Current through Vol. 42, No. 1, September 16, 2024
Family support services include services identified in (1)
through (6) of this section. Providers of any family support service must have
an applicable SoonerCare Provider Agreement for Home and Community-Based
Services (HCBS) Waiver Providers for persons with developmental
disabilities.
(1)
Transportation
services. Transportation services are provided per Oklahoma
Administrative Code (OAC)
317:40-5-103.
(2)
Assistive technology (AT) devices
and services. AT devices and services are provided per OAC
317:40-5-100.
(3)
Architectural modification.
Architectural modification services are provided per OAC
317:40-5-101.
(4)
Family training.
(A)
Minimum qualifications.
(i) Individual providers must have a
Developmental Disabilities Services (DDS) Family Training application and
training curriculum approved by DDS staff. Individual providers must holda
current licensure, certification, or a bachelor's degree in a human service
field related to the approved training curriculum, or other bachelor's degree
combined with a minimum of five 5 years' experience in the intellectual
disabilities field. Only individuals named on the SoonerCare Provider Agreement
to provide Family Training services may provide service to members.
(ii) Agency or business providers must have a
(DDS) Family Training application and training curriculum approved by DDS
staff. Agency or business provider training staff must hold a current
licensure, certification, or a bachelor's degree in a human service field
related to the approved training curriculum or other bachelor's degree combined
with a minimum of five (5) years experience in the intellectual disabilities
field. The credentials of new training staff hired by an approved DDS HCBS
Family Training agency or business provider must be submitted to and approved
by the DDS programs manager for Family Training prior to new staff training
members or members' families.
(B)
Description of services.
Family Training services include instruction in skills and knowledge pertaining
to the support and assistance of members. Services are:
(i) Intended to allow families to become more
proficient in meeting the needs of members who are eligible;
(ii) Provided in any community
setting;
(iii) Provided in either
group, consisting of two (2) to fifteen (15) persons, or individual
formats;
(iv) For members served
through DDS HCBS Waivers and their families. For the purpose of this service,
family is defined as any person who lives with, or provides care to a member
served on the Waiver;
(v) Included
in the member's Individual Plan (Plan) and arranged through the member's case
manager; and
(vi) Intended to yield
outcomes as defined in the member's Plan.
(C)
Coverage limitations.
Coverage limitations for family training include (i) through (iv) of this
subparagraph.
(i) The limitation for
individual family training is $6,500 per Plan of Care (POC) year.
(ii) The limitation for group family training
is $6,500 per POC year.
(iii)
Session rates for individual and group sessions do not exceed a range
comparable to rates charged by persons with similar credentials providing
similar services.
(iv) Rates must
be justified based on costs incurred to deliver the service and are evaluated
to determine if costs are reasonable.
(D)
Documentation requirements.
Providers must maintain documentation fully disclosing the extent of services
furnished that specifies(i) through (ix) of this subparagraph. Progress reports
for each member served must be submitted to the DDS case manager per OAC
340:100-5-52.
(i) The service date.
(ii) The start and stop time for each
session.
(iii) The signature of the
trainer.
(iv) The credentials of
the trainer.
(v) The specific
issues addressed.
(vi) The methods
used to address issues.
(vii) The
progress made toward outcomes.
(viii) The member's response to the session
or intervention.
(ix) Any new
issues identified during the session.
(5)
Family counseling.
(A)
Minimum qualifications.
Counseling providers must hold current licensure as clinical social workers,
psychologists, licensed professional counselors, or licensed marriage and
family therapists.
(B)
Description of services. Family counseling offered to members and
his or her natural, adoptive, or foster family members, helps to develop and
maintain healthy, stable relationships among all family members.
(i) Emphasis is placed on the acquisition of
coping skills by building upon family strengths.
(ii) Knowledge and skills gained through
family counseling services increase the likelihood the member remains in or
returns to his or her own home.
(iii) All family counseling needs are
documented in the member's Plan.
(iv) Services are rendered in any
confidential setting where the member or family resides or the provider
conducts business.
(C)
Coverage limitations. Coverage limitations for family counseling
are outlined in (i) and (ii) of this subparagraph.
(i) Individual counseling is accounted for in
units of 15 minutes with a limitation of 400 units per POC year.
(ii) Group counseling, with a six (6) person
maximum, is accounted for in units of 30 minutes with a limitation of 225 units
per POC year.
(D)
Documentation requirements. Providers must maintain documentation
fully disclosing the extent of services furnished that specifies:
(i) The service date;
(ii) The start and stop time for each
session;
(iii) The signature of the
therapist;
(iv) The credentials of
the therapist;
(v) The specific
issues addressed;
(vi) The methods
used to address issues;
(vii) The
progress made toward resolving issues and meeting outcomes;
(viii) The member's response to the session
or intervention; and
(ix) Any new
issue identified during the session.
(E)
Reporting requirements.
Progress reports for each member served must be submitted to the DDS case
manager per OAC
340:100-5-52.
(6)
Specialized medical
supplies. Specialized medical supplies are provided per OAC
317:40-5-104.
Added at 12 Ok Reg
751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff
7-27-95; Amended at 14 Ok Reg 3733, eff 9-18-97 (emergency); Amended at 15 Ok
Reg 22, eff 9-18-97 (emergency); Amended at 15 Ok Reg 1528, eff 5-11-98;
Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 20 Ok Reg 163, eff 10-8-02
(emergency); Amended at 20 Ok Reg 1216, eff 5-27-03; Amended at 23 Ok Reg 815,
eff 2-1-06 (emergency); Amended at 23 Ok Reg 2555, eff 6-25-06; Amended at 24
Ok Reg 879, eff 5-11-07; Amended at 28 Ok Reg 1409, eff
6-25-11
