DDRS Waiver Manual

to be utilized in service plan development at the participant’s next annual anniversary date. With the phasein
of this methodology, all participants will be served at or above their pre-existing level of SFC service.
Level 1 – Appropriate for participants choosing SFC and having an Algo level of 0 or 1
Level 2 – Appropriate for participants choosing SFC and having an Algo level of 2
Level 3 – Appropriate for participants choosing SFC and having an Algo level of 3, 4, 5, or 6
Reimbursable Activities
Reimbursable activities under SFC services include the following:
Personal care and services.
Homemaker or chore services.
Attendant care and companion care services.
Medication oversight.
Respite for the family caregiver (funding for this respite is included in the per diem paid to the
service provider; the actual service of Respite care may not be billed in addition to the per diem).
Other appropriate supports as described in the ISP.
Service Standards
The following service standards apply to SFC services:
SFC services must be reflected in the ISP.
Services must address the needs (for example, intellectual/developmental needs, vocational needs,
and so forth) identified in the person-centered planning process and must be outlined in the ISP.
Ten percent of the total per diem amount is intended for use by the provider for respite care as
needed. It is the provider’s responsibility to approve any providers of respite chosen by the family or
the participant.
The provider determines the total amount per month paid to the family caregiver.
The agency’s administrative/supervision fee comes from the remaining total amount and includes
the following duties:
Publish written policies and procedures regarding Structured Family Caregiver support services.
Maintain financial and service records to document services provided to the individual.
Establish a criteria for the acceptance of the family caregiver or foster parent, screen potential family
caregivers/foster parents for qualities of stability, maturity, and experiences so as to ensure the
safety and well-being of the individual, and obtain a criminal background and reference check.
Coordinate/provide adequate initial training and ongoing training, consultation and supervision to the
family caregiver/foster parent.
Provide for the safety and well-being of the participant by inspection of environment for compliance
with the DDRS policies and procedures, including, but not limited to, the provider and Case
Management standards found in 460 IAC 6 Supported Living Services and Supports requirements.
Reimburse family caregiver/foster parent.
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