Adult Residential Facility (ARF) Department of Social ...

GLOSSARY: DEVELOPMENTAL SERVICES IN COMMUNITY SETTINGS

Adult Residential Facility (ARF) Department of Social Services licensing category for homes that provide care, supervision and assistance with the activities of daily living to persons 18-59. Refer to the regulation interpretations and procedures for adult residential facilities:

Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHN) provides 24-hour health care and intensive support services in a homelike setting for up to five adults with developmental disabilities, who are being transitioned from a developmental center, and who have special health care and intensive support needs. These homes are licensed by Community Care Licensing and vendored by Regional Centers. (Formerly known as 962 homes). CA Welfare and Institutions Code (WIC), ? 4684.50-4684.75

Adult Day Health Care See "Community-Based Adult Services"

Adult Day Program A community-based day program that serves adults with severe behavior disorders ineligible for any other community-based day program, that provides adults functional skills training necessary to secure a self-sustaining, independent living situation in the community, and that provides adults community integration and selfadvocacy training as they relate to recreation and leisure pursuits.

Adult Development Center A community-based day program that serves adults with developmental disabilities who are in the process of acquiring self-care skills.

Alternative Residential Model (ARM) These rates shall be calculated on the basis of a cost model designed by the department which ensures that aggregate facility payments support the provision of services to each person in accordance with his or her individual program plan and applicable program requirements. The cost model shall reflect cost elements that shall include, but are not limited to, all of the following:

(1) "Basic living needs" (2) "Direct care" (3) "Special services" (4) "Indirect costs" (5) "Property costs"

Applied Behavior Analysis (ABA) is the design, implementation, and evaluation of systematic instructional and environmental modifications by a behavior analyst to produce socially significant improvements in human behavior.

Area Boards Independent, regional agencies mandated under the Welfare and Institutions Code, Sections 4543-4548, that monitor the service delivery system and advocate to protect the rights of all persons with developmental disabilities.

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GLOSSARY: DEVELOPMENTAL SERVICES IN COMMUNITY SETTINGS

Assessment A review of documents and records as well as interviews as appropriate to help determine eligibility or specific needs for services. An assessment may include collection and review of available historical diagnostic data, provision or procurement of necessary tests and evaluations, and summarization of developmental levels and service needs. See also "Comprehensive Assessment."

Autism A pervasive developmental disorder of children, characterized by impaired communication, excessive rigidity, and emotional detachment: now considered one of the autism spectrum disorders. Autism is one of the diagnoses mentioned in the Lanterman Act for eligibility for regional center services in WIC Section 4512 (a). .

Bay Area Quality Management System (BAQMS) Quality management system developed for individuals transitioning from Agnews Developmental Center to community-based settings. Quality Assessment tools were piloted to measure participant satisfaction and outcomes.

CARF See "Commission on Accreditation of Rehabilitation Facilities"

California Health and Human Services Agency (CHHS) The Agency is the lead entity in California providing core public health functions and essential services for the detection, treatment and prevention of public health and environmental issues. CHHS oversees twelve departments and one board, including the DDS. These departments and boards provide a range of health care services, social services, developmental and mental health services, alcohol and drug treatment services, income assistance and public health services to Californians.

Centers for Medicare and Medicaid Services (CMS) Federal agency that oversees and monitors state waiver programs.

Cerebral Palsy A persistent, but not unchanging disorder of posture and movement due to a dysfunction of the brain occurring during the developmental period. Persons may have difficulty in muscle control or coordination which may affect gait, mobility, speech, hearing, and/or vision. Therefore, self-care challenges are often significant. Cