Service Delivery Method Participant-directed as specified in Appendix E Provider managed (check each that applies): Specify whether the service may Legally Relative Legal Guardian be provided by Responsible (check each that Person applies): Provider Specifications Provider Individual. List types: Agency. List the types of agencies: Category(s) Individual Personal Care Worker Personal Care Agencies (check one or both): Provider Qualifications Provider Type: License Certificate Other Standard (specify) (specify) (specify) Individual Individuals providing Individuals who provide Personal Care Personal Care personal care services services must have responded satisfactorily Worker must have one of the to the Waiver provider enrollment process following: and must meet requirements for individuals in such roles, including, but not limited to must: have been CORI checked, have life - Certificate of Home or work experience providing services to Health Aide Training individuals with disabilities; can handle - Certificate of emergency situations; can set limits, and Aide Training Nurse’s communicate effectively with participants, - Certificate of families, other providers and agencies; Personal Care have ability to meet legal requirements in Training protecting confidential information; and certification in CPR is required. Personal Care Individuals employed Any not-for-profit or proprietary Agencies by the agency organization that responds satisfactorily to providing personal the Waiver provider enrollment process care services must and as such, has successfully have one of the demonstrated, at a minimum, the following following: - Education, Training, Supervision: - Certificate of Home Providers must ensure effective training of Health Aide Training staff members in all aspects of their job duties, including handling emergency - Certificate of situations. Providers are responsible for Aide Training Nurse’s ensuring staff are trained on applicable - Certificate of regulations and policies governing waiver Personal Care service delivery and the principles of Training participant centered care. Agencies must have established procedures for appraising staff performance and for effectively modifying poor performance where it exists.
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: Individual Personal Care Worker Personal Care Agencies Provider Qualifications Provider Type: License (specify) Certificate (specify) Other Standard (specify) Individual Personal Care Worker Individuals providing personal care services must have one of the following: - Certificate of Home Health Aide Training - Certificate of Nurse’s Aide Training - Certificate of Personal Care Training Individuals who provide Personal Care services must have responded satisfactorily to the Waiver provider enrollment process and must meet requirements for individuals in such roles, including, but not limited to must: have been CORI checked, have life or work experience providing services to individuals with disabilities; can handle emergency situations; can set limits, and communicate effectively with participants, families, other providers and agencies; have ability to meet legal requirements in protecting confidential information; and certification in CPR is required. Personal Care Agencies Individuals employed by the agency providing personal care services must have one of the following: - Certificate of Home Health Aide Training - Certificate of Nurse’s Aide Training - Certificate of Personal Care Training Any not-for-profit or proprietary organization that responds satisfactorily to the Waiver provider enrollment process and as such, has successfully demonstrated, at a minimum, the following - Education, Training, Supervision: Providers must ensure effective training of staff members in all aspects of their job duties, including handling emergency situations. Providers are responsible for ensuring staff are trained on applicable regulations and policies governing waiver service delivery and the principles of participant centered care. Agencies must have established procedures for appraising staff performance and for effectively modifying poor performance where it exists.
ABI-N%20Renewal%20Application-Clean%20draft-October%202017.docx