ID/DD Waiver

DMH IDD/DD Waiver

Intellectual Disability/Development Disability

In-Home Nursing Respite Services (ID/DD)

In-Home Nursing Respite Care Services enable individuals to comfortably remain in their own environments, while providing caregivers with a much-needed interval of rest or relief. A period of respite may be a few hours to a few days in length.  These short-term breaks can help to relieve stress, restore energy, and promote balance in your life.  It also enables you to share the responsibility for caregiving while getting the needed support for yourself and loved ones.

Our Respite Care Services include, but are not limited to*:

  • Assistance with activities of daily living
  • Performing personal care (bathing, grooming, etc.)
  • Dressing
  • Meal preparation
  • Performing light housekeeping
  • Laundry
  • Providing companionship
  • Entertaining
  • Oral hygiene and skin care
  • Incontinence care
  • Assistance with ambulation
  • Providing transfer assistance
  • Obtaining pulse, temperature, and respiration

Home and Community Support (ID/DD)

Home and Community Supports (HCS) is for individuals who live in the family home and provides assistance with ADLs and IADLs such as bathing, toileting, transfer and ambulation, meal preparation (but not the cost of the meals themselves), assistance with eating and incidental household cleaning and laundry which are essential to the health, safety and welfare of the individual.


Supported Living (ID/DD)

Supported Living Services for adults age 18 and above with serious mental illness and/or intellectual/developmental disabilities are provided in residences in the community of six (6) or fewer people.

  • Grooming
  • Eating
  • Bathing
  • Dressing
  • Personal Hygiene

Supported Living is provided to individuals in their own residences (either owned or leased) for the purpose of increasing and enhancing independent living.

  • Planning and preparing meals
  • Transportation or assistance with securing transportation
  • Assistance with ambulation and mobility
  • Supervision of the individual’s safety and security
  • Banking
  • Shopping
  • Budgeting
  • Facilitation of the individual’s inclusion in community activities
  • Use of natural supports and typical community services available to all people in order to facilitate meaningful days

ID/DD Waiver In-Home Nursing Respite Services

General

A.In-Home Nursing Respite is provided by a registered or licensed practical nurse in accordance with the Mississippi Nursing Practice Act and other applicable laws and regulations.

B.In-Home Nursing Respite provided temporary, periodic relief to those persons normally providing care for the eligible individual. In-Home Nursing Respite staff provides all the necessary care the usual caregiver would provide during the same time period.

C.In-Home Nursing Respite may also be provided when the usual caregiver is unexpectedly absent or incapacitated due to hospitalization, illness, injury or upon their death, depending on individual circumstances.

D.In-Home Nursing Respite is only available to individuals living in a family home and is not permitted for individuals living independently, either with or without a roommate.

E.Individuals must have a statement from his/her physician/nurse practitioner stating:

1.The treatment/procedures the individual needs in order to justify the need for a nurse in the absence of the primary caregiver; and

2.How long the treatment(s) and/or procedure(s) are expected to continue.

F.In-Home Nursing Respite is not available for people who receive Supported Living, Supervised Living, Host Home services, or who live in any other type of staffed residence.

G.In-Home Nursing Respite is not available to individuals who are in the hospital, an ICF/IID, nursing home, or other type of rehabilitation facility that is billing Medicaid, Medicare and/or private insurance.

H.In-Home Nursing Respite cannot be provided in the provider’s residence.

I.Private Duty Nursing through EPSDT must be carefully coordinated with waiver services and be closely monitored to ensure EPSDT services are exhausted before waiver services are utilized.

J.In-Home Nursing Respite includes administration of medication and other treatments to the extent permitted by state law.

K.Nurses may accompany individuals on short community outings but this cannot comprise the entirety of the service.

L.In-Home Nursing Respite cannot be provided by family members.

M.Individuals cannot be left unattended at any time during the provision of In-Home Nursing Respite Services.

Source: Section 41-4-7 of the Mississippi Code, 1972, as amended


ID/DD Waiver Home and Community Supports (HCS)

General

A.Home and Community Supports (HCS) is for individuals who live in the family home and provides assistance with ADLs and IADLs such as bathing, toileting, transfer and ambulation, meal preparation (but not the cost of the meals themselves), assistance with eating and incidental household cleaning and laundry which are essential to the health, safety, and welfare of the individual.

B.Activities can include assistance with keeping appointments, use of natural supports and typical community services available to all people, social interaction and participation in leisure activities.

C.Home and Community Supports may be shared by up to three (3) individuals who have a common direct service provider agency. Individuals may share HCS staff when agreed to by the participants and the health and welfare can be assured for each participants.

D.Home and Community Supports cannot be provided in a school setting or be used in lieu of school services or other available day services.

E.HCS is not available for individuals who receive Support Living, Supervised Living, Host Home services, or who live in any other type of staffed residence.

F.HCS is not available to individuals who are in the hospital, an ICF/ID, nursing home, or other type of rehabilitation facility that billing Medicaid, Medicare, and/or private insurance.

G.HCS providers are responsible for supervision and monitoring of the individual at all times during service provision whether in the individual’s home, during transportation (if provided), and during community outings.

H.Home and Community Supports staff is not permitted to provide medical treatment as defined in the Mississippi Nursing Practice Act and Rules and Regulations.

I.HCS staff cannot accompany a minor on a medical visit without a parent/legal representative present.

J.Home and Community Supports cannot be provided in a provider’s home or residence.

K.HCS staff may assist individuals with shopping needs and money management, but may not disburse funds on the part an individual.

Source: Section 41-4-7 of the Mississippi Code, 1972, as amended.


Family Members as Providers of HCS

A.Providers seeking approval for a family member to serve as HCS staff, regardless of relationship or qualifications, must get prior approval from the DMH Review Committee.

1.Each request for approval is considered on a case-by-case basis.

2.Each request must include a copy the proposal staff’s high school diploma or GED equivalent as well as documentation of reference checks.

3.If the proposed staff person does not meet qualifications as outlined in Part 2: Chapter 11, a waiver of the DMH Operational Standard must be requested through the Bureau of Quality Management, Operations and Standards.

B.The following types of family members will not be considered for approval and are NOT allowed to provide HCS:

1.Anyone who lives in the same home with the individual, regardless of relationship

2.Those that are parents/step-parents of the individual receiving the services

3.Those who are a spouse, relative or anyone else who is normally expected to provide care for the individual receiving the services

C.Family members employed as staff to provide HCS must meet the qualifications and training requirements outlined in Part 2: Chapter 11 and 12.

D.Family members providing HCS may only be authorized to provide up to 172 hours per month (40 hours per week).

Source: Section 41-4-7 of the Mississippi Code, 1972, as amended

Services
Medicaid Transportation
Medicaid Waiver
Private Duty Nursing
Sitting Service
DMH ID/DD Waiver
VA Homemaker Program
Staffing Doctor Offices