full range of community activities.
(B)
"
Independent living assistance"
means help
for individuals to manage their households and personal affairs,
self-administer medications, and retain their community living arrangements.
Independent living assistance can be furnished through telephone support,
in-person support or travel attendant activities, as applicable to the tasks
performed.
Activities may include:
(1) Reminding an individual to take their
medications;
(2) Contacting
individuals at times no other in-home services are being provided to confirm
the individual is functioning safely in their home;
(3) Assisting with banking;
(4) Organizing and coordinating health
records;
(5) Assisting with
applications for public programs including homestead exemption, the home energy
assistance program, and subsidized housing;
(6) Monitoring and replenishing needed
groceries (does not include cost of groceries);
(7) Assisting with business and personal
correspondence;
(8) Accompanying an
individual to their medical and other appointments; and
(9) Accompanying an individual on their
errands and to other activities in the community.
(C)
" Community
support coaching" includes providing information
and training to an individual so the individual can achieve the community
integration goals identified in his or her person-centered services plan.
Skills training topics include:
(1) How to
manage finances;
(2) How to manage
an individual's own health and wellness;
(3) How to identify and access community and
legal resources, and leisure, educational, and recreational
activities;
(4) How to find a
job;
(5) How to manage an
individual's own home;
(6) How to
navigate community-based transportation systems; and
(7) How to build interpersonal, social, and
communication skills.
(D) Community integration
provider requirements.
(1) Community integration
will be furnished by Ohio department of medicaid (ODM)
-approved agencies or Ohio department of aging (ODA) -certified
agencies.
(2) The provider
will
comply with the requirements set forth in rule
5160-44-31 of the Administrative
Code for an ODM-administered waiver program, or Chapter 173-39 of the
Administrative Code for the pre-admission screening system providing options
and resources today (PASSPORT) waiver program.
(3) The provider
will develop,
implement, and maintain evidence of a training plan that includes initial
orientation and annual continuing education.
(a) The provider
will ensure
anyone who furnishes community integration receives orientation on topics relevant to
the person's job duties before they perform those duties.
(b) The provider
will ensure
anyone who furnishes community integration completes a minimum of twelve hours of
continuing education annually on topics relevant to the person's job
duties.
(4) Community
integration staff
will
have:
(a) A high school diploma, general
education diploma (GED), or a minimum of one year of relevant, supervised work
experience with a public health, human services, or other community service
agency.
(b) The ability to
understand written activity plans (description of interventions and the
dates/times the provider
will provide the interventions), execute
instructions, document activities provided, and the ability to perform basic
mathematical operations.
(c)
Experience advocating on behalf of individuals with chronic illnesses,
behavioral health conditions, physical disabilities, or developmental
disabilities.
(5)
Supervisors of community integration staff
will possess at
least one of the following:
(a) A current and
valid license to practice in the state of Ohio as a registered nurse (RN),
licensed practical nurse (LPN), licensed social worker (LSW), or licensed
independent social worker (LISW);
(b) A bachelor's degree or an associate's
degree in human ecology, dietetics, counseling, gerontology, social work,
nursing, public health, health education, or another related field;
or
(c) At least
two
years of employment experience providing community-based social services or job
coaching.
(6)
Supervisory responsibilities include:
(a)
Collaborating with the individual to identify, develop and document a specific
activities plan, including the type of intervention(s) provided, prior to
initiation of services that is consistent with the individual's approved
person-centered services plan.
(b)
Conducting evaluations of community integration staff every ninety days to ensure staff
compliance with the activities plan, and the individual's
satisfaction.
(E) All providers
will maintain a
record at their place of business for each individual served in accordance with
the requirements set forth in rule
5160-44-31 of the Administrative
Code for an ODM-administered waiver program, or with the requirements set forth
in Chapter 173-39 of the Administrative Code for the PASSPORT program. The
record
will include:
(1)
The individual's name;
(2) A copy
of the individual's initial, and all subsequent person-centered services
plans;
(3) A copy of the
individual's approved activity plan;
(4) Date(s) of service;
(5) A detailed description of each task or
activity performed and the staff person who performed it; and
(6) The individual's signature to verify
receipt of the service.
