Programs and Services for Adults with Disabilities

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Programs and Services for Adults with Disabilities Massachusetts Rehabilitation Commission May 2014

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Programs and Services for Adults with Disabilities. Massachusetts Rehabilitation Commission May 2014. Independent Living Centers. Individual Peer Counseling Skills Training Advocacy Information & Referral Emergency Intervention Service Coordination. Independent Living Services. - PowerPoint PPT Presentation

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Page 1: Programs and Services for Adults with Disabilities

Programs and Services for Adults with Disabilities

Massachusetts Rehabilitation Commission

May 2014

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Independent Living CentersDescription Agencies run by and for persons with

disabilities, providing individual and community services to people of all ages regardless of the type of disability.

Population Served All ages

Eligibility Qualifications/Rules

Must have a severe disability

Contact Independent Living Center

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Independent Living ServicesIndependent Living Services

Individual Peer Counseling Skills Training Advocacy Information & Referral Emergency

Intervention Service Coordination

Community services Community Education Outreach Community Advocacy Collaboration Technical Assistance

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Supported Living ProgramDescription Supports adults with severe physical

disabilities, age 18+ to live in the community or move into the community from nursing homes and other institutions. Provides a Case Manager to assist with PCA program management, financial management, personal health care management, adaptive equipment, housing, transportation and more.

Population Served Adults

Eligibility Severe physical disability accompanied by a sensory, cognitive or interpersonal functional limitation. Ineligible for a similar state funded service. Have the ability to tolerate the emotional stresses of community living, with reasonable supports, and have the cognitive ability to direct their case coordinators..

Contact MRC: (617) 204-3851

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Assistive Technology - ILDescription • Provides low and high tech solutions to increase

independence in major life functions such as seeing, hearing, manual dexterity, mobility, communicating, learning, working or self-care

• Provisions of and training in use of AT• www.massmatch.org• www.getatstuff.com• www.dmerequipment.org

Population Served All Ages

Eligibility Qualifications/Rules

Individual with a severe physical or mental impairment whose ability to function independently is substantially limited, and for whom services and training will improve the ability to function, continue functioning or move towards functioning independently.

Contact MRC: (617) 204-3851 or local provider

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Home Modification Loan ProgramDescription Serves people with disabilities who need access

modifications to their primary residence - such as ramps, bath or kitchen adaptations. Homeowners or landlords may borrow up to $30,000. Loans are made at 0% or 3% interest, and may be deferred or amortizing.

Population Served All Ages

Eligibility Qualifications/Rules

Homeowner who has a disability, has a household member with a disability, or rents to an individual with a disability. The modification must relate to the functional limitations of a disability. Income less than 200% of median income. The unit requiring modifications must be the principal residence of the individual with the disability

Contact Susan Gillam at 617-727-5944

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Assistive Technology Loan ProgramDescription Provides reduced-rate loans to individuals with

disabilities or their families to purchase assistive technology and services to be more independent. Minimum loan amount is $500.

Population Served All Ages

Eligibility Qualifications/Rules

Serves individuals of all ages with all types of disabilities who have resided in the Commonwealth six months or more and meet bank partner’s (Sovereign Bank) credit standards.

Contact MRC: (617) 204-3851 One of the 21 Access sites in MA.

or Easter Seals Massachusetts: 800-244-2756

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Statewide Head Injury Program- SHIP Description Supports individuals with traumatic brain injury

and their families to access services in the community that maintain or enhance independence in the home, community or at work.

Population Served All ages

Eligibility Qualifications/Rules

Documented externally caused Traumatic Brain Injury with resulting impairments in behavioral, cognitive and/or physical functioning. Able to participate in community-based services.

