The FSA will approve clients for the RSW program in a SBS-contracted homes when the client is determined financially eligible, and meets the following criteria: Is at least 18 years old and blind, aged, or disabled per Social Security criteria; Meets nursing facility level of care or will likely need that level of care within 30 days unless RSW services are provided; Is medically and psychiatrically stable; and Has one or more of the following apply: Is currently residing at a state mental hospital or in the psychiatric ward of a local hospital and the hospital has found the client is ready for discharge into the community; Has a history of frequent or protracted psychiatric hospitalizations; Has a history of an inability to remain medically or behaviorally stable for more than six months and have exhibited serious challenging behaviors within the last year or has had problems managing medications which has affected their ability to live in the community; and Due to the protracted nature of behavior and clinical complexity, has no other placement options as evidenced by having been unsuccessful in finding community placement by otherwise qualified providers; Has behavioral or clinical complexity that requires the level of supplementary or specialized staffing available only in qualified community settings provided through this waiver; and Requires caregiving staff with specific training in providing personal care, supervision, and behavioral support to adults with challenging behaviors. clarified? What’s The SBS contract requires adult family home providers to have an additional 6-8 hours of staffing for every SBS client. The additional 6-8 hours of staffing is not required to be one-on-one staffing for the SBS client unless needed. When not needed for 1:1 staffing, the worker may assist with other clients in the household. If an adult family home has two SBS clients, the 12-16 hours of additional staffing may be spread between shifts throughout the day to extend the availability of additional staff support based on client needs. ACTION: After determining that an individual meets RSW eligibility, the case manager will refer clients directly to the local FSA for approval to receive SBS or ECS services. If the client requires a higher level of professional staffing and behavior supports than provided by SBS or ECS services, the FSA will make a referral to HQ for ESF via an email to the Residential Support Program Manager.
The FSA will approve clients for the RSW program in a SBS-contracted homes when the client is determined financially eligible, and meets the following criteria: Is at least 18 years old and blind, aged, or disabled per Social Security criteria; Meets nursing facility level of care or will likely need that level of care within 30 days unless RSW services are provided; Is medically and psychiatrically stable; and Has one or more of the following apply: Is currently residing at a state mental hospital or in the psychiatric ward of a local hospital and the hospital has found the client is ready for discharge into the community; Has a history of frequent or protracted psychiatric hospitalizations; Has a history of an inability to remain medically or behaviorally stable for more than six months and have exhibited serious challenging behaviors within the last year or has had problems managing medications which has affected their ability to live in the community; and Due to the protracted nature of behavior and clinical complexity, has no other placement options as evidenced by having been unsuccessful in finding community placement by otherwise qualified providers; Has behavioral or clinical complexity that requires the level of supplementary or specialized staffing available only in qualified community settings provided through this waiver; and Requires caregiving staff with specific training in providing personal care, supervision, and behavioral support to adults with challenging behaviors. What’s clarified? The SBS contract requires adult family home providers to have an additional 6-8 hours of staffing for every SBS client. The additional 6-8 hours of staffing is not required to be one-on-one staffing for the SBS client unless needed. When not needed for 1:1 staffing, the worker may assist with other clients in the household. If an adult family home has two SBS clients, the 12-16 hours of additional staffing may be spread between shifts throughout the day to extend the availability of additional staff support based on client needs. ACTION: After determining that an individual meets RSW eligibility, the case manager will refer clients directly to the local FSA for approval to receive SBS or ECS services. If the client requires a higher level of professional staffing and behavior supports than provided by SBS or ECS services, the FSA will make a referral to HQ for ESF via an email to the Residential Support Program Manager.
h16-082%20residential%20support%20waiver%20(rsw)%20updates%2010%2024%2016%20(002).docx