Idaho Admin. Code r. 16.03.10.705

Current through September 2, 2024

Section 16.03.10.705 - ADULT DD WAIVER SERVICES: PROVIDER QUALIFICATIONS AND DUTIES

All providers of waiver services must have a valid provider agreement with the Department. Performance under this agreement will be monitored by the Department.

01.Residential Habilitation -- Supported Living. When residential habilitation services are provided by an agency, the agency must be certified by the Department as a Residential Habilitation Agency under IDAPA 16.04.17, "Residential Habilitation Agencies," and must supervise the direct services provided. Individuals who provide residential habilitation services in the home of the participant (supported living) must be employed by a Residential Habilitation Agency. Providers of residential habilitation services must meet the following requirements:

a. Direct service staff must meet the following:

i. Be at least eighteen (18) years old;

ii. Be a high school graduate, have a GED, or demonstrate the ability to provide services according to a plan of service;

iii. Have current CPR and First Aid certifications;

iv. Be free from communicable disease;

v. If transporting participants, have a valid driver's license and vehicle insurance;

vi. Each staff person assisting with participant medications has passed the "Assistance with Medications" course available through the Idaho Division of Career-Technical Education or other Department-approved training.

vii. Residential habilitation service providers who provide direct care or services complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

viii. Have appropriate certification or licensure if required to perform tasks that require certification or licensure.

b. All skill training for agency direct service staff must be provided by a Qualified Intellectual Disabilities Professional (QIDP) who has demonstrated experience in writing skill training programs.

c. Prior to delivering services to a participant, agency direct service staff must complete an orientation program that includes the following:

i. Purpose and philosophy of services;

ii. Service rules;

iii. Policies and procedures;

iv. Proper conduct in relating to waiver participants;

v. Handling of confidential and emergency situations that involve the waiver participant;

vi. Participant rights;

vii. Methods of supervising participants;

viii. Working with individuals with developmental disabilities; and

ix. Training specific to the needs of the participant.

d. Additional training requirements must be completed within six (6) months of employment with the residential habilitation agency and include:

i. Methodologies for training in a systematic and effective manner;

ii. Techniques and strategies for teaching adaptive behaviors;

iii. Feeding;

iv. Communication;

v. Mobility;

vi. Activities of daily living;

vii. Body mechanics and lifting techniques;

viii. Housekeeping techniques; and

ix. Maintenance of a clean, safe, and healthy environment.

e. The provider agency will be responsible for providing ongoing training specific to the needs of the participant as needed.

02.Residential Habilitation --CFH.

a. An individual who provides direct residential habilitation services in their own home must be certified to operate a CFH under IDAPA 16.03.19, "Certified Family Homes," and receive residential habilitation program coordination services provided through the Department for the residential habilitation services they provide.

b. CFH providers providing residential habilitation services as a DD Waiver provider must meet the following:

i. Be at least eighteen (18) years old;

ii. Be a high school graduate, have a GED, or demonstrate the ability to provide services according to a plan of service;

iii. Have current CPR and First Aid certifications;

iv. Be free from communicable disease;

v. If transporting participants, have a valid driver's license and vehicle insurance;

vi. Each CFH provider of residential habilitation services assisting with participant medications has met the requirements of IDAPA 16.03.19, "Certified Family Homes.

vii. CFH providers of residential habilitation services who provide direct care and services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks;" and

viii. Have appropriate certification or licensure if required to perform tasks that require certification or licensure.

c. All skill training for CFH providers who are providing residential habilitation services must be provided through the Department by qualified intellectual disabilities professional (QIDP) who has demonstrated experience in writing skill training programs.

d. Prior to delivering residential habilitation services to a participant, the CFH provider must complete an orientation training in the following areas as provided by the Department:

i. Purpose and philosophy of services;

ii. Service rules;

iii. Policies and procedures;

iv. Proper conduct in relating to waiver participants;

v. Handling of confidential and emergency situation that involve the waiver participant;

vi. Participant rights;

vii. Methods of supervising participants;

viii. Working with individuals with developmental disabilities; and

ix. Training specific to the needs of the participant.

e. Additional training requirements for CFH providers providing residential habilitation waiver services must be completed by the CFH provider within six (6) months of certification date and include the following:

i. Methodologies for training in a systematic and effective manner;

ii. Techniques and strategies for teaching adaptive behaviors;

iii. Feeding;

iv. Communication;

v. Mobility;

vi. Activities of daily living;

vii. Body mechanics and lifting techniques;

viii. Housekeeping techniques; and

ix. Maintenance of a clean, safe, and healthy environment.

f. The Department will be responsible for providing on-going training to the CFH provider of residential habilitation specific to the needs of the participant as needed.

