Services

Our Services

Key Minds provides services through the FSSA Family and Social Service Administration. Clients are also able to private pay if they do not qualify for other Medicaid services.

We accept the following Medicaid waivers:
 – Community Integration and Habilitation (CIH)
 – Family Support Waiver (FSW)

Services provided through these waivers include:
Community Habilitation (CHIO)
Participant Assistance and Care (PAC)
Family and Caregiver Training (FCAR)

Counties Served: Carroll, Cass, Clinton, Grant, Howard, Miami, Tipton

Key Minds offers a variety of home care services designed to meet all of your residential care needs. Contact us today to see what we can do for you!

Caregivers

POSITION RESPONSIBILITIES

  • Follows the service plan to assist the individual in maintaining a healthful, safe environment.
  • Performs ONLY those functions specified for each individual on the service plan.
  • Receives written instructions from the Agency Manager or designee.
  • Has knowledge of Agency policies and procedures.
  • Is oriented and trained in all aspects of services to be provided to individuals.
  • If able to demonstrate competency in all areas of training for individual services.
  • Assists persons at home in managing and maintaining a household, dressing, meal prep and incidental household tasks.
  • Will assist individuals with the following activities:
    a. Direct support person services assist with or perform household tasks, including housekeeping, shopping, laundry, meal planning and preparation, and cleaning.


    b. Direct support person services provide fellowship, care, and protection for a individual, including transportation, letter writing, mail reading, and escort services.

  • Reports any change in the individual’s mental or physical condition or in the home situation to his/her immediate supervisor or Agency Manager.
  • Completed individual paperwork on the day service was provided and submits timely, per agency policy.

POSITION RESPONSIBILITIES

    • Follows the service plan to assist the individual in maintaining a healthful, safe environment.
    • Performs ONLY those functions specified for each individual on the service plan.
    • Receives written instructions from the Agency Manager or designee.
    • Has knowledge of Agency policies and procedures.
    • Is oriented and trained in all aspects of services to be provided to individuals.
    • If able to demonstrate competency in all areas of training for individual services.
    • Assists individuals in the home to carry out functions of daily living, self-care and mobility.
    • Will assist individuals with the following activities within the personal service attendant scope of services:
      1. Assistance in getting in and out of beds, wheelchairs, and motor vehicles.
      2. Assistance with routine bodily functions, including:
        1. Bathing and personal hygiene
        2. Using the toilet
        3. Dressing and grooming
        4. Feeding, including preparation and cleanup.
        5. The provision of Medication Assistance:
          i. Through providing reminders or cues to take medication.
          ii. The opening of preset medication containers.
          iii. Provide assistance in the handling or ingesting of medications, including controlled substances, prescription drugs, eye drops, herbs, supplements, and over-the-counter medications.
      3. Arranging for transportation to and from appointments
      4. Administering emergency first aid
      5. Providing or arranging for social interaction
      6. Providing transportation
      7. Shopping
      8. Assisting with paying bills
    • Reports any change in the individual’s mental or physical condition or in the home situation to his/her immediate supervisor or Agency Manager.
    • Completed individual paperwork on the day service was provided and submits timely, per agency policy.

Service Definition

Community-Based Habilitation − Individual services are services provided outside the participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports.

Note: Community settings are defined as nonresidential, integrated settings that are primarily out in the community where services are not rendered within the same buildings alongside other nonintegrated participants.

Reimbursable Activities

Reimbursable activities include the following:

  • Monitoring, training, education, demonstration, or support to assist with the acquisition and retention of skills in the following areas:

  –  Leisure activities and community/public events (for example, integrated camp settings)

  –  Educational activities

  –  Hobbies

  –  Unpaid work experiences (for example, volunteer opportunities)

  –  Maintaining contact with family and friends

  • Training and education in self-direction designed to help participants achieve one or more of the following outcomes:

  –  Develop self-advocacy skills

  –  Exercise civil rights

  –  Acquire skills that enable self-control and responsibility for services and supports received or needed

  –  Acquire skills that enable the participant to become more independent, integrated, or productive in the community

Limitations

The allowable participant/staff ratio is 1:1.

Habilitation services reimbursement does not include reimbursement for the cost of the activities in which the individual is participating when they receive skills training, such as the cost to attend a community event.

Activities Not Allowed

The following activities are not allowed under Community-Based Habilitation – Individual:

  • Services that are available under the Rehabilitation Act of 1973 or PL 94-142.
  • Skills training for any activity that is not identified as directly related to an individual habilitation outcome.
  • Activities that do not foster the acquisition and retention of skills.
  • Services furnished to a minor by parent(s), stepparent(s) or legal guardian.
  • Services furnished to a participant by the participant’s spouse.
  • Services rendered in a facility.

