Transcript MENTAL RETARDATION - familiesforautism

MENTAL RETARDATION
• Border Region MHMR offers an array of
services specifically designed to meet the needs
of individuals diagnosed with: Mental
Retardation, Pervasive Developmental
Disorder and/or Related Conditions.
• Mental Retardation is a disorder characterized
by significantly sub average intellectual
functioning, an IQ of approximately 70 or
below with onset before age 18 and concurrent
deficits or impairments in adaptive functioning.
• Pervasive Developmental Disorder is
characterized by severe and pervasive
impairment in several areas of development
reciprocal, social interaction skills,
communication skills, or the presence of
stereotyped behavior, interest and activities.
Related Condition is a severe or chronic
disability that is attributed to cerebral palsy,
epilepsy or any other condition, other than
mental illness, found to be closely related to
mental retardation because the condition results
in impairment of general intellectual functioning
or adaptive behavior similar to that of persons
with mental retardation, and requires treatment
or services similar to those required for persons
with mental retardation.
Admission and Required
Documentation
• An appointment for an intake needs to be made by calling the
MRA Intake Worker at (956) 794-3148 and the following
documentation is required at time of the appointment:
• Proof of Diagnosis: Diagnosis provided by a credential
professional according to the American Association of Mental
Retardation
• Proof or Residence: Individual requesting services must legally
reside in designated Mental Retardation Authority (MRA) local
service area. Border Region local service areas are: Webb County,
Starr County, Zapata County and Jim Hogg County.
• Proof of Income: Copy of consumer’s income or parent’s
income if minor.
• Proof of Insurance: Medicaid/Medicare or Private Insurance if
available
For more information or assistance please contact
Alicia Cavazos, Interim MRA Intake Worker/
Continuity of Care Coordinator
at: (956) 794-3148
Email: [email protected]
or
Magda Pedraza, MR Director
(956) 794-3131
Email: [email protected]
Border Region MHMR Community Center
Mental Retardation Services
Admissions
DADS
Services funded through the
Performance Contract
HCS
TxHmL
Home Community Based Services
Texas Home Living
Services Funded through DADS’s
Performance Contract
PROGRAMS AND SERVICES
• Determination of Eligibility for Mental Retardation
Services and Supports. This service is an assessment or
endorsement of an assessment conducted in
accordance with state law and DADS rules to
determine if an individual has Mental Retardation or is
a member of the DADS Mental Retardation priority
population.
• Service Coordination: Service that provides assistance
for an individual in accessing medical, social,
educational, and other appropriate services and
supports that will help the individual achieve a quality
of life and community participation acceptable to the
individual.
PROGRAMS AND SERVICES
• Community Support: Individualized activities that are
consistent with the individual’s Person Directed Plan
and provided in the individual’s home or at community
locations .Activities individually designed that foster
improvement or facilitates an individual’s ability to
perform functional living skills and other living
activities.
• Respite: Planned or emergency relief that is provided
to the individual’s unpaid caregiver on a short term
basis when the caregiver is temporarily unavailable.
Provided by trained staff and can occur in the
individual’s home or another location.
PROGRAMS AND SERVICES
• Employment Assistance: Provides assistance to an
individual in locating paid, individualized and
competitive employment in the community.
• Supported Employment: Provides assistance to an
individual who has paid individualized, competitive
employment in the community to maintain
employment.
• Vocational Training: Day training service provided to
individual in an industrial enclave, work crew, sheltered
workshop, or affirmative industry setting to enable
them to obtain employment.
PROGRAMS AND SERVICES
• Nursing: Provided to an individual who requires
treatment and monitoring of health care procedures
prescribed by physician and required by standards of
professional practice or state law to be performed by
licensed nursing personnel.
• Day Habilitation: Assistance provided in a group
setting on a regular scheduled basis to acquire, retain, or
improve self help, socialization, and adaptive skills
necessary to live successfully in the community and to
participate in home and community life.
PROGRAMS AND SERVICES
• Behavioral Support: Behavior Supports by professionals with
required credentials. Specialized interventions to assist an
individual to increase adaptive behaviors and to replace or
modify maladaptive behavior that prevent or interfere with the
individual’s inclusion in home, family or community life.
• In-Home Family Support (IHFS): Program that disburses
assistance to eligible individuals and families to pay services or
items that meet a needs that exists solely because of the
individual’s mental disability or co-occurring physical disability
and which allows the individual to maintain or improve his or
her ability to live in the community.
