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Examples of IDD Supports & Services

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Adult Foster Care
A housing option that is licensed under Act 218 as an adult foster care (AFC) facility if it provides personal care, supervision and protection in addition to room and board to 20 or fewer unrelated persons who are aged, mentally ill, developmentally disabled, or physically disabled, for 24 hours a day, 5 or more days a week, for 2 or more consecutive weeks for compensation.

Community Living Supports
Community Living Supports are used to increase or maintain personal self-sufficiency, facilitating an individual’s achievement of her or his goals of community inclusion and participation, independence or productivity. The supports may be provided in the participant’s residence or in community settings (including, but not limited to, libraries, city pools, camps, etc.).

Occupational Therapy
Occupational Therapy (OT) is therapy provided by:

A licensed occupational therapist (OT);

  • A licensed occupational therapy assistant (OTA) under the supervision of an OT (i.e., the OTA’s services must follow the evaluation and treatment plan developed by the OT, and the OT must supervise and monitor the OTA’s performance with continuous assessment of the beneficiary’s progress). All documentation must be reviewed and signed by the appropriate supervising OT; or
  • A student completing his clinical affiliation under the direct supervision of (i.e., in the presence of) an OT. All documentation must be reviewed and signed by the supervising OT.

OT must be medically necessary, reasonable and required to:

  • Return the beneficiary to the functional level prior to illness or disability;
  • Return the beneficiary to a functional level that is appropriate to a stable medical status; or
  • Prevent a reduction in medical or functional status had the therapy not been provided.

Physical Therapy
Physical Therapy (PT) must be medically necessary and reasonable for the maximum reduction of physical disability and restoration of a beneficiary to his/her best possible functional level.  PT is covered if it can be reasonably expected to result in a meaningful improvement in the beneficiary’s ability to perform functional day-to-day activities that are significant to the beneficiary’s life roles despite impairments, activity limitations or participation restrictions. 

Respite Services
Respite services are provided to participants unable to care for themselves and are furnished on a short-term basis due to the absence of, or need of relief for, those individuals normally providing services and supports for the participant. Services may be provided in the participant’s home, in the home of another, or a licensed Adult Foster Care facility. Respite does not include the cost of room and board, except when provided as part of respite furnished in a facility approved by MDHHS that is not a private residence.

Speech & Language Therapy
This therapy must be reasonable, medically necessary and expected to result in an improvement and/or elimination of a specified problem within a reasonable amount of time (i.e., when treatment is due to a recent change in medical or functional status affecting speech, and the person would experience a reduction in medical or functional status without therapy).  Speech therapy services must be skilled (i.e., require the skills, knowledge and education of a licensed Speech and Language Pathologist (SLP) to assess the beneficiary for deficits, develop a treatment program and provide therapy).  Speech therapy must relate to a medical diagnosis, and is limited to services for:

  • Articulation
  • Language
  • Rhythm
  • Swallowing
  • Training in the use of an speech-generating device
  • Training in the use of an oral-pharyngeal prosthesis
  • Voice