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TBI - Service Coordinators must meet the requirements in one of the following sections listed below:

Section (A)

(1) Master of Social Work;

(2) Master in Psychology;

(3) Registered Physical Therapist;

(4) Professional Registered Nurse;

(5) Certified Special Education Teacher;

(6) Certified Rehabilitation Counselor;

(7) Licensed Speech-Language Pathologist; or

(8) Registered Occupational Therapist.

The provider shall have, at a minimum, one (1) year of experience

providing Service Coordination and information, linkages and

referrals regarding community-based services for individuals with

disabilities; OR

Section (B)

Be an individual with a Bachelor’s degree and two (2) years experience providing Service Coordination and information, linkages and referrals regarding community-based services for individuals with disabilities; OR

Section (C)

Be an individual with an Associates degree and three (3) years experience providing Service Coordination and information, linkages and referrals regarding community-based services for individuals with disabilities; OR

Section (D)

Be an individual with a High School Diploma or equivalent (GED) with four (4) years experience providing Service Coordination and information, linkages and referrals regarding community-based services for individuals with disabilities; OR

Section (E)

Be an individual who has successfully served as a Regional Resource Development Specialist for one (1) year in the HCBS/TBI Waiver Program.

Individuals identified in section (A) may supervise the following individuals to perform Service Coordination Services:

• Individuals with educational experience listed in (A) but who do not meet the experience qualification;

• Individuals with a Bachelor’s degree in health or human services with one (1) year of experience providing Service Coordination for individuals with disabilities and knowledge about community resources; and

• Individuals with an Associates degree or a High School Diploma or equivalent (GED) and two (2) years of experience providing Service Coordination to individuals with disabilities and knowledge about community resources.

The supervisor is expected to:

1. MeetanypotentialparticipantspriortothecompletionoftheInitialService Plan developed by a Service Coordinator under their supervision;

2. Havesupervisorymeetingswithstaffonatleastabi-weeklybasis;and 3. Reviewandsign-offonallServicePlans.

A supervisor may maintain an active caseload of waiver participants in accordance with ratio guidelines.

NHTD - Service Coordinators must meet the requirements in one of the following sections listed below:

Section (A)

(1) Master of Social Work; (2) Master in Psychology;

(3) Registered Physical Therapist – Licensed by the NYS Education Department;

(4) Registered Professional Nurse –Licensed by the NYS Education Department;

(5) Certified Special Education Teacher – Certified by the NYS Education Department;

(6) Certified Rehabilitation Counselor – Certified by the Commission of Rehabilitation Counselor Certification;

(7) Licensed Speech-Language Pathologist - Licensed by

Section VI – Waiver Services Page 6 of 52 April 2008

the NYS Education Department; or (8) Registered Occupational Therapist – Licensed by the

NYS Education Department.

The individual shall have, at a minimum, one (1) year of experience providing service coordination and information, linkages and referrals regarding community-based services for individuals with disabilities and/or seniors; OR

II.

Section (B)

Be an individual with a Bachelor’s degree and two (2) years experience providing service coordination for individuals with disabilities and/or seniors and knowledge about community resources; or

Section (C)

Be an individual with a High School Diploma with three (3) years’ experience providing service coordination for individuals with disabilities and/or seniors and knowledge about community resources; or

Section (D)

Be an individual who has successfully served as a Regional Resource Development Specialist for one (1) year.

The following individuals may be hired and must be supervised by individuals identified in Section I (A) above to perform Service Coordination Services:

(A) Individuals with educational experience listed in I (A) but who do not meet the experience qualification;

(B) Individuals with a Bachelor’s degree with one (1) year of experience providing service coordination for individuals with disabilities and/or seniors and knowledge about community resources; and

(C) Individuals with a High School Diploma and two (2) years of experience providing service coordination to individuals with disabilities and/or seniors and knowledge about community resources.

TBI - Independent Living Skills Trainers must meet the requirements in one of the following sections listed below:

Section (A)

(1) Registered Occupational Therapist;

(2) Registered Physical Therapist;

(3) Speech-Language Pathologist;

(4) Registered Professional Nurse;

(5) Certified Special Education Teacher;

(6) Certified Rehabilitation Counselor;

(7) Master of Social Work; or

(8) Master of Psychology.

These individuals must have, at a minimum, one (1) year of experience

completing functionally based assessments, developing a comprehensive

treatment plan and teaching individuals with disabilities to be more

functionally independent; OR

Section (B)

An individual with a Bachelor’s degree and two (2) years of similar

experience; OR

Section (C)

An individual with an Associates degree and three (3) years of similar experience; OR

Section (D)

An individual with a High School Diploma or equivalent (GED) and four (4) years of similar experience.

