Traumatic Brain Injury Waiver Services

Service Coordination

The key to individual choice and satisfaction is person-centered service coordination. The Service Coordinator:

  • Is responsive to the individual and helps the waiver participant identify his or her unique needs;
  • Promotes activities which will increase the individual's independence and life satisfaction;
  • Assists in the integration of the individual in the community of his/her choice;
  • Helps in increasing the individual's productivity and participation in meaningful activities; and
  • Assists in arranging for daily living supports and services to meet the individual's needs.

Independent Living Skills Training and Development

Improves and maintains the individual's community living skills so that the individual can live as independently as possible. This will be done primarily in one-on-one training, and focuses on practical needs such as shopping, cooking, money management, use of public transportation, etc. This service is provided in the individual's residence and in the community.

Structured Day Programs

Improves and maintains the individual's community living skills in a congregate non-residential, non-medical setting. The focus will be on the development of social, problem-solving and task-oriented skills.

Substance Abuse Programs

Reduces and/or eliminates substance abuse which may interfere with the individual's ability to be maintained in the community. This service will be specifically designed to meet the needs of individuals with cognitive deficits, and will work with existing community support systems, such as AA or Al-Anon, to assist them in becoming more responsive to people with traumatic brain injuries.

Intensive Behavioral Programs

Eliminates and/or reduces an individual's severe maladaptive behavior(s) which, if not modified, will interfere with the individual's ability to remain in the community. These services are provided in the individual's residence and in the community and are provided by a highly trained team to an individual, his/her family, or anyone else having significant contact with the individual.

Community Integration Counseling

Assists the waiver to adjust to the participant and family members to more effectively manage the stresses and difficulties associated with the waiver participant living in the community.

Home and Community Support Services

Assists the individual's with the support of non-medical assistance, and includes safety monitoring assistance with activities of daily living and integration into the community. These services can be provided in the individual's residence or in the community. These non-medical services are a compliment to personal care services provided under Medicaid.

Environmental Modifications

Provide for physical adaptations to the individual's residence and primary vehicle which ensure the individual's health, safety and welfare and which increase the individual's independence and integration in the community.

Respite Care

Provides short-term relief for informal caregivers of individuals who are unable to care for themselves. This service will be provided primarily in the individual's residence.

Assistive Technology

Provides durable and non-durable medical equipment not usually funded under the Medicaid State Plan. An example of the equipment available through this service is a three wheel cart for mobility purposes.

Social Transportation

Provides the means to access non-medical services in the community in order to improve the individual's ability to make use of needed services, and to improve the individual's integration in the community.

Community Transition Services

Assists individuals leaving nursing homes by providing assistance with payment of a Security deposit, utility set up fees, moving expenses, purchase of essential furniture, and initial cleaning service. This service has a budget cap.