Contact MRC/SHIP: (617) 204-3852 (voice); (800) 223-2559 (toll free); (617) 204-3817 (TDD)

Email: [email protected]

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SHIP ServicesService Coordination

Information and referral

Advocacy

Regional Head Injury Centers

Case Management

Companion Services

Individual skills training and support

Residential and Supported Living Services

Specialized Substance Abuse Treatment

Outreach to veterans with brain injury

Family Support Services

Clinical Services

Assistive Technology

Respite Services

Survivor and Family Educational Programs

Outreach to homeless people with brain injury

Consultation and Technical Assistance to Public and Private Agencies and Schools

Specialized Evaluations

Social and recreation programs

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Home Care Assistance Program

Description Provides homemaker services to individuals with disabilities, age 18-59 years. (Grocery shopping, meal preparation, light housecleaning, laundry). Individual can hire person, or use provider agency

Population Served Disabled adults under age 60

Eligibility Qualifications/Rules

Disability/functional limitations, at risk of hospitalization, living situation such that no others in household are capable of performing tasks, financial eligibility, not legally blind

Contact MRC: 1-800-223-2559/617-204-3853

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Community-Based Employment

Services and Project Impact

Description Assists individuals with severe disabilities to identify, obtain, and maintain long term competitive employment in integrated settings and Benefits Counseling for individuals interested in going to work.

Population Served All Ages

Eligibility Qualifications/Rules

MRC Vocational Rehabilitation clients

Contact MRC (617) 204-3854

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Money Follows the Person Demonstration and Waivers

Description Community-based services to help persons with a wide range of disabilities to transition into the community from nursing homes, rehab hospitals and other institutions. This program is jointly managed by MRC, MassHealth and DDS.

Population Served Elders 65 +Adults with disabilities age 18 – 64

Eligibility Qualifications/Rules

Residing in an inpatient facility for 90 or more consecutive days (excluding Medicare-funded rehab days)

Resident of Massachusetts Eligible for Medicaid + at least 1 Medicaid-paid

inpatient day Consented to the program Transitioning to an eligible residence

Contact UMass Medical School @ 855-499-5109

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Money Follows the PersonPopulations Served

Elders 65 + Adults with disabilities age 18 – 64

People with intellectual and developmental disabilities

People with physical disabilities including acquired brain injury

People with mental illness (cannot be sole disorder or disabling condition)

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Money Follows the Person:Qualification Criteria

Residing in an inpatient facility for 90 or more consecutive days (excluding Medicare-funded rehab days)

Nursing facility Chronic or rehabilitation hospitals State psychiatric hospitals (for specific age group) ICF/MR

Resident of Massachusetts

Eligible for Medicaid + at least 1 Medicaid-paid inpatient day

Consented to the program

Transitioning to an eligible residence Home / apartment owned or leased Community-based residential setting

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MFP: Applications

The MFP waivers are separate from enrollment in the MFP Demonstration (done by the Transition Entity). To apply for a waiver, submit an application to U. Mass. Call 855-499-5109 for information.

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Home and Community-Based Waiver Services (Adult Waivers)ABI –Residential Habilitation Waiver (DDS)

ABI –Non-ResidentialWaiver (MRC)

MFP Residential SupportsWaiver (DDS)

MFP Community Living Waiver (MRC)

DDS Community Living Waiver

DDS Intensive Supports Waiver

DDS Adult Supports Waiver

Frail Elder Waiver (EOEA)

Traumatic Brain Injury Waiver (MRC)

Adult Companion X X X X X X XAlzheimer’s/ Dementia Coaching

X

Assisted Living Services

X X

Behavioral Supports and Consultation

X X X

Chore Service X X X X X X XDay Habilitation Supplement

X X X

Day Services X X X X X X1 X X2 XFamily Training X X X X XGrocery Shopping and Home Delivery

X

161 DDS waivers provide Center Based Day Supports and Community Based Day Supports2 Supportive Day Program for Frail Elder Waiver

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Home and Community-Based Waiver Services (Adult Waivers)ABI –Residential Habilitation Waiver (DDS)

ABI –Non-ResidentialWaiver (MRC)

MFP Residential SupportsWaiver (DDS)

MFP Community Living Waiver (MRC)

DDS Community Living Waiver

DDS Intensive Supports Waiver

DDS Adult Supports Waiver

Frail Elder Waiver (EOEA)

Traumatic Brain Injury Waiver (MRC)

