Service Descriptions

Below is brief description of the services offered to individual on the Medicaid Home and Community Based Services Waivers. Please refer to the Medicaid Handbook for a more detailed description of these services. To access the Medicaid Handbook go to:

1. http://mymedicaid-florida.com/
2. Click Public Information for Providers
3. Click Provider Support
4. Click Provider Handbooks

Adult Day Training
Training programs that offer training for adults during the day and encourage individuals to participate in activities that are meaningful and stress daily living, self-advocacy, adaptive and social skills. These training programs occur at a facility or in a work-like setting.

Adult Dental Services
Services rendered by dentists who are licensed by the Department of Health and perform dental treatments and procedures that are not otherwise covered by Medicaid State Plan services. These could include services such as diagnostic, preventive and restorative treatment, extractions, endodontics, and periodontal and surgical procedures. These services are not currently monitored by Delmarva Consultants.

Behavior Analysis Services
Services that teach people how to deal with frustration when they are angry, so that they can talk about concerns rather than do things that hurt themselves or other people.

Behavior Assistant Services
One-on-one activities implemented by a behavior assistant specialist who uses a behavior analysis service plan to assist an individual in learning new behaviors that are directly related to existing challenging behaviors.

Companion
Services provided to an individual on a one-on-one basis that include supervision and socialization activities. The activities are intended to teach the individuals specific skills related to a goal that has been identified by the individual.

Consumable Medical Supplies
These are non-durable supplies and items that enable individuals to increase their ability to perform activities of daily living. They include items such as diapers, gloves, feeding tubes, food supplements and hearing aids. These supplies should not duplicate supplies provided by the Medicaid State Plan. This is not currently monitored by Delmarva consultants.

Dietitian Services
Services prescribed by a physician and rendered by dietitians or nutritionists who are licensed by the Department of Health. These services include an assessment and recommendation of an individual’s nutritional needs or appropriate food intake.

Durable Medical Equipment and Supplies
Medical equipment that can withstand repeated use and is prescribed for an individual who has a disability. The equipment could include van adaptations such as lifts, wheelchairs, strollers, and adaptive eating devices, and picture communication boards. This is not currently monitored by Delmarva consultants.

Environmental Accessibility Adaptations
Physical adaptations to the home which are necessary to help the individual with disabilities avoid being placed in an institution, providing more independence in his/her home. These adaptations could include replacement of carpeting, decks and pools adaptations or furnishings such as appliances. This is not currently monitored by Delmarva consultants.

In-Home Support
Services provided to an individual living in his/her own home that include companionship, personal care and other activities necessary to maintain the individual in a supported living situation.

Medication Review
An independent review of all prescription and over the counter medications taken by an individual to ensure the medications are accurate, valid, non-duplicative and correct for the diagnosis.

Occupational Therapy
Services provided by licensed therapists who render therapy that is prescribed by a physician and offers the individual assistance in developing self-help, adaptive and sensory motor skills.

Personal Care Assistance
A service that offers individuals assistance in their home or family home, or in the community if living in one of these arrangements. The activities include self-care activities of daily living such as bathing, dressing and personal hygiene.

Personal Emergency Response Systems
An electronic communication system that enables an individual to secure help in the event of an emergency. This is not currently monitored by Delmarva consultants.

Physical Therapy
Services provided by a licensed therapist who renders therapy that is prescribed for the individual by a physician and is necessary to assist a person with ambulation, muscle control, postural development and to prevent or reduce further physical disability.

Private Duty Nursing
Continuous nursing care prescribed by a physician and rendered by licensed practical or registered nurses in the individual’s own home or family home.

Residential Habilitation
Supervision and training activities to assist an individual with acquiring, maintaining and improving skills related to daily living. This service is provided in the individual’s place of residence which could be his/her own home, family home, foster home or licensed residential facility.

Residential Nursing Services
Services that provide continuous nursing care for an individual who resides in a licensed residential facility, group home or foster home.

Respiratory Therapy
Therapy prescribed by a physician when an individual experiences impairment of the respiratory function and other deficiencies of the cardiopulmonary system.

Respite Care
Supervision and support to an individual whose primary caregiver is not available for a brief period.

Skilled Nursing
Part time or intermittent nursing care provided by a licensed practical or registered nurse in the individual’s place of residence or other waiver service site.

Special Medical Home Care
Nursing services and medical supervision provided to individuals living in licensed foster homes or group homes, who have complex medical conditions and require intense nursing care.

Special Mental Health Services
Specialized individual, group and family therapy provided to help an individual reduce the symptoms of mental illness and restore best possible functional level.

Speech Therapy
Therapy that is prescribed by a physician and rendered by a licensed professional who provides training and assistance in communication skills for individuals with a speech, hearing or language disability.

Support Coordination
Service that supports and advocates for an individual by educating the individual/family and guardian in every aspect of their lives and assisting them to access supports and services as needed.

Supported Employment
Training and assistance in a variety of activities to support the individual in sustaining paid employment. Activities could include learning, retaining or improving a specific job skill.

Supported Living Coaching
Support provided to an individual living on their own in the community. This could include training and assistance for adults to live in and maintain a household of their choosing in the community.

Transportation
Rides to and from the individual’s home and their community-based waiver services.