Service Definition

Participant Assistance and Care services are provided to allow participants (individuals) with intellectual/developmental disabilities to remain and live successfully in their own homes, function and participate in their communities, and avoid institutionalization. PAC services support and enable the participant in activities of daily living, self-care, and mobility with the hands-on assistance, prompting, reminders, supervision, and monitoring needed to ensure the health, safety, and welfare of the participant.

Reimbursable Activities

Reimbursable activities under Participant Assistance and Care services include the following:

  • Activities may include any task or tasks of direct benefit to the participant that would generally be performed independently by persons without intellectual/developmental disabilities or by family members for or on behalf of persons with intellectual/developmental disabilities.
  • Examples of activities include but are not limited to the following:

   –  Assistance with personal care, meals, shopping, errands, scheduling appointments, chores, and leisure activities (excluding the provision of transportation)

   –  Assistance with mobility – including but not limited to transfers, ambulation, use of assistive devices

   –  Assistance with correspondence and bill-paying

   –  Escorting the participant to community activities and appointments

   –  Supervision and monitoring of the participant

   –  Reinforcement of behavioral support

   –  Adherence to risk plans

   –  Reinforcement of principle of health and safety

   –  Completion of task list

   –  Participating on the IST for the development or revision of the service plan (staff must attend the IST meeting to claim reimbursement)

Limitations
The following are limitations on Participant Assistance and Care services:

  • Parent(s), stepparent(s) and legal guardians may not be paid to provide care to minor children while other relatives* or groups of relatives may provide a combined total of up to 40 hours per week in PAC services to a minor child.
  • Spouses may not provide paid services at all, while reimbursable waiver funded PAC services furnished to an adult waiver participant by any combination of relatives* and/or legal guardians may not exceed a combined total of 40 hours per week.

*Related/relative implies any of the following natural, adoptive and/or step relationships, whether by blood or by marriage, inclusive of half and/or in-law status:

– Aunt (natural, step, adopted)
– Brother (natural, step, half, adopted, in-law)
– Child (natural, step, adopted)
– First cousin (natural, step, adopted)
– Grandchild (natural, step, adopted)
– Grandparent (natural, step, adopted)
– Nephew (natural, step, adopted)
– Niece (natural, step, adopted)
– Parent (natural, step, adopted, in-law)
– Sister (natural, step, half, adopted, in-law)
– Spouse (husband or wife)
– Uncle (natural, step, adopted)

Available individually or as a shared service:

  • Shared/group services in group sizes no greater than four participants to one paid staff member of the PAC provider (unit rate divided by number of PAC participants sharing service)

Activities Not Allowed

PAC services will not be provided to household members other than to the waiver participants. Reimbursement is not available through PAC in the following circumstances:

– When services are furnished to a minor by the parents, stepparents, or legal guardians
– When services are furnished to a participant by the participant’s spouse
– When services furnished to a minor by relatives* other than parents, stepparents, or legal guardians exceed a combined total of 40 hours per week
– When services furnished to an adult by any combination of relatives* exceed a combined total of 40 hours per week
144 Library Reference Number: PRPR10014 Published: August 22, 2019 Policies and procedures as of August 1, 2018 Version: 6.0
Section 10: Service Definitions and Requirements DDRS HCBS Waivers
– When Indiana Medicaid State Plan services are available for the same tasks
– When services provided are available under the Rehabilitation Act of 1973 or section 602(16) & (17)
of the Individuals with Disabilities Education Act
– Homeschooling, special education, and related activities
– When the participant is admitted to an institutional facility (for example, acute hospital, nursing facility, ICF/IID)
For homemaker or maid service
– As a substitute for care provided by a registered nurse, licensed practical nurse, licensed physician,
behaviorist, licensed therapist, or other health professional.
– Transportation costs are not included

Service Definition
Family and Caregiver Training services provide training and education to:

  • Instruct a parent, other family member, or primary caregiver about the treatment regimens and use of equipment specified in the PC/ISP.
  • Improve the ability of the parent, family member, or primary caregiver to provide the care to or for the individual.

Reimbursable Activities
Reimbursable activities include the following:

  • Treatment regimens and use of equipment
  • Stress management
  • Parenting training specific to the disability of the child
  • Family dynamics training specific to the disability of the child
  • Community integration
    Behavioral intervention strategies
  • Mental health training specific to the disability of the child
  • Caring for medically fragile individuals

Limitations

Reimbursement for this service is limited to $2,000 per year.

Activities Not Allowed

The following activities are not allowed under Family and Caregiver Training:

  • Training/instruction not pertinent to the caregiver’s ability to give care to the individual
  • Training provided to caregivers who receive training reimbursement within their Medicaid or State line item reimbursement rates
  • Meals, accommodations, and so on, while attending the training