Ramah Care Services
DD Service Summary
SUPPORTED LIVING services are provided 24 hours a day in a home setting of four (4) or fewer individuals.  The rates for Supported Living services are based on the individuals level of care.
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.
The scope of Community Living Services identified by the Interdisciplinary Team (IDT) includes, 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 and laundry.

  • Assistance to maintain activities of daily living such as bathing, 
eating, meal preparation, dressing and personal hygiene.

  • Assistance with mobility and orientation in community integration, 
access and utilization of natural supports.

  • Assistance in developing and maintaining social, spiritual and
individual relationships, to include the development of generic and
natural supporst of his or her choosing.

  • Assistance in developing recreational and 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/Intervention 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
and 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 activites 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 prefereably 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.