Home/Environmental Accessibility Adaptations

X X3 X X X X X X

Home Delivery of Pre-Packaged Medication

X

Home Health Aide X XHomemaker X X X XHome-Delivered Meals

X

Independent Living Supports

X

Individual Goods & Services

X X X

Individual Support &Community Habilitation

X X X X

Individualized Day Supports X X X

173 Available only in Shared Living

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Home and Community-Based Waiver Services (Adult Waivers)ABI –Residential Habilitation Waiver (DDS)

ABI –Non-ResidentialWaiver (MRC)

MFP Residential SupportsWaiver (DDS)

MFP Community Living Waiver (MRC)

DDS Community Living Waiver

DDS Intensive Supports Waiver

DDS Adult Supports Waiver

Frail Elder Waiver (EOEA)

Traumatic Brain Injury Waiver (MRC)

Individualized Home Supports

X X X

Laundry XLive-In Caregiver X X

Occupational Therapy X X X X X X X X X

Peer Counseling/Peer Support

X X X X X

Personal Care X X X XPhysical Therapy X X X X X X X XPre-vocational Services X XResidential Habilitation X X X X

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Home and Community-Based Waiver Services (Adult Waivers)ABI Residential Habilitation Waiver (DDS)

ABI Non-ResidentialWaiver (MRC)

MFP Residential SupportsWaiver (DDS)

MFP Community Living Waiver (MRC)

DDS Community Living Waiver

DDS Intensive Supports Waiver

DDS Adult Supports Waiver

Frail Elder Waiver (EOEA)

Traumatic Brain Injury Waiver (MRC)

Respite X X X X X X XShared Home Supports X

Shared Living 24 Hour Supports

X X

Skilled Nursing X X X

Specialized Medical Equipment

X X X X X X X X4 X

Speech Therapy X X X X X X X X

Stabilization X X XSupported Employment X X X X X5 X X XSupported Home Care Aide

X X

194 This service in Frail Elder Waiver is defined as Home Based Wandering Response System and Medication Dispensing System5 DDS Waivers provide both Group Supported Employment and Individual Supported Employment Services

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Home and Community-Based Waiver Services (Adult Waivers)

ABI –Residential Habilitation Waiver (DDS)

ABI –Non-ResidentialWaiver (MRC)

MFP Residential SupportsWaiver (DDS)

MFP Community Living Waiver (MRC)

DDS Community Living Waiver

DDS Intensive Supports Waiver

DDS Adult Supports Waiver

Frail Elder Waiver (EOEA)

Traumatic Brain Injury Waiver (MRC)

Transitional Assistance

Services 6

X X X7 X8 X X X

Transportation X X X X X X X X X24- Hour Self Directed Home Sharing Support

X

Vehicle Modification X X X X

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6 Transitional Assistance Services are non-recurring personal household set-up expenses that do not constitute room and board and may include: security deposits, set-up fees and deposits for utilities, essential furnishings, pest eradication, one-time cleaning, moving expenses, environmental adaptation, adaptive equipment, assistive technology, activities to assess need, arrange for and procure needed resources.7 Transitional Assistance Services are provided to MFP Waiver Participants through the MFP Demonstration grant.8 Transitional Assistance Services are provided to MFP Waiver Participants through the MFP Demonstration grant.

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MFP: Demonstration

To receive transition services under the Demonstration, a Transition Entity determines eligibility and enrolls consumers. The Demonstration assists consumers to leave institutions and follows them for the first 365 days that they are in the community. Most ILC’s and ASAP’s are Transition Entities.

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Programs and Services for Adults with Disabilities

Other Agency Programs

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Department of Mental Health Services: Brief Descriptions

SERVICES DESCRIPTIONInpatient/Continuing Care System

DMH-operated psychiatric inpatient facilities: two psychiatric hospitals; psychiatric units in two public health hospitals; five community mental health centers that promote treatment, rehabilitation, recovery.

Community Based Flexible Supports (CBFS)

The DMH community service system: Rehabilitation, support, and supervision with the goal of stable housing, participation in the community, self management, self determination, empowerment, wellness, improved physical health, and independent employment.

Respite Services Respite Services provide temporary short-term, community-based clinical and rehabilitative services that enable a person to live in the community as fully and independently as possible.

