Equipment Provider Service Specification ☐ ☐ Service Type: Statutory Extended State Plan Other Service Name: Orientation and Mobility ☐ Service is included in approved waiver. There is no change in service specifications. ☐ Service is included in approved waiver. The service specifications have been modified. Service is not included in approved waiver. Service Definition (Scope): Orientation and Mobility (O&M) services teach an individual with vision impairment or legal blindness how to move or travel safely and independently in his/her home and community and include (a) O&M assessment; (b) training and education provided to Participants; (c) environmental evaluations; (d) caregiver/direct care staff training on sensitivity to blindness/low vision; and (e) information and resources on community living for persons with vision impairment or legal blindness. O&M Services are tailored to the need and may individual’s extend beyond the home setting to other community settings as well as public transportation systems. Specify applicable (if any) limits on the amount, frequency, or duration of this service: Provider Service Delivery Method Participant-directed as specified in Appendix E managed (check each that applies): Specify whether the service may be Legally Relative Legal Guardian provided by Responsible (check each that Person applies): Provider Specifications Provider Category(s) Individual. List types: Agency. List the types of agencies: (check one or both): Certified Orientation and Human Service Agencies Mobility Specialists (COMS) Provider Qualifications Provider Type: License Certificate Other Standard (specify) (specify) (specify) Individual providers of Individuals providing services must also have: Certified Orientation and Mobility - Knowledge and experience in the evaluation of Orientation and Services must have a the needs of an individual with vision Mobility in special impairment or legal blindness, including master’s degree Specialists education with a specialty functional evaluation of the individual in the (COMS) in orientation and mobility customary environment. individual’s or a degree - Knowledge and/or experience in educating bachelor’s with a certificate in caregivers or direct care staff, or other orientation and mobility individuals who provide services to or are from an ACVREP otherwise substantially involved in the major (Academy for life functions of individuals with vision Certification of Vision impairment or legal blindness, in sensitivity to Rehabilitation and low vision/blindness.
Equipment Provider Service Specification Service Type: ☐ Statutory ☐ Extended State Plan Other Service Name: Orientation and Mobility ☐ Service is included in approved waiver. There is no change in service specifications. ☐ Service is included in approved waiver. The service specifications have been modified. Service is not included in approved waiver. Service Definition (Scope): Orientation and Mobility (O&M) services teach an individual with vision impairment or legal blindness how to move or travel safely and independently in his/her home and community and include (a) O&M assessment; (b) training and education provided to Participants; (c) environmental evaluations; (d) caregiver/direct care staff training on sensitivity to blindness/low vision; and (e) information and resources on community living for persons with vision impairment or legal blindness. O&M Services are tailored to the individual’s need and may extend beyond the home setting to other community settings as well as public transportation systems. Specify applicable (if any) limits on the amount, frequency, or duration of this service: Service Delivery Method (check each that applies): Participant-directed as specified in Appendix E Provider managed Specify whether the service may be provided by (check each that applies): Legally Responsible Person Relative Legal Guardian Provider Specifications Provider Category(s) (check one or both): Individual. List types: Agency. List the types of agencies: Certified Orientation and Mobility Specialists (COMS) Human Service Agencies Provider Qualifications Provider Type: License (specify) Certificate (specify) Other Standard (specify) Certified Orientation and Mobility Specialists (COMS) Individual providers of Orientation and Mobility Services must have a master’s degree in special education with a specialty in orientation and mobility or a bachelor’s degree with a certificate in orientation and mobility from an ACVREP (Academy for Certification of Vision Rehabilitation and Individuals providing services must also have: - Knowledge and experience in the evaluation of the needs of an individual with vision impairment or legal blindness, including functional evaluation of the individual in the individual’s customary environment. - Knowledge and/or experience in educating caregivers or direct care staff, or other individuals who provide services to or are otherwise substantially involved in the major life functions of individuals with vision impairment or legal blindness, in sensitivity to low vision/blindness.
few-renewal-application-draft-2018.docx