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Effective January 1, 2017, the Department of Health and Mental Hygiene will cover medically necessary Applied Behavior Analysis (ABA) therapy services for Maryland Medical Assistance enrolled members under the age 21.
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Our In-Home and Community Based DDA Services
At Renoxx Caregivers, we currently offer the following DDA services, through the Community Pathways (CP), Family Support & Community Support Waivers, to both children and adults:
- Personal Support Services
- Respite Services
- Behavioral Supports
- Nursing Support Services
- Family Supports
- Day Habilitation Services
- Employment Services
- Residential Services
- Organized Health Care Delivery Services
Our DDA Services Description
Personal Supports Services
Personal supports are hands-on assistance which involves actually performing a task for the individual or reminding the individual to perform a task. Renoxx Caregivers, Inc. Personal Support services offer personal assistance, supervision/support, and training for people living in their own homes or in the family home.
Renoxx Caregivers Personal Support services offer a range of home and community-based services intended to assist the individual to participate fully in-home and community life such as:
- Bathing
- Toileting
- Money management
- Care of Adaptive devices
- Developing Relationships
- Eating and preparing meals
- Dressing and changing clothes
- Home and Community safety
- Community resources awareness
- Light housework including laundry
- Promoting Self-advocacy and Self-Determination
- Use of public transportation in a natural environment
- Moving, turning, and positioning the body while in bed or in a wheelchair
- Mobility, including transferring from a bed, chair, or other places, and moving about indoors and outdoors
Respite Services
Respite is a short-term relief service provided when the individual’s regular caregiver is absent or needs a break. Renoxx Caregivers, Inc. will provide respite services in the individual’s home and/or community settings to meet planned or emergency situations, giving primary caregivers a time free from their role as a care provider
In providing Respite services, Renoxx Caregivers will ensure that families or primary caretakers are relieved from their caregiver responsibilities while providing participants with new opportunities, experiences, and self-determination.
Behavior Supports Services
Behavioral Supports services assist individuals who, without such supports, are experiencing, or are likely to experience difficulty at home or in the community as a result of behavioral, social, or emotional issues. Behavioral supports help to understand an individual’s challenging behavior, its function, and to develop a behavior plan with the primary aim of enhancing the individual’s independence and inclusion in their community.
Renoxx Caregivers will provide Behavior support services to both children and adults. Services will be provided in the individual’s home, a family member’s home, or in the community. Behavioral supports services include:
- Behavioral Assessment – which identifies an individual’s challenging behaviors and is based on the principles of person-centered thinking and a functional behavior assessment (FBA) is completed;
- Behavioral Plan – created based on relevant data collected and reviewed from the FBA to complete the FBA with recommended behavioral strategies;
- Behavioral Consultation – to oversee and monitor the implementation of the behavior plan;
- Brief support Implementation of Services – a time-limited service which provides direct assistance and modeling to families, agency staff, and caregivers so they can independently implement methods in an individual’s behavior plan
Employment Services
Employment Services provide the individual with a variety of flexible supports to help them identify career and employment interests, and find and keep a job. Renoxx Caregivers will focus in the following areas with regards to Employment services:
- Discovery – Is a person-centered planning process that involves getting to know a person before supporting them in developing a plan for employment.;
- Job Development – A flexible process designed to personalize the employment relationship between a job candidate and an employer in a way that meets the needs of both
- Follow-Along Supports – Services is provided to individuals who have obtained competitive employment. These services are designed to help individuals maintain their employment, integrate into the workplace, and advance in their careers;
- Ongoing Job Supports- Are essential for helping individuals thrive in employment settings by providing personalized assistance, training, and advocacy; to promote job retention, independence, and long-term success in the workforce.
- Co-Worker Employment Supports – Supports is provided by the employer to assist the person, upon employment, with extended orientation and training beyond what is typically provided for an employee.
- Self-Employment Development – Includes assistance in development of a business and marketing plan, including potential sources of business, financing, and other assistance in developing and launching a business.
Residential Services
Residential Services provide individuals with supportive living environments where individuals can receive assistance with daily living activities, socialization opportunities, and access to necessary support services. Individuals are provided supportive and nurturing environment where individuals can live with dignity, independence, and a sense of belonging. Renoxx Caregivers homes play a vital role in supporting individuals with disabilities in achieving their goals, maximizing their potential, and participating fully in community life.
Renoxx Caregivers Residential Services Include:
- Supportive Staff: Renoxx Caregivers homes are staffed by trained professionals who provide support and assistance to individuals based on their individual needs. Staff members may assist with activities of daily living (ADLs), medication management, meal preparation, transportation, and accessing community resources.
- Individualized Nurse Care Plan: Each individual will have an individualized nurse care plan tailored to their specific health care needs. Nurse care plans outline the types and levels of support services required to promote independence and well-being.
- Personalized Services: Renoxx Caregivers homes offer a range of services designed to meet the diverse needs of individual with disabilities. These services may include assistance with personal care tasks, skill development, vocational training, recreational activities, and access to healthcare services.
