RESIDENTIAL CARE SERVICES
This service is provided by awake and alert Direct Support Professionals who do not live in the home with the person and consists of individually tailored training and/or support activities that enable the person who receives services to live and inclusively participate in their community. The activities and environments are designed to increase the acquisition of skills and appropriate behavior that are necessary for the person who receives services to have greater independence and personal choice, and to allow for maximum inclusion into their community.
Unlicensed Residential PCS may be used to assist with the acquisition, retention and/or improvement of the following areas of functionality
- Self-care;
- Receptive or expressive language;
- Learning;
- Mobility;
- Self-direction; and
- Capacity for Independent Living.
BEHAVIOR SUPPORT PROFESSIONAL SERVICES
Behavior Support Professional (BSP) services are provided to persons with assessed need, as identified on the annual functional assessment, for adaptive skills training. For persons who require adaptive skills training, the BSP performs the following activities:
- Develops training plans that include person-specific aspects and methods of intervention or instruction;
- Provides training to staff persons who will implement the training plans on aspects and methods of intervention (i.e., family, Person-Centered Support, Facility-Based Day Habilitation, Supported Employment, and Crisis Direct Support Professionals);
- Provides training for Direct Support Professionals who provide Respite services if applicable for respite-relevant training objectives or health/safety training objectives only;
- Evaluates/monitors the effectiveness of the training plans through analysis of programming results that occurs at least monthly;
Follow-up once training plans have been implemented to observe progress/regression; and revises training plans as needed.
RN/LPN SERVICES
Registered Nurse Services
- Registered Nurse (RN) services listed in the service plan are within the scope of the West Virginia Nurse Practice Act, ordered by a physician and are provided by a licensed RN who is licensed to practice in the State. RN Skilled Nursing services are provided only by a licensed RN. The service must be provided by a RN under the direction of a physician.
Licensed Practical Nurse Services
Licensed Practical Nursing (LPN) services listed in the service plan must be within the scope of West Virginias Nurse Practice Act, ordered by a physician and are provided by a LPN under the supervision and monitoring of a RN who is actively licensed to practice in the State. LPN services are available to people who are age 21 or older, as children with significant medical issues can access Private Duty Nursing via the Medicaid State Plan. This service can only be used for activities that require a nurse to complete according to the WV Nurse Practice Act. Nursing services that must be provided by an awake and alert LPN include but are not limited to:
Service Coordination
- Service Coordination services establish, along with the person, a life-long, person-centered, goal-oriented process for coordinating the supports (both natural and paid), range of services, accountability and continuity of support and services. This service also ensures that the maximum potential and productivity of a person is utilized in making meaningful choices with regard to their life and their inclusion in the community.