Ramah Care Services
DD Service Summary
Community Living services are individually tailored supports that assist participants with the acquisition, retention, or improvements of skills related to living independently in the community. The objective of these standards is to establish requirements for DD Medicaid Waiver agencies providing services through Community Living Services Programs.

Supported Living services are typically provided in a home setting of four (4) or fewer individuals and must be up to 24 hours a day. The reimbursement rates for Supported Living are based on the individual's level of care.

The scope of Community Living Services identified by the Interdisciplinary Team (IDTincludes, but is not limited the following:
  • Assistance with money management (including financial record keeping).
  • Assistance to attain and maintain safe and sanitary living conditions that may include general housekeeping, shopping, washing and drying laundry.
  • Assistance to maintain activities of daily living such as bathing, eating, meal preparation, dressing,and individual hygiene.
  • Assistance with mobility and orientation in community integration, access and utilization of natural supports.
  • Assistance in developing & maintaining social, spiritual and individual relationships, to include the development of generic and natural supports of his or her choosing.
  • Assistance in developing recreational & leisure activities.
  • Assistance in developing training and educational opportunities on self-advocacy and sexuality.
  • Implementation of the Individual Service Plan (ISP), Therapy, Meal-Time, Behavioral Supports, Health Care, and Crisis Prevention/Interventions Plans, if applicable.
  • Assistance in developing health maintenance supports, as well as monitor the effectiveness of such supports.
  • Provide or arrange transportation for Community Inclusion, leisure & recreation activities, medical, dental, therapy, etc.
  • Assistance in medication management and pharmacy needs, in accordance with the Developmental Disabilities Service Department's (DDSD) Medication Assessment and Delivery Policy.
  • Assist the individuals as needed, in coordination with the designated healthcare coordinator and others on the IDT, with access to medical, dental, therapy, nutritional, behavioral and nursing practitioners and in the timely implementation of healthcare orders, monitoring and recording of therapeutic plans or activities as prescribed, to include: health care and crisis prevention/intervention plans.
  • Support individuals to participate in the development of house rules, schedules and planned activities.
  • For the individuals with a HAT score of 5 or 6, the agency nurse shall participate in the annual ISP meeting and any other IDT meetings called to address a change in health condition and/or new diagnosis. Such participation will preferably occur in person or by phone, but if that is not possible, may occur via provision of information to the team prior to the meeting with follow up contact afterwards.