For more information please contact:
Magda Pedraza, MR Director
(956) 794-3131
Email: [email protected]
HOME AND COMMUNITY-BASED
PROGRAM (HCS)
• Home and Community-based Services (HCS) Program
is a Medicaid waiver program that provides communitybased services and supports to eligible individuals as an
alternative to ICF-MR program. Enrollment is limited
to the number of individuals in specified target groups
and to the geographic areas approved by CMS. The
HCS program is operated by DADS under the
authority of HHSC.
• Eligibility Criteria: Enrollment of any individual in
the HCS program in the local area must be approved by
DADS.
HCS Services
• Case Management: responsible for the overall
coordinating and monitoring of the individual’s
Individual Plan of Care (IPC); and the provision of
services for individuals enrolled in HCS program.
• Nursing care provided by licensed nursing personnel
consist of the performance of health care and
monitoring an individual’s health condition.
• Respite includes room and board when provided in a
setting other than the individual’s home.
Residential Assistance
Supported Home Living: individualize services to
promote independence in the home or in the
community.
• HCS Foster/Companion Care: contracted individual
or family members to provide skill training for the
consumer in their home or in the community.
• Supervised Living; residential services provided to an
individual who do not require routine supervision or
support by direct providers.
• Residential Support is provided in residences serving
three individuals
HCS Services
• Day Habilitation: assistance provided to
individuals to acquire, retain and/or improve
self help, socialization skills and adaptive skill
necessary to reside successfully in home and
community-based settings.
• Supported Employment activities needed to
sustain paid work by individuals with
developmental disabilities including supervision
and training.
HCS Services
• Adaptive Aids are provided up to a maximum
of $10,000 per Individual Plan of Care Year.
• Minor Home Modifications are provided up
to a life-time maximum of $7,500 after which up
to $300 per IPC year is provided for
maintenance of additional modifications.
HCS services available for eligible
individuals
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Counseling and Therapies including:
Physical therapy
Occupational therapy
Speech and language pathology;
Audiology;
Social work;
Psychology
Dietary services
For more information please contact:
Jorge Sepulveda, HCS Supervisor
(956) 794-3150
[email protected]
TEXAS HOME LIVING PROGRAM
(TxHmL)
• The Texas Home Living Program (TxHmL)
Program is a Medicaid waiver program that
provides community-based services and
supports to eligible individuals who live in their
own home or in their family home. Enrollment
is limited to the number of individuals in
specified target groups approved by CMS.
TxHmL Authority Function
• Service Coordination: To assist an individual in
accessing medical, social, educational, and other
appropriate services and supports that will help
the individual achieve a quality of life and
community participation acceptable to the
individual.
TxHmL Provider Services
• Community Support: Individualized activities
that are consistent with the individual’s Person
Directed Plan and provided in the individual’s
home or at community locations. Activities
individually designed that foster improvement or
facilitates an individual’s ability to perform
functional living skills and other living activities.
TxHmL Provider Services
• Respite: Planned or emergency relief that is
provided to the individual’s unpaid caregiver on
a short term basis when the caregiver is
temporarily unavailable. Provided by trained
staff in the individual’s home or another
location
• Nursing: Provided to an individual who requires
treatment and monitoring of health care procedures
prescribed by physician and required by standards of
professional practice or state law to be performed by
Licensed Nursing personnel.
TxHmL Provider Services
• Employment Assistance: Provides assistance
to an individual in locating paid, individualized,
competitive employment in the community.
• Supported Employment: Provides assistance
to an individual who has paid individualized,
competitive employment in the community to
maintain that employment.
TxHmL Provider Services
• Behavioral Support: Specialized interventions to assist
an individual to increase adaptive behaviors and to
replace or modify maladaptive behavior that prevent or
interfere with the individual’s inclusion in home, family
or community life.
• Day Habilitation: Assistance provided in a group
setting on a regular scheduled basis to acquire, retain, or
improve self help, socialization, and adaptive skills
necessary to live successfully in the community and to
participate in home and community life
TxHmL Provider Services
• Adaptive Aids are provided up to a maximum
of $6,000 per Individual Plan of Care Year.
• Minor Home Modifications are provided up
to a life-time maximum of $7,500 after which up
to $300 per IPC year is provided for
maintenance of additional modifications.
TxHmL Services
Therapies
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Physical therapy
Occupational therapy
Speech and language pathology;
Audiology;
Social work;
Dietary services
Alicia Cavazos,
TxHmL Service Coordinator
(956) 794-3148
[email protected]
Magda Pedraza,
MR Director
(956) 794-3131
[email protected]