Room and Board (RRB)

Service Description

A 24-hour day service that provides for a safe and healthy living environment that meets the physical needs of an individual.

Service Requirements and Limitations

• 1. This service may be provided in an Arizona Department of Health Services (“ADHS”) licensed DDD group home upon authorization by the Division.
• 2. This service assumes that the Division member will be afforded, at a minimum:
• 2.1 Personal sleeping accommodations;
• 2.2 The provision of all daily nutrition and three (3) healthy meals and snacks as appropriate;
• 2.3 The provision of household supplies;
• 2.4 Physical and private accommodations for members to perform daily personal hygiene;
• 2.5 The provision of basic personal hygiene supplies;
• 2.6 Sufficient provision of storage space for the member’s personal use and safekeeping of his/her personal belongings;
• 2.7 Physical accommodations sufficient to afford a comfortable and safe environment for all activities of daily living in a home; and
• 2.8 Privacy.
• 3. Meaningful Life Behavioral Health providing this service shall also provide the service of Habilitation, Group Home. Meaningful Life Behavioral Health shall apply for and have been awarded the service of Habilitation, Group Home.

Service Goals and Objectives

Service Goal

To provide a residential environment that is dignified and “home-like,” ensures a safe and healthy living arrangement, and meets the physical and emotional needs of the member.

Service Objectives

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

• 1. Involvement of the member and/or the member’s representative in furnishings/decor of the home and personal space, and any necessary modifications to optimize independence and personal preferences. This shall also allow for reasonable and safe accommodation of the member’s personal belongings.
• 2. A safe and healthy living environment which meets the physical and emotional needs of the member, is culturally appropriate, and is available to the member on a twenty-four (24) hour basis.
• 2.1 An ongoing secondary use of the physical residence (e.g., day program, nonemergency respite center) is not appropriate unless (a) all residents or guardians of residents consent to such use, (b) the residence is zoned for the type of secondary use and has all of the requisite licensures and certifications, and (c) has been approved by the Division’s District Program Manager or designee.
• 3. The nutritional maintenance for members served by planning, preparing, and providing nutritionally-balanced meals and snacks in accordance with the member’s needs and in conjunction with the member’s preference. Planning and preparation shall be consistent with generally accepted dietary standards and guidelines for healthy Americans. Menus shall be planned and posted on a weekly basis with member participation. Menu planning will ensure that members receive three (3) nutritious meals per day and appropriate snacks in accordance with the United States Department of Agriculture (“USDA”) dietary guidelines located at https://www.usda.gov/topics/food-and-nutrition.
• 4. The provision of room and board services to members in residential settings where habilitation services are being provided in an ADHS licensed DDD group home (i.e., group homes, nursing supported group homes, and community protection and treatment group homes).
• 5. Meaningful Life Behavioral Health is paid for the room and board service with the following exceptions:
• 5.1 When habilitation services are provided to members who are Native American and for whom their Tribe or Bureau of Indian Affairs has agreed to pay for the room and board services.
• 5.2 When cost share agreements are made by the Division with a behavioral health entity to pay for room and board services as part of “wrap around” services for a member.
• 5.3 For members who are receiving services under some other source of funding.
• 6. Ensure that residential responsibilities are explained to members prior to service delivery. Member responsibilities and staff responsibilities shall be identified as applicable to residential group home living. The Division uses the “lodging” standard that Americans expect when they stay at a motel: clean linens; bed; storage; safety; privacy; gentle accommodations such as telephone, television, radio, alarm clocks; and hygiene supplies.

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

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