Developmental and Intellectual Disabilities
Communicare provides a broad spectrum of services aimed to support individuals with developmental disabilities and intellectual disabilities to remain and become a vital part of their communities. This mission of normalization has received praise at both the local and state levels and has allowed Communicare to maintain a long history of quality service for these individuals. A variety of programs are offered to individuals with Developmental Disabilities/ Intellectual Disability who meet criteria (age of onset of disability is before age 21).
Acquired Brain Injury Waiver (ABI Acute)
This program is a Rehabilitation Medicaid waiver program which provides supports to individuals at least 18 years of age that have acquired a brain injury involving thecentral nervous system that resulted from an injury from a physical trauma; Anoxia or a hypoxic episode; or Allergic condition, toxic substance, or another acute medical incident. Participants will have the option to choose among an array of services that will assist them in becoming independent in the community setting.
Waiver services include: Residential services, Companion care, Respite, Personal Care, Therapies (ST,OT), Counseling, Behavior Programming, Adult Day Training, Supported Employment, Environmental Modifications, Specialized Medical Equipment and the option to Participant Direct Services for their non-medical waiver services.
To be eligible the individual would meet all eligibility requirements defined in 907 KAR 3:210. The participant will have an acquired brain injury with structural, non-degenerative brain injury, be medically stable, and meet Medicaid eligibility requirements established in 907 KAR 20:010. The participant will have a rating of at least four (4) on the Family Guide to the Rancho Levels of Cognitive Functioning and will exhibit cognitive, behavioral, motor or sensory damage with an indication for rehabilitation and retraining potential.
Acquired Brain Injury-Long Term Care Waiver (ABI-LTC)
This program is a long term maintenance Medicaid waiver program which provides supports to individuals at least 18 years of age that have acquired a brain injury involving the central nervous system that resulted from an injury from a physical trauma; Anoxia or a hypoxic episode; or Allergic condition, toxic substance, or another acute medical incident. Eligible Participants will have the option to choose among an array of services that will assist them in being as independentas possible in the community setting.
Waiver services include: Residential services, Community Living Supports, Respite, Therapies (ST,OT,PT), Counseling, Behavior Programming, Adult Day Training or Adult Day Health Care, Supported Employment, Environmental Modifications, Specialized Medical Equipment , Family Training, Nursing Supports, and the option to Participant Direct Services for their non-medical waiver services.
To be eligible the individual would meet all eligibility requirements defined in 907 KAR 3:210. Participant will have a brain injury that necessitates: Supervision, Rehabilitative services; and Long term supports. The participant will have an acquired brain injury with structural, non-degenerative brain injury, be medically stable, and meet Medicaid eligibility requirements established in 907 KAR 20:010. The participant will have a rating of at least four (4) on the Family Guide to the Rancho Levels of Cognitive Functioning and will exhibit cognitive, behavioral, motor or sensory damage.
Communicare offered ABI/ABI-LTC waiver services:
Conflict Free ABI Case Management
Our Case Managers serve Acquired Brain Injury(ABI) and Acquired Brain Injury Long Term Care(ABI-LTC) waivers across Kentucky. Conflict Free Case Management manages the overall development and monitoring of a participants person-centered service plan. Case Management will coordinator and facilitate team meetings, assist with finding theappropriate providers to meet the waiver participants needs and assist with community resource use while ensuring the health, safety, and welfare of the participant in the capacity that they choose to use their waiver services to improve their overall independence in the community.
ABI Direct Care Services
This program provides supports and services to participants of the Acquired Brain Injury (ABI) and Acquired Brain Injury-Long Term Care Waiver (ABI-LTC). A person-centered approach is applied in developing a plan to make a person's life more meaningful and more independent. This program has the flexibility to provide the supports necessary for an individual living in their communities with minimal supports. Services include Personal Care, Companion, Community Living Supports, and Respitewithin the Region.
Counseling
Counseling is offered through the Communicare clinics, but not offered through the waiver services. Communicare will bill your insurance for these services. Clinical staff can inform you of who to contact in the event you are seeking Acquired Brain Injury Waiver services through Communicare.
Community Habilitation and Vocational Services
Developmental Disabilities don't have to prevent a person from leading a full life. The intent of these programs is to provide a sense of normalcy to individuals with Developmental Disabilities. Consumers of these services report to a workshop in their community, where they are often employed through contract work from local businesses. These consumers are held to production standards and earn a paycheck for the work that they perform. These programs are available in Hardin, Nelson, Washington, Marion, Grayson, Breckinridge and Meade counties.
Staffed Residence
For individuals with Developmental Disabilities who are not capable of living entirely on their own, we offer residential supports in a 3-bedroom group home. An on-site supervisor is available to assist consumers in these facilities. Programs are located throughout the region according to need.
Group Homes
Residential Supports provided to eight individuals with a Developmental or Intellectual Disability over the age of 22 in an eight-bedroom home. Group homes are located throughout the region, according to need.
Adult Foster Care (AFC)
Developed as an alternative to other residential programs, the AFC homes are provided to individuals with Developmental or Intellectual Disabilities who want the experience of being an active part of a family home. They are matched with a host family, according to their individual needs, with the understanding that they will take part in all of the family's activities. This program has received high praise from both the participating consumer and from the families who have opened their homes as providers.
Semi-Independent Living Apartments
Residential Supports provided in an independent living situation with minimal supervision. Nelson County is currently the only county with this type of residential supports.
Supports for Community Living (SCL)
This program is a Medicaid waiver program which provides supports to individuals over the age of 21 with a Developmental or Intellectual Disability. Individuals must meet the criteria to reside in an Intermediate Care Facility, but choose to receive services and supports within the community in order to be eligible for this program. This program offers a variety of services and supports paid by Medicaid to approximately 97 individuals across the region.
Crisis Response/Prevention Program
This program provides temporary supports and services to individuals who have a history of crises episodes. The most common support provided through this program is emergency respite. An ancillary support for individuals who meet criteria is Communicare's Adult Crisis Stabilization Unit.
Pre-Admission Screening Resident Review (PASRR) Specialized Services
This program provides services to individuals of any age across the region with Developmental or Intellectual Disability residing in a nursing home. This program takes a person-centered approach to developing a plan to make an individual's life more meaningful while residing at a nursing facility.
New Specialized Crisis Program
This program provides extraordinary crisis supports, in that other supports have been attempted or exhausted prior to referral. This program provides mobile crisis response and a 24 hour crisis hotline. This program serves individuals who are 18 and over with a MR/DD diagnosis and experiencing an immediate crisis as determined by a crisis rating scale specified by the Kentucky Division of Behavioral Health and Developmental Disability Services.
Direct Care Services
This program provides supports and services to individuals of any age across the region with Developmental or Intellectual Disability (age of onset of disability is before age 22). A person-centered approach is applied in developing a plan to make a person's life more meaningful and more independent. This program has the flexibility to provide the supports necessary for an individual living in their communities with minimal supports.
Michelle P Waiver (MPW)
MPW was developed in response to a lawsuit between Protection and Advocacy (P&A) and the Cabinet for Health and Family Services (CHFS). This lawsuit was filed in Federal Court in 2002 and an amended settlement agreement was approved in Federal Court in 2008. MPW is a waiver that offers individuals with an intellectual or other developmental disability, non-residential services to remain in their community.
Consumer Directed Option (CDO)/Participant Directed Services (PDS)
CDO/PDS allows waiver eligible members to choose providers for their non-medical waiver services, allowing them greater freedom of choice, flexibility and control over their supports and services. Members can choose to self direct all or some of their non-medical waiver services.