Program of Assertive Community Treatment (PACT)

A multidisciplinary team approach providing acute and long term support, community based psychiatric treatment, assertive outreach, and rehabilitation services to persons served.

Clubhouses Clubhouse Services provide skill development and employment services that help individuals to develop skills in social networking, independent living, budgeting, accessing transportation, self-care, maintaining educational goals, and securing and retaining employment.

Recovery Learning Communities (RLCs)

Consumer-operated networks of self help/peer support, information and referral, advocacy and training activities.

DMH Case Management

State-operated service that provides assessment of needs, service planning development and monitoring, service referral and care coordination, and family/caregiver support.

Emergency Services (ESP)

Mobile behavioral health crisis assessment, intervention, stabilization services, 24/7, 365 days per year. Services are either provided at an ESP physical site or in the community.

Homelessness Services

Comprehensive screening, engagement, stabilization, needs assessment, and referral services for adults living in shelters.

Child/Adolescent Services

Services include case management, individual and family flexible support, residential, day programs, respite care and intensive residential treatment.

Forensic Services Provides court-based forensic mental health assessments and consultations for individuals facing criminal or delinquency charges and civil commitment proceedings; individual statutory and non-statutory evaluations; mental health liaisons to adult and juvenile justice court personnel.

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Mental Health and Substance Abuse Treatment

Covered by MassHealth through individual’s Managed Care Organization OR through Mass. Behavioral Health Partnership for those on PCC Plan

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Mental Health Resources: Internet Links

DMH Internet Pagehttp://www.mass.gov/eohhs/gov/departments/dmh/ DMH Resource Guidehttp://www.mass.gov/eohhs/provider/guidelines-

resources/clinical-treatment/mental-health/dmh-resource-guides.html

List of RLC’s http://www.mass.gov/eohhs/gov/departments/

dmh/recovery-learning-communities.html

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Massachusetts Substance Abuse Information and Education Helpline

Description Provides free and confidential information and referrals for alcohol and other drug abuse problems and related concerns. Links consumers with information about treatment and prevention services. Services are available 24 hours a day, 7 days a week. Language interpreters are always available

Population Served All Ages

Eligibility Qualifications/Rules

Contact 800-327-5050 or

www.helpline-online.com

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Services for Deaf and Hard of Hearing

Description Technical Assistance, Case Management, DHILS, Interpreters, Assistive Technology

Population Served All ages

Eligibility Qualifications/Rules

Deaf and Hard of Hearing who: require assistance from more than one agency and need help coordinating, having difficulty accessing state services, particularly due to communication issues, want to live more independently, have legal issues, are in crisis, or are in hospitals, jails or homeless.

Contact Massachusetts Commission for the Deaf and Hard of Hearing (617) 740-1600 (voice) and (617) 740-1700 (TTY)

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Services for Legally Blind

Description Vocational Rehabilitation; Homemaking services to individuals under 60 with multiple disabilities; Independent living social services; Rehabilitation teaching; Orientation and mobility training, Assistive technology

Population Served All Ages

Eligibility Qualifications/Rules

Determined Legally Blind by Eye Care Provider and reported to MCB

Contact Massachusetts Commission for the Blind

800-392-6450 (voice) and 800-392-6556 (TTY)

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MS Homelinks ProgramDescription Short term care management that provides

information and referral, hands on assistance with applications, and financial assistance with some services. The goal is to help stabilize individual with MS and their families during difficult times/crises

Population Served All Ages

Eligibility Qualifications/Rules

People with MS

Contact MS Society: 1-800-344-4867

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Veteran’s ServicesDescription Massachusetts Department of Veterans'

Services website provides information on state and federal benefits, including details about where and how to apply as well as resources for veterans and their families

Population Served All Ages

Eligibility Qualifications/Rules

Veteran

Contact Each city and town has a Veteran’s Agent. (www.mass.gov/veterans/veteransagents)

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DD - Specialized Services

Description An array of services and supports for eligible adults, including day, residential, individual support, transportation, and services for children with autism.

Population Served All ages

Eligibility Qualifications/Rules

Have an intellectual disability as defined in DDS regulations

Contact DDS – 617 -727-5608 or www.mass.gov/dds