03.Chore Services Providers. Must meet the following:

a. Be skilled in the type of service to be provided; and

b. Demonstrate the ability to provide services according to a plan of service.

c. Chore service providers who provide direct care and services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

04.Respite Care Providers. Must meet the following:

a. Have received care giving instructions in the needs of the person who will receive the service;

b. Demonstrate the ability to provide services according to a plan of service;

c. Be free of communicable disease; and

d. Respite care service providers who provide direct care and services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

05.Supported Employment Services. Must be provided by an agency that supervises the direct service and is accredited by the Commission on Accreditation of Rehabilitation Facilities or other comparable standards, or meets State requirements to be a State-approved provider. Supported employment service providers who provide direct care or services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

06.Non-Medical Transportation Providers. Must:

a. Possess a valid driver's license and vehicle insurance.

b. Complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

07.Environmental Accessibility Adaptations. All services must be provided under applicable state or local building codes and meet state or local building, plumbing, and electrical requirements for certification.

08.Specialized Medical Equipment and Supplies Providers. Must be enrolled in the Medicaid program as participating medical vendor providers. Providers must ensure all items meet applicable standards of manufacture, design, and installation. Preference will be given to equipment and supplies that are the most cost-effective option to meet the participant's needs.

09.Personal Emergency Response System Providers. Must demonstrate that the devices installed in a waiver participant's home meet Federal Communications Standards, or Underwriter's Laboratory standards, or equivalent standards.

10.Home-Delivered Meal Providers. Must be a public agency or private business and exercise supervision to ensure that:

a. Each meal meets one-third (1/3) of the Recommended Daily Allowance, as defined by the Food and Nutrition Board of the National Research Council of the National Academy of Sciences;

b. Meals are delivered under the service plan, in a sanitary manner, and at the correct temperature for the specific type of food;

c. A Registered Dietitian documents the review and approval of menus, menu cycles, and any changes or substitutions; and

d. The agency or business is inspected and licensed as a food establishment under IDAPA 16.02.19, "Idaho Food Code."

11.Skilled Nursing Providers. Must be licensed in Idaho as an RN or LPN in good standing or be practicing on a federal reservation and be licensed in another state. Skilled nursing providers who provide direct care and services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

12.Behavior Consultation or Crisis Management Providers. Must meet the following:

a. Work under the direct supervision of a licensed psychologist or PhD in Special Education with training and experience in treating severe behavior problems and in applied behavior analysis; and

b. Have a Master's Degree in a behavioral science such as social work, psychology, psychosocial rehabilitation counseling, psychiatric nursing, special education, or a closely related course of study; or

c. Be a licensed pharmacist; or

d. Be a Qualified Intellectual Disabilities Professional (QIDP).

e. Emergency back-up providers must meet the residential habilitation provider qualifications under IDAPA 16.04.17, "Residential Habilitation Agencies."

f. Behavior consultation or crisis management providers who provide direct care or services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."

13.Adult Day Health Providers. Must meet the following requirements:

a. Services provided in a facility must be provided in a facility that meets the building and health standards under IDAPA 16.03.21, "Developmental Disabilities Agencies (DDA)";

b. Services provided in a home must be provided in a home that meets the standards under IDAPA 16.03.19, "Certified Family Homes";

c. Adult day health providers who provide direct care or services must complete a background check and receive a clearance under Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks";

d. Adult day health providers must notify the Department on behalf of the participant, if the adult day health is provided in a CFH other than the participant's primary residence. The adult day health provider must provide care and supervision appropriate to the participant's needs as identified on the plan.

e. Adult day health providers who provide direct care or services must be free from communicable disease.

14.Service Supervision. The plan of service that includes all waiver services is monitored by the plan monitor or targeted service coordinator.

15.Transition Services. Transition managers as described in Subsection 350.01 of these rules are responsible for administering transition services.

Idaho Admin. Code r. 16.03.10.705

Effective July 1, 2024