Individuals identified in section (A) may supervise the following individuals to perform ILST services:

• Individuals with the educational experience listed in section (A) but who do not meet the experience qualifications;

• Individual with a Bachelor’s degree with one (1) year of experience; • Individuals with an Associates degree or a High School Diploma or equivalent

(GED) and two (2) years of experience; and • Individuals who have successfully completed two (2) years of providing Home and

Community Support Services or Residential Habilitation under the Office of Mentally Retarded and Developmental Disabilities HCBS waiver.

The supervisor is responsible for:

• Completing an initial assessment of the participant’s functional abilities and developing a detailed plan of intervention;

• Training a service provider to implement the plan so that maximum benefit to the participant may occur;

• Re-evaluating the participant as needed, but not less than at the completion of the Individual Service Report (included in all Revised Service Plans) and whenever Addendums to the Service Plan are written, which include changes in the amount and/or frequency of this service; and

• Providing ongoing supervision and training to staff. Such supervision must occur no less than bi-weekly when the caseload is reviewed. Supervision must be more frequent when there is a new participant, new provider or when there is evidence that the expected progress is not occurring.

The ILST provider agency must make every possible effort to match the skills and experience of the individual provider to the specific goals of the participant.

NHTD - Independent Living Skills Trainers must meet the requirements in one of the following sections listed below:

Section (A)

(1)Registered Occupational Therapist-licensed by the NYS Education Department;

(2)Registered Physical Therapist-licensed by the NYS Education Department;

(3)Licensed Speech-Language Pathologist-licensed by the NYS Education Department;

(4)Registered Professional Nurse-licensed by the NYS Education Department;

(5)Certified Special Education Teacher-certified by the NYS Education Department;

(6)Certified Rehabilitation Counselor-certified by the Commission on Rehabilitation Counselor Certification;

(7)Master of Social Work;

Master of Psychology

These individuals must have, at a minimum, one (1) year of experience completing functionally based assessments, developing a comprehensive treatment plan and teaching individuals with disabilities and/or seniors to be more functionally independent; OR

Section (B)

An individual with a Bachelor’s degree and two (2) years of experience completing functionally based assessments, developing a comprehensive treatment plan and teaching individuals with disabilities and/or seniors to be more functionally independent; OR

Section (C)

An individual with a High School Diploma and three (3) years experience completing functionally based assessments, developing a comprehensive treatment plan and teaching individuals with disabilities and/or seniors to be more functionally independent.

The following individuals must be supervised by individuals identified in section (A) to perform ILST services:

• Individuals with the educational experience listed in section (A) but who do not meet the experience qualifications;

• Individual with a Bachelor’s degree and one (1) year of experience; • Individuals with a High School Diploma and two (2) years of

experience; and • Individuals who have successfully completed two (2) years of

providing Home and Community Support Services or Residential Habilitation under the Office of Mental Retardation and Developmental Disabilities HCBS waiver.

The supervisor is responsible for:

• Meeting any potential waiver participants prior to the completion of the Detailed Plan developed by the ILST under their supervision;

• Working with the ILST on completing the functional assessment of the participant;

• Working with the ILST to reevaluate the participant as needed, but not less than at the completion of the Revised Service Plans and whenever Addenda to the SP are written;

• Have supervisory meetings with staff on at least a bi-weekly basis; • Provide ongoing supervision and training to staff; and • Review and sign-off on all Detailed Plans.

TBI - Home and Community Support Services must meet the requirements in one of the following sections listed below:

• Be at least 18 years old;

• Be able to follow written and verbal instructions;

• Have the ability and skills necessary to meet the waiver participant’s needs that will be addressed through this service;

• Have a valid certificate to indicate successful completion of a forty (40) hour training program for Level II PCA, or PCA Alternate Competency Demonstration equivalency testing that is approved by DOH;

• Attend Basic Orientation Training and Service Specific Training as specified in the HCBS/TBI Program Manual Section VIII prior to providing any billable services;

• Attend six (6) hours of in-service education per year that includes HCBS/TBI waiver- specific training; and

• Meet all health requirements specified in 10 NYCRR 766.11

NHTD - Home and Community Support Services must meet the requirements in one of the following sections listed below:

• Be at least 18 years old;

• Be able to follow written and verbal instructions;

• Have the ability and skills necessary to meet the waiver participant’s

needs that will be addressed through this service;

• Have a certificate to indicate that they have successfully completed a

forty (40)-hour training program for Level II PCAs that is approved by

DOH;

• Attend the approved DOH curriculum entitled “Home and Community

Support Services 101”prior to providing billable services, and any

additional training required by DOH;

• Attend six (6) hours of in-service education per year which includes

NHTD waiver-specific training; and

• Be in good physical health; including health and immunization

requirements as per LHCSA regulations.