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Service Descriptions

Below is brief description of the services offered to individuals enrolled in Medicaid Home and Community-Based Services DD Waivers, including the CDC+ Program. Please refer to the Medicaid Handbook for a more detailed description of these services.

Note: Services with an (*) in front of the service title are services reviewed by the Delmarva Foundation as part of the Provider Discovery Review process.

To access the Medicaid Handbook go to:

  1. http://mymedicaid-florida.com/
  2. Under Provider Section (middle section) of site, select Public Information for Providers
  3. Under “Quick Links” box (right side of page), select Florida Medicaid Site
  4. “Welcome to Medicaid” page-scroll down to sixth (6th) paragraph-click on handbooks
  5. “Provider Handbooks” page-scroll down page-select desired handbook

*Adult Day Training - ADT (pages 2-13)
Day-time supervision and individual training programs for adults offered during the “work week” for up to 6 hours a day. Individuals are encouraged to participate in activities that are meaningful and that 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 (pages 2-18)
Services provided by dentists who are licensed by the Department of Health and perform waiver approved 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, endodontic, and periodontal and surgical procedures.

*Behavior Analysis Services - ABA (pages 2-20)
Behavior Analysis is an evidence-based approach for helping parents and caregivers to prevent and treat serious behavior problems exhibited by individuals with disabilities. Behavior analytic services decrease dangerous and inappropriate behaviors, reduce risks to citizens and the community, and prevent placements in expensive and restrictive residential programs or institutions. Behavior Analysts understand that most behaviors are learned, and help children, adolescents, and adults change their behaviors in significant ways to improve their quality of life, productivity, independence, and avoid risks to health and safety.

*Behavior Assistant Services (pages 2-23)
One-on-one activities implemented by a behavior assistant specialist who uses a behavior analysis service plan to assist an individual in learning new socially acceptable behaviors that are directly related to existing challenging behaviors.

*Companion (pages 2-25)
Services provided to individuals 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. These services are typically provided in a community setting. Examples of acceptable companion activities are: going to the library, getting a library card, learning how to use the library and checking out books or videos for personal use; shopping for groceries; or going to an animal shelter to learn about animals, and volunteering or assisting at the animal shelter.

Consumable Medical Supplies (pages 2-27)
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.

Dietitian Services (pages 2-30)
These are 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. The services include assessing the nutritional status and needs of a recipient; recommending an appropriate diet, and providing counseling and education to the recipient, family, direct service staff and food service staff.

Durable Medical Equipment and Supplies (pages 2-31)
Durable medical equipment includes specified, prescriptive equipment required by the recipient 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.

Environmental Accessibility Adaptations (pages 2-39)
Physical adaptations to the home which are necessary to help the individual have more independence in his/her home. These adaptations could include installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities or installation of specialized electric and plumbing systems required to accommodate the medical equipment and supplies, which are necessary for the welfare of the recipient.

*In-Home Support Services - IHSS (pages 2-43)
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. The support worker may perform grocery shopping, housekeeping, and cooking responsibilities or may conduct training programs designed by the supported living coach to teach these and other daily living skills.

Occupational Therapy - OT (pages 2-47)
These are services provided by licensed therapists who render therapy prescribed by a physician and offers the individual assistance in developing self-help, adaptive and sensory motor skills.

*Personal Care Assistance - PCA (pages 2-48)
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 (pages 2-52)
An electronic communication system that enables an individual to secure help in the event of an emergency.

Physical Therapy - PT (pages 2-53)
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 (pages 2-55)
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 (pages 2-57)
Supervision, care and training activities to assist an individual with acquiring, maintaining and improving skills related to daily living. This service supports the individual in his or her place of residence which could be his/her own home, family home, foster home or licensed residential facility.

Residential Nursing Services (pages 2-68)
Services that provide continuous nursing care for individuals who reside in a licensed residential facility, group home or foster home.

Respiratory Therapy (pages 2-69)
Therapy prescribed by a physician when an individual experiences impairment of the respiratory function and other deficiencies of the cardiopulmonary system.

*Respite Care (pages 2-71)
Supervision and support to an individual whose primary caregiver is not available for a brief period.

Skilled Nursing (pages 2-73)
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 (pages 2-74)
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 (pages 2-76)
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 (pages 2-78)
Therapy 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 - SC (pages 2-79)
Service that supports and advocates for individuals by educating and assisting the individual/and their family and guardian to access supports and services needed. The services and supports may be waiver (state) funded or may be community or natural resources. The service also assists the person to direct their resources and support systems. This support may be provided full time or part-time to the individual and family.

*Supported Employment - SE (pages 2-91)
Training and assistance in a variety of activities to support the individual in sustaining paid employment. Activities could include training to assist the person to learn, retain or improve specific job skills, and to successfully adapt and adjust to a particular work environment.

*Supported Living Coaching - SLC (pages 2-97)
Support provided to individuals 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 (pages 2-101)
Rides to and from the individual’s home and their community-based waiver services when the service cannot be provided by a natural (unpaid) support.

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