1915(i) State Plan Option - Adult Day Health Care and Habilitation
Section 1915(i) of the Social
Security Act allows the Nevada Medicaid to provide State Plan Home and Community-Based Services (HCBS) similar
to that of a 1915(c) HCBS Waiver using needs-based eligibility criteria rather
than institutional level of care criteria.
This affords individuals who require less than institutional level of
care, but still have a significant need, to have access to greater number of services
in the community which they might not otherwise qualify if only offered under a
1915(c) Waiver.
The following are three services available through a 1915(i) HCBS State Plan Option to individuals 18 years of age and older who meet the needs-based eligibility criteria.
Adult Day Health Care services provide assistance with the activities of daily living, medical equipment, and medication administration. Services include care coordination, nursing services, nutritional assessment, and training or assistance in activities of daily living or instrumental activities of daily living, social activities, and meals. -
- Day Habilitation- targeted to individuals with
Traumatic or Acquired Brain Injury:
Day Habilitation services are regularly scheduled activities that assist with the acquisition, retention, or improvement that enhance social development and develop skills in performing activities of daily living and community living. Day Habilitation services focus on enabling the participant to attain or maintain his or her maximum potential and shall be coordinated with any needed therapies such as physical, occupational, or speech therapy. Meals provided as part of these services shall not constitute a "full nutritional regimen" (three meals per day).
- Residential Habilitation- targeted to
individuals with Traumatic or Acquired Brain Injury:
Residential Habilitation means individually tailored supports that assist with the acquisition, retention, or improvement in skills related to living in the community. These services include adaptive skill development, assistance with activities of daily living, community inclusion, adult educational supports, and social and leisure skill development that assist the recipient to reside in the most integrated setting appropriate to his/her needs. Residential Habilitation also includes personal care and protective oversight and supervision. Payment for Room and Board is prohibited.
Recipient
To request services please complete the following:
Authorized recipient who wants to request a transfer to a different provider, please complete the following form:
Providers
To enroll as a provider for 1915(i) HCBS State Plan option, there are
two different provider types for the services:
- Provider Type 39- Adult Day Health Care
- Provider Type 55- Day or Residential Habilitation