Customized Community Supports (CCS) for adults is designed to assist a person to increase his/her |
independence and potentially reduce the amount of paid supports, to establish or strengthen |
interpersonal relationships, to join social networks and to participate in typical community life. |
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Ramah Care Services, Inc. offers Customized Community Supports (CCS), which refers to non-work |
activities. CCS services are mandated to be provided in the community to the fullest extent possible. |
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CCS are based upon the preference and choices of each person and are designed to measure progress |
toward Desired Outcomes specified in the ISP. Activities include adaptive skill development, adult |
educational supports, citizenship skills, communication, social skills, self-advocacy, informed choice, |
community integration and relationship building. |
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Outcomes from this service may include an enhanced capacity for self-determination, development of |
social networks that allow the person to experience valued social roles while contributing to his or her |
community and in establishing lasting community connections. |
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When planning CCS, the Interdisciplinary Team (IDT) members shall recognize the person's right to |
make life choices that may include risk. The IDT members shall assess risk on an individual basis and |
develop or enhance risk mitigation strategies as needed. The assumption of risk shall be balanced with |
the person's ability to assume responsibility for that risk and a reasonable assurance of health and |
safety while maintaining compliance with DDSD Service Standards and the NM Nurse Practice Act for |
those with health-related supports. |
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Individuals who have health related support needs that require nursing services during the provision of |
CCS have access to nursing supports in various ways. Nursing supports at various levels are bundled |
into the CCS Group Services and are available for other CCS models of service (CCS-I, CCS-Small |
Group, CCS_IIBS) through coordination with the person's Living Supports provider. |
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Types of CCS |
- Individual Customized Community Supports (CCS-I)
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CCS-I are age appropriate and provided on a one-to-one (1:1) basis. Activities listed in the scope of |
work are delivered in a manner consistent with the person's ISP and are provided exclusively in the |
community. |
- Small Group Customized Community Support (CCS Small Group)
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CCS-Small Group is provided in groups of three (3) or less. Activities listed in the scope of work are |
delivered in a manner consistent with the person's ISP and are provided exclusively in the |
community, not in an agency-operated building. |
- Customized Community Supports-Group (CCS-Group)
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Within the CCS Group model, there are three categories of service: |
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- CCS Group Category 2 (Extensive Support)
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The three categories are based on intensity and nature of individual support needs. |
- Individual Intensive Behavior Supports Customized Community Supports (CCS-IIBS)
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CCS-IIBS are designed to meet the needs of individuals with extraordinary behavioral needs. |
Individuals in this service exhibit extraordinary behavioral support needs such as aggressive |
behavior, property destruction, stealing, self-injury, pica, sexual inappropriateness, frequent |
emotional outbursts, wandering, and/or substance abuse. If behavioral needs are left unsupported, |
this could expose the person to risk of doing significant harm to him/herself or others. Services are |
provided on a one-to-one (1:1) basis, only at times when this level of support is needed. |
Meaningful Day |
The objective of implementing a Meaningful Day is to plan and provide supports to implement the |
person's definition of his/her own meaningful day, contained in the Individual Service Plan (ISP). |
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- purposeful and meaningful work;
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- substantial and sustained opportunity for optimal health;
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- personalized relationships;
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- skill development and/or maintenance; and
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- social, educational and community inclusion activities that are directly linked to the vision.
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Desired Outcomes and Action Plans as stated in the person's ISP. |
- Community Life Engagement (CLE) is also sometimes used to refer to "Meaningful Day" or "Adult
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Habilitation" activities. CLE refers to supporting people in their communities in non-work activities. |
Examples of CLE activities may include participating in clubs, classes or recreational activities in the |
community, learning new skills to become more independent, volunteering, or retirement activities. |
Meaningful Day activities should be developed with the four guideposts of CLE in mind. |
- Individualized supports for each person;
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- Promotion of community membership and contribution;
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- Use of Human and social capital to decrease dependence on paid supports; and
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- Provision of supports that are outcome-oriented and regularly monitored.
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- The term "day" does not mean activities between 9:00 am and 5:00 pm on weekdays.
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- Community inclusion is not limited to specific hours or days of the week.
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Centennial Care |
Centennial Care is a New Mexico Medicaid program. Services are provided by four managed care |
organizations (MCOs). These services include physical health, behavioral health, long-term care and |
community benefits. |
For more information, visit the Centennial Care page with the NM Human Services Department. |
To apply for Centennial Care, visit the YesNM Online Portal, create an account and follow the |
instructions. |