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(DD) Waiver Service Standards - New Mexico Department of Health

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TABLE OF CONTENTS<br />

C. Respite Delivery <strong>Service</strong>s Location 128<br />

IV. RESPITE SERVICES PROVIDER AGENCY STAFFING<br />

REQUIREMENTS 128<br />

A. Provider Agency Financial Accounting 128<br />

B. Staff Requirements 128<br />

C. Respite <strong>Service</strong>s Reimbursement 129<br />

CHAPTER 13<br />

I. THERAPY WAIVER SERVICES 130<br />

II. SCOPE OF THERAPY SERVICES 130<br />

III. THERAPY SERVICES REQUIREMENTS 130<br />

A. Therapy <strong>Service</strong> Models 130<br />

B. Eligibility for Medicaid <strong>DD</strong> <strong>Waiver</strong> Therapy <strong>Service</strong>s 131<br />

C. Referral for Medicaid <strong>DD</strong> <strong>Waiver</strong> Therapy <strong>Service</strong>s 131<br />

D. Referral for Medicaid State Plan Therapy <strong>Service</strong>s 131<br />

IV. PROVIDER AGENCY REQUIREMENTS 132<br />

A. Administrative 132<br />

V. THERAPY SERVICE REQUIREMENTS 133<br />

A. Interdisciplinary Team (IDT) Determination 133<br />

B. Participatory Approach 134<br />

C. Individual Centered 134<br />

D. Integrating Therapy Strategies in Daily Life 135<br />

E. <strong>Service</strong> Delivery in Natural Contexts 135<br />

VI. STANDARDS, LICENSING AND ACCREDITATION FOR<br />

THERAPIST 135<br />

A. Staff Qualifications 135<br />

B. Therapist Qualifications 135<br />

VII. SPECIFIC SERVICE REQUIREMENTS FOR THERAPIES 137<br />

A. Scope <strong>of</strong> Therapy <strong>Service</strong>s for Children Under Age 21 137<br />

B. Physical Therapy (PT) 138<br />

C. Physical Therapy Scope <strong>of</strong> <strong>Service</strong>s for Adults 138<br />

D. Occupational Therapy (OT) 139<br />

E. Occupational Therapy Scope <strong>of</strong> <strong>Service</strong>s for Adults 140<br />

F. Speech and Language Pathology (SLP) 141<br />

G. Speech-Language Pathology Scope <strong>of</strong> <strong>Service</strong>s 141<br />

VIII. THERAPY SERVICES STAFFING RATIO<br />

REQUIREMENTS 142<br />

A. Individual Therapy 142<br />

B. Collaborative Therapy 142<br />

C. Group Therapy 143

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