Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-17 - Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines adult day support and sets forth provider
				qualifications, requirements for service delivery and documentation of
				services, and payment standards for the service. The expected outcome of adult
				day support is development of skills that lead to greater independence,
				community membership, relationship-building, self-direction, and
				self-advocacy.
(B)
			 Definitions
For the purposes of this rule, the following definitions
				apply:
(1) "Adult day support" means
			 provision of regularly scheduled activities such as assistance with
			 acquisition, retention, or improvement of self-help, socialization, and
			 adaptive skills that enhance 
									an individual's social development and
			 performance of daily community living. Adult day support
			 
									will be
			 designed to foster the acquisition of skills, build community membership and
			 independence, and expand personal choice. Adult day support enables the
			 individual to attain and maintain  maximum potential. Activities that constitute adult day support
			 include, but are not limited to:
(a)
			 Activities that may be provided in-person or through virtual support:
(i) Supports to participate in community
			 activities and build community membership consistent with the individual's
			 interests, preferences, goals, and outcomes.
(ii) Supports to develop and maintain a
			 meaningful social life, including social skill development which offers
			 opportunities for personal growth, independence, and natural supports through
			 community involvement, participation, and relationships.
(iii) Supports and opportunities that
			 increase problem-solving skills to maximize an individual's ability to
			 participate in integrated community activities independently or with natural
			 supports.
(iv) Skill reinforcement
			 including the implementation of behavioral support strategies, assistance in
			 the use of communication and mobility devices, and other activities that
			 reinforce skills learned by the individual that are necessary to ensure
			  initial and continued
			 participation in community life.
(v) Training in self-determination which
			 includes assisting the individual to develop self-advocacy skills; to exercise
			  civil rights; to exercise
			 control and responsibility over the services 
											received; and to acquire
			 skills that enable 
											becoming more independent, productive, and
			 integrated within the community.
(vi) Recreation and leisure including
			 supports identified in the person-centered individual service plan as being
			 therapeutic in nature, rather than merely providing a diversion, and/or as
			 being necessary to assist the individual to develop and/or maintain social
			 relationships and family contacts.