- Community Integration: Renoxx Caregivers homes promote community integration by encouraging individual to participate in social activities, volunteer opportunities, and recreational outings within their local communities. Staff members facilitate opportunities for individuals to build relationships, explore interests, and engage in meaningful activities outside the home.
- Safety and Accessibility: Renoxx Caregivers homes are designed to be safe, accessible, and conducive to independent living for individuals with disabilities. Facilities may be equipped with features such as wheelchair ramps, grab bars, and emergency response systems to ensure the safety and well-being of individuals.
- Family Involvement: Family members of individual are encouraged to maintain active involvement in their loved one’s life. Family visits, communication, and participation in decision-making are valued to support the individual’s overall well-being and quality of life.
Nursing Support Services
Nursing Support services focus on appropriate health prevention, health maintenance, health safety and practices which reduce or prevent adverse outcomes. Nursing Support services are identified in individuals’ plans which include goals for individuals’ quality health outcomes.
Nursing services from DDA may be a part of a person’s plan for attaining the goals in his/her individual plan. Renoxx Caregivers Nursing Services will be delivered under the delegation and supervision of a DDA Registered Nurse Case Manager/Delegating Nurses and are monitored by DDA via Quality Assurance and the Regional.
Renoxx Caregivers Nursing Support services include:
- Nurse Consultation
- Nurse Health Case Management
- Nurse Case Management
- Nurse Delegation
Family Support Services
Family Support Services will provide individual and family supports for children birth to 21 with developmental disabilities on the DDA Waiting List.
Renoxx Caregivers will provide the following Family Support Services:
- Family and Peer Mentoring Supports
- Family Caregiver Training and Empowerment Services
- Participant Education, Training and Advocacy Supports
Day Habilitation Services
Day Habilitation services provide the individual with development and maintenance of skills related to activities of daily living, instrumental activities of daily living, vocation, and socialization through the application of formal teaching methods and participation in meaningful activities
In providing the Day Habilitation services, Renoxx Caregivers will ensure to comply with the federal Center for Medicare and Medicaid Services (CMS) newly issued regulations referred to as the “Community Settings Rule. The Community Settings Rule states that services provided in facilities, congregate settings, farmsteads, and/or services that have the effect of isolating individuals from the broader community are considered to have institutional qualities and therefore may not be in compliance.
To comply with the Community Settings Rule, Renoxx Caregivers will ensure:
- Our setting must be integrated in and supports full access to the greater community
- Our setting must be selected by the individual from among setting options
- Each individual has a right to privacy, to be treated with dignity and respect, and is free from bullying and restraints
- Each individual is supported in making life choices
- Each individual is given choice regarding services and who provides them
Through our Day Habilitation services and activities, Renoxx Caregivers will ensure the individuals we serve to learn and acquire new skills in:
- Employment
- Socially-acceptable behavior
- Effective communication
- Self-direction and problem solving
- Engaging in safety practices
- Performing household chores
- Performing self-care tasks
Some of the services and activities we will offer through our Day Habilitation program will include, but are not limited to the individual’s engagement in:
- Self-advocacy classes and activities
- Transportation services
- Personal care assistance
- Local community events
- Volunteering within a nonprofit organization whose mission the individual’s supports
- Activities in which skills can be used to do the type of work the individual is interested in
- Training and supports designed to maintain abilities and to prevent or slow loss of skills for an individual’s declining condition
Community Development Services
The Community Development Services (CDS) aid the individual to develop and maintain skills related to community membership through engagement in community-based activities with people without disabilities. CDS can be provided in a variety of settings in the community which support the individual’s positive growth and development of skills and social supports necessary to gain, retain or advance competitive integrated employment opportunities.
Through our Community Development Services and activities, Renoxx Caregivers will ensure the individuals we serve are provided opportunities to learn socially acceptable behavior and self-advocacy skills.
Some of the services and activities we will offer through our CDS program will include, but are not limited to:
- Activities which facilitate and promote integration and inclusion in the individual’s chosen community; including identifying a path to employment for a working-age individual
- Travel training
- Self-advocacy classes and activities
- Local community events
- Volunteering within a non-profit organization whose mission the individual’s supports
- Performing a paid or unpaid internship
- Transportation to, from, and within activities
- Personal care assistance, which may also be provided during community activities
Organized Healthcare Delivery System
As an Organized Healthcare Delivery System, Renoxx Caregivers will provide the following Services:
- Transition Services
- Transportation Services
- Live-in Care Supports
- Environmental Modification
- Environmental Assessment
- Vehicle Modification Services
- Assistive Technology and Services
Career Exploration Services
Involves a person-centered approach focused on identifying and pursuing employment opportunities that align with individuals’ abilities, interests, and goals. By providing personalized support, accommodations, and ongoing assistance, employment programs help individuals achieve greater independence, self-sufficiency, and fulfillment through meaningful employment.
Renoxx Caregivers Career Exploration Services Include:
- Self-Assessment
- Research Careers
- Identify Accommodations
- Networking and Informational Interviews
- Resume Building
- Comprehensive Job Development Plan