Habilitation Hourly (HAH)

Service Description

Services provide a variety of interventions designed to maximize the functioning of persons with developmental disabilities. Services may include, but are not limited to: habilitative therapies, special developmental skills, behavior intervention, and sensorimotor development.

Services are designed to assist Division members in acquiring, retaining and improving the self- help, socialization and adaptive skills necessary to reside successfully in home and community- based settings. The services include the provision of training in independent living skills or special developmental skills, orientation and mobility training, sensorimotor development, and behavioral management.

Service Requirements and Limitations

• This service may be provided in the following settings:
  • The consumer’s home, or
  • A community setting chosen by the consumer or consumer’s representative.
• This service shall be provided where the expected skills will be applied.
• This service shall not be provided while the consumer is attending day treatment and training.
• This service shall not be delivered in a service provider’s residence unless the residence is also the home of the consumer receiving the service.
• This service shall not be provided in a Qualified Vendor owned or leased service site.
• This service shall not be provided when the consumer is hospitalized.
• This service shall not be provided to consumers living in group homes, vendor supported developmental homes (child or adult), skilled nursing facilities, non-state operated Intermediate Care Facilities (“ICFs”), or Level I or Level II behavioral health facilities.
• This service shall not supplant services that are available to the consumer through an educational or vocational mandate.
• This service is not intended to meet a need for day care.
• This service is not intended to replace any natural supports available to the consumer in their home or community. If natural supports become available, the need for this service may be reassessed.
• This service shall not be provided in conjunction with a daily residential habilitation service.
• This service shall not be provided in schools or while being transported by the school.
• This service shall be used to transfer a skill from the trainer to the consumer and shall not be used for the purpose of supervision.
• The Arizona Health Care Cost Containment System (“AHCCCS”) Agency with

Choice Consumer-Directed Service Delivery Model/Option.

• Meaningful Life Behavioral Health shall identify in the Division’s Qualified Vendor Application and Directory System (“QVADS”) whether it is participating in the AHCCCS Agency with Choice consumer-directed service delivery model (see the AHCCCS website located at www.azahcccs.gov for additional information regarding the AHCCCS Agency with Choice consumer-directed service delivery model/option).
• Meaningful Life Behavioral Health accepting a service authorization for Hourly Habilitation Support for a consumer who has chosen to participate in the AHCCCS Agency with Choice consumer-directed service delivery option shall participate in the AHCCCS Agency with Choice consumer-directed service delivery model, shall agree to comply with all AHCCCS rules and policies regarding the Agency with Choice consumer directed service delivery model, and shall implement the consumer’s planning document.
• Meaningful Life Behavioral Health shall comply with the AHCCCS Agency with Choice consumer- directed service delivery model requirements and ensure that the direct service staff providing Hourly Habilitation Support is not the consumer’s individual representative as defined by the AHCCCS Agency with Choice consumer-directed service delivery model.
• A consumer participating in the AHCCCS Agency with Choice consumer-directed service delivery option may request a change in vendors at any time without having to express any reason for the change, notwithstanding Arizona Administrative Code (“A.A.C.”) R6-6-2109(B), (C), and (D).
• Meaningful Life Behavioral Health that has chosen to participate in the AHCCCS Agency with Choice consumer-directed service delivery model may be required to provide additional training for the consumer and/or consumer’s representative regarding the co-employment relationship as assessed and authorized by the Division. If this is required, Meaningful Life Behavioral Health shall bill a unique service code as identified by the Division.
• Meaningful Life Behavioral Health that has chosen to participate in the AHCCCS Agency with Choice consumer-directed service delivery model may be required to provide additional training for the direct service staff outside of the scope of the required/standard training [i.e., Cardiopulmonary Resuscitation, First Aid, Article 9 (Managing Inappropriate Behaviors), Direct Care Worker, etc.] and in order to meet the unique needs of the consumer as assessed and authorized by the Division. If this is required, Meaningful Life Behavioral Health shall bill a unique service code as identified by the Division.

Service Goals

• To enable the consumer to acquire knowledge and skills and be a valued consumer of his/her community based on his/her own choices.
• To provide training to increase or maintain the consumer’s self-help, socialization, and adaptive skills to live and participate with his/her family in the community.
• To assist the consumer in achieving and maintaining a quality of life that promotes the consumer’s vision for the future and priorities.
• To adjust the dependence on this service as natural supports become available in the consumer’s home and/or community.
• To encourage and develop the identification and use of natural supports and reduce the need for this paid support.

Service Objectives

Meaningful Life Behavioral Health shall ensure that the following objectives are met:

• In accordance with the consumer’s planning document [e.g., Individual Support Plan (“ISP”)], develop:
  • Individualized and time-limited outcomes that are based on assessment data and input from the consumer and the consumer’s representative which will allow the consumer to achieve his/her vision for the future and priorities.
  • A specific teaching strategy for each habilitative outcome within twenty (20) business days after initiating service for a new or a continuing placement and whenever a new outcome is identified for the consumer. The specific teaching strategy for each outcome shall identify the schedule for implementation, the frequency and duration of services, data collection methods, and the steps to be followed to teach the new skill.
  • A “home program” which can be routinely implemented by the consumer/ caregivers in the course of daily living to reinforce the acquisition of skills to achieve outcomes.
  • Changes to specific outcome(s) and/or strategies, as agreed upon by the consumer’s planning team, based upon the presence or absence of measurable progress by the consumer.
• As identified in the consumer’s planning document, provide training and/or assistance such as:
  • Assistance and training related to personal and physical needs and routine daily living skills;
  • Implementing strategies to address behavioral concerns, developing behavior support programs, and coordinating with behavioral health programs to ensure proper review of medication treatment plans;
  • Ensuring that the health needs of the consumer are being met, including providing follow-up as requested by the consumer’s Primary Care Provider (“PCP”) or medical specialist;
  • Implementing all therapeutic recommendations including speech, occupational, and physical therapy and assisting consumers in following special diets, exercise routines, or other therapeutic programs;
  • Mobility training, alternative, or adaptive communication training;
  • Opportunities for training and/or practice in basic life skills such as shopping, banking, money management, access and use of community resources, and community survival skills, etc.; and
  • Assisting consumers in utilizing community transportation resources to support the consumer in all daily living activities (e.g., day treatment and training, employment situation, medical appointments, visits with family and friends, and other community activities) as identified within the consumer’s planning document.
• Play an active role in ensuring that services with other involved entities, including day treatment and training providers, health care providers, and schools, are coordinated to meet the needs of the consumers served.
• As identified in the consumer’s planning document, provide training and/or assistance to the consumer/consumer’s representative to increase and/or maintain targeted skill acquisition of the consumer.
  • With input from the consumer, the consumer’s representative and other people important to the consumer develop strategies for habilitative outcomes that can be carried out in context of the consumer’s daily routine.
  • Communicate with the consumer/consumer’s representative regarding how the plan is working when direct service staff is not present.

Source: https://des.az.gov/

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