DDRS Waiver Manual

or before the fifteenth day of the following month
Limitations
The following limitations apply to Physical Therapy services:
One hour of billed therapy service must include a minimum of 45 minutes of direct patient care,
with the balance of the hour spent in related patient services.
Activities Not Allowed
The following activities are not allowed under Physical Therapy services:
Therapy services furnished to the participant within the educational/school setting or as a
component of the participant’s school day
Activities delivered in a nursing facility
Services available through the Medicaid State Plan (a Medicaid State Plan prior authorization denial is
required before reimbursement is available through the waiver for this service)
Section 10.22: Prevocational Services
Service Definition
Prevocational Services are services that prepare a participant for paid or unpaid employment. Prevocational
Services include teaching concepts such as compliance, attendance, task completion, problem-solving, and
safety. Services are not job-task oriented, but instead, aimed at generalized results. Services are habilitative
in nature and not explicit employment objectives.
Reimbursable Activities
Reimbursable activities under Prevocational Services include the following:
Monitoring, training, education, demonstration, or support provided to assist with the acquisition
and retention of skills in the following areas:
Paid and unpaid training compensated at less than 50% of the federal minimum wage
Generalized and transferrable employment skills acquisition
These activities may be provided using off-site enclave or mobile community work crew models.
Until the June 30, 2015, end of Supported Employment Follow-Along (SEFA), participants could
choose to utilize SEFA Services and Prevocational Services during the same service plan year
Service Standards
The following service standards apply to Prevocational Services:
Prevocational Services must be reflected in the ISP.
All Prevocational Services will be reflected in the participant’s plan of care as directed to habilitative
rather than explicit employment objectives.
131