(a) Contingent upon approval of a federal waiver, the Self-Directed Services Program (SDS Program) is hereby established and shall be available in every regional center catchment area to provide participants, within an individual budget, greater control over needed services and supports. The Self-Directed Services Program shall be consistent with the requirements set forth in this section. In order to provide opportunities to participate in the program, the department shall adopt regulations, consistent with federal law, to implement the procedures set forth in this section. (b) For purposes of this section, all of the following definitions shall apply: (1) âFinancial management servicesâ means a service or function that assists the participant to manage and direct the distribution of funds contained in the individual budget. This may include, but is not limited to, bill paying services and activities that facilitate the employment of service workers by the participant, including, but not limited to, federal, state, and local tax withholding payments, unemployment compensation fees, setting of wages and benefits, wage settlements, fiscal accounting, and expenditure reports. The department shall establish specific qualifications that shall be required of a financial management services provider. (2) âSupports brokerageâ means a service or function that assists participants in making informed decisions about the individual budget, and assists in locating, accessing and coordinating services consistent with and reflecting a participantâs needs and preferences. The service is available to assist in identifying immediate and long-term needs, developing options to meet those needs, participating in the person-centered planning process and development of the individual program plan, and obtaining identified supports and services. (3) âSupports brokerâ means a person, selected and directed by the participant, who fulfills the supports brokerage service or function and assists the participant in the SDS Program. Specific qualifications shall be established by the department and required of a supports broker provider. (4) âWaiverâ means a waiver of federal law pursuant to Section 1396n of Title 42 of the United States Code. (5) âIndependence Plus Self-Directed (IPSD) Waiver Programâ or âSelf-Directed Waiver Programâ means a federal waiver to the stateâs Medicaid plan to allow a person with developmental disabilities who needs or requires long-term supports and services, and, when appropriate, the personâs family, greater opportunity to control their own health and well-being by utilization of self-directed services. (6) (A) âSelf-directed servicesâ or âSDSâ means a voluntary delivery system consisting of a defined and comprehensive mix of services and supports, selected and directed by a participant, in order to meet all or some of the objectives in their individual program plan. Self-directed services are designed to assist the participant to achieve personally defined outcomes in inclusive community settings. (B) Self-directed services shall include, but are not limited to, all of the following: (i) Home health aide services. (ii) Supported employment and prevocational services. (iii) Respite services. (iv) Supports broker functions and services. (v) Financial management services and functions. (vi) Environmental accessibility adaptations. (vii) Skilled nursing. (viii) Transportation. (ix) Specialized medical equipment and supplies. (x) Personal emergency response system. (xi) Integrative therapies. (xii) Vehicle adaptations. (xiii) Communication support. (xiv) Crises intervention. (xv) Nutritional consultation. (xvi) Behavior intervention services. (xvii) Specialized therapeutic services. (xviii) Family assistance and support. (xix) Housing access supports. (xx) Community living supports, including, but not limited to, socialization, personal skill development, community participation, recreation
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