Insurance & Programs Waivers
Established in 2017, Miles Community Care Services has been a catalyst for change ensuring access to quality home-based care and services to our surrounding neighbors. We understand the need and want of aging gracefully in the comfort of your own home. It’s our desire to help those individuals maintain their independence, and dignity while spending time with family and friends. We also understand providing around-the-clock care, which is necessary for many people, the overall cost may be a concern. For this reason, we have aligned our programming with the Department of Public Welfare accepting several specialized waiver programs, each of which serves a different population, including those with functional, and developmental disabilities. They are as followed.
Developmental Waivers
Consolidated Waiver
Eligibility Criteria:
• There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 9.
• Level of Care
o Medical Evaluation
o Diagnosis of an intellectual disability, autism, or developmental disability
• Recommended for an intermediate care facility (ICF) level of care based on a medical evaluation
• Determined eligible for Medical Assistance (MA)
• Meet the financial requirements as determined by your local County Assistance Office here to edit your description
Consolidated Waiver
Services:
• Advanced Supported Employment • Assistive Technology • Behavioral Support • Benefits Counseling • Communication Specialist • Community Participation Support • Companion • Consultative Nutritional Services • Education Support • Family/Caregiver Training and Support • Home Accessibility Adaptations • Homemaker/Chore • Housing Transition and Tenancy Sustaining Services • In-Home and Community Support • (Licensed and Unlicensed) Life Sharing • Music, Art and Equine Assisted Therapy • (Licensed and Unlicensed) Residential Habilitation • Respite • Shift Nursing • Small Group Employment • Specialized Supplies • Supported Employment • Supported Living • Supports Broker • Supports Coordination
• Therapy
o Physical
o Speech/Language
o Occupational
o Orientation, Mobility, and Vision
• Transportation
• Vehicle Accessibility Adaptations
Person/Family Directed Support Waiver
Eligibility Criteria:
• There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 9.
• Level of Care o Medical Evaluation
o Diagnosis of an intellectual disability, autism, or developmental disability
• Recommended for an intermediate care facility (ICF) level of care based on a medical evaluation
• Determined eligible for Medical Assistance (MA)
• Meet the financial requirements as determined by your local County Assistance Office.
• Individual cost limit of $33,000 per person per fiscal year
o Excludes Supports Coordination and Supports Broker Services
o The limit can be exceeded by $15,000 for Advanced Supported Employment or Supported Employment services
Services:
• Advanced Supported Employment
• Assistive Technology
• Behavioral Support
• Benefits Counseling
• Communication Specialist
• Community Participation Support
• Companion
• Consultative Nutritional Services
• Education Support
• Family/Caregiver Training and Support
• Home Accessibility Adaptations
• Homemaker/Chore
• Housing Transition and Tenancy Sustaining Services
• In-Home and Community Support
• Music, Art, and Equine Assisted Therapy
• Participant-Directed Goods and Services
• Respite
• Shift Nursing
• Small Group Employment
• Specialized Supplies
• Supported Employment
• Supports Broker
• Supports Coordination
• Therapy
o Physical
o Occupational
o Speech
o Language
o Orientation, Mobility, and Vision
• Transportation
• Vehicle Accessibility Adaptations
Autism Waiver
Eligibility Criteria
• Be age 21 or older
• Have a diagnosis of autism spectrum disorder (ASD)
• Meet Functional Eligibility
o Must have substantial functional limitations in three or more of the major life activities: self-care; understanding and use of receptive and expressive language; learning; mobility; self-direction; capacity for independent living
• Meet Level of Care (LOC) guideline
• Meet the income and resource limits for Medical Assistance
• Financial eligibility is based on 300% of the Federal Benefit Rate
Services
• Assistive Technology
• Career Planning
o Job Finding
o Vocational Assessment
• Community Transition Service
• Day Habilitation
• Environmental Modifications
• Family Support
• Home Modifications
• Nutritional Consultation
• Residential Habilitation
• Respite
• Specialized Skill Development
o Behavioral Specialist Services
o Community Support
o Systematic Skill Building
• Supported Employment
o Extended Employment Supports
o Intensive Job Coaching
• Supports Coordination
• Temporary Supplemental Services
• Therapies (Occupational, Speech, and Language, Counseling)
• Transitional Work Services
• Vehicle Modifications
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