Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 122 - COMMUNITY WAIVER SRVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES › Section 12VAC30-122-200 - Supports Intensity Scale®requirements; Virginia Supplemental Questions; levels of support; supports packages

Current through Register Vol. 40, No. 24, July 15, 2024
A. The Supports
				Intensity Scale (SIS®) requirements.
1. The SIS® is
				an assessment tool that identifies the practical supports required by
				individuals to live successfully in their communities. DBHDS shall use the
				SIS® Children's VersionT (SIS-CT) for
				individuals who are five years through 15 years of age. DBHDS shall use the
				SIS®
										Adult
				Version® (SIS-A®)
				for individuals who are 16 years of age and older. Individuals who are younger
				than five years of age shall be assessed using an age-appropriate standardized
				living skills assessment.
2. A
				SIS® assessment and the current version of the
				Virginia Supplemental Questions (VSQ), as appropriate, shall be completed with
				the individual and other appropriate parties who have knowledge of the
				individual's circumstances and needs for support:
a. At least every four years for those
				individuals who are 22 years of age and older.
b. At least every three years for those
				individuals who are 16 years of age through 21 years of age.
c. Every two years for individuals five years
				through 15 years of age when the individual is using a tiered service, such as
				group home residential, sponsored residential, supported living residential,
				group day, or community engagement. Another developmentally appropriate
				standardized living skills assessment approved by DBHDS, such as the Brigance
				Inventory, Vineland, or Choosing Outcomes and Accommodations for Children shall
				be completed every two years for service planning purposes for those in this
				age grouping who do not receive a SIS® assessment.
d. For a, b, and c of this subdivision A 2,
				when the individual's support needs have been deemed to have changed
				significantly for a sustained period of at least six months.
e. For children younger than five years of
				age, an alternative industry assessment instrument approved by DBHDS, such as
				the Early Learning Assessment Profile, shall be completed every two years for
				service planning purposes.
3. The SIS®
				shall be used in conjunction with VSQ, the person-centered planning process,
				and other assessment information to develop each individual's ISP. The
				SIS® shall be used to assess individuals'
				patterns and intensity of needed supports across life activities such as (i)
				home and community living activities; (ii) school activities for children;
				(iii) lifelong learning and employment activities for adults; (iv) health and
				safety activities, social activities, and advocacy activities; (v) exceptional
				medical and behavioral support needs; and (vi) what is important to and
				important for individuals who are enrolled in a waiver.
4. Scores from
				SIS-A® and SIS-CT Section 1 (Exceptional Medical
				Needs, Exceptional Behavioral Needs), Section 2 Subsections A, B, and E and
				responses to Supplemental Questions shall be used to assign levels of supports
				(Levels 1 through 7, as defined in 12VAC30-122-250 ) to each individual.
5. The
				SIS® shall be administered and analyzed by
				qualified, trained interviewers designated by DBHDS.