Alternative Community Services Home and Community Based Waiver LEVELS OF CARE
Intermediate Care Facility - Level of Care Arkansas Statute: Categorical Eligibility – Cerebral Palsy: As established by licensed physician – Epilepsy: As established by neurological examination provided by licensed neurologist or licensed physician – Autism: As established by team evaluation – at least licensed psychologist or psychological examiner and speech pathologist – Intellectual Disabilities: As established by significant intellectual limitations that exist concurrent with deficits in adaptive behavior – Other: Impairment similar to intellectual disabilities, intellectual/adaptive behavior; attributable to dyslexia; – Disability expected to continue indefinitely and Disability constitutes a substantial limitation to person’s ability to function without supports – All developmental disabilities must be manifest prior to age 22
Intermediate Care Facility – Level of Care n Recertification – Ages 22+ or 18 -22 with diploma or certificate of high school completion: IQ score obtained at age 22 or thereafter and current adaptive behavior assessment every 5 years – Ages 5 – 22 without diploma or certificate of high school completion: public/private school documentation as to continued need and disability unless eligibility is questioned – Ages birth – 5: IQ and adaptive functional level assessment current within one year of last psychological assessment and each year thereafter until age 5 – Determined by a licensed psychologist or psychiatrist or individuals under the supervision of a licensed psychologist or psychiatrist
Plan of Care – Level of Care n Limited – Supports anticipated to be consistent for the foreseeable future – Individually time limited/may be intermittent – Requires fewer staff/less cost due to parental support, group settings and community assistance – Supports are for: primary care giver relief, employment training, transition, crisis behavior management and assisted living. – Maximum reimbursement $160. 00/day
Plan of Care - Continued n Extensive – Needs that require daily supports in one or more of a work, home or community environment – Weekly supports that may be needed daily but less than 24 hours/day and 7 days/week. – Supports are long term. – Crisis intervention as characterized by episodic behavior needs – Limited parental support – Maximum reimbursement $160. 00/day
Plan of Care - Continued n Pervasive – Needs require constant supports provided across environments – Potentially life sustaining in nature – Intrusive supports – Long term supports – Supports provided 24 hours/day, 7 days/week and 365 days/year – Requires ICAP assessment – May require behavior treatment plan – May require case management/ caregiver daily progress notes – Maximum reimbursement $356. 32/day
Plan of Care – Level of Care n Determinations – Physician – Every 12 months, individual to each person
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