Section 405 IAC 5-21.6-9 - Home and community-based habilitation and support servicesAuthority: IC 12-8-6.5-5; IC 12-15
Affected: IC 12-13-7-3; IC 12-29; IC 25-23-1-1; IC 25-23.6-10.5; IC 25-27.5-5
Sec. 9.
(a) The services available as home and community-based habilitation and support services are intended to:(1) provide skills training to reinforce established skills (and may include activities of daily living);(2) assist in the management, adaptation, and retention of skills necessary to support the member's needs; and(3) assist the member to gain an understanding of the self-management of behavioral and medical health conditions.(b) The services may be reimbursable as either of the following: (1) Services provided to an individual in either an individual setting or a group setting.(2) Services provided to family members or other nonprofessional caregivers in an individual or group setting with or without the individual present.(c) The services reimbursable under individual or any other subcategory of the service with the member present must meet the following requirements:(1) Involve face-to-face contact directed at the health, safety, and welfare of the individual.(2) Be provided in the individual's home or living environment or other community-based settings outside of a clinic or office environment.(d) The services reimbursable under either a family setting or as a couple, with or without the member present, must meet the following requirements: (1) Involve face-to-face contact with family members or nonprofessional caregivers directed at the health, safety, and welfare of the member and assisting in the acquisition, improvement, and retention of skills necessary to support members to live successfully in the community.(2) Include training and education about the treatment regimens appropriate to the member to instruct: (B) another family member identified in the IICP; or(3) Improve the ability of the parent, family member, or primary caregiver to provide care to or for the member.(4) Be focused on the member and be linked to the needs and goals identified on the member's IICP.(e) Agency staff must meet any of the following qualifications to provide services under this section: (1) Be a licensed professional, except for a licensed clinical addiction counselor as defined under IC 25-23.6-10.5.(f) Home and community-based habilitation and support service standards include the following: (1) Face-to-face contact with the member, family members, or nonprofessional caregivers in an individual setting or group setting.(2) Activities that include: (A) implementation of the IICP;(B) assistance with personal care; or(C) coordination and facilitation of medical and nonmedical services to meet health care needs. (3) Services under this subsection may include, but are not limited, to the following: (A) Skills training in: (i) food planning and preparation;(ii) money management; and(iii) maintenance of living environment.(B) Training in the appropriate use of community services.(C) Training in skills needed to locate and maintain a home.(D) Medication-related education and training by nonmedical staff. (g) The following services are not reimbursable under this section: (2) Activities purely for recreation or diversion.(4) A service provided to a professional caregiver.Office of the Secretary of Family and Social Services; 405 IAC 5-21.6-9; filed Dec 16, 2013, 9:11 a.m.: 20140115-IR-405130183FRAFiled 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRAReadopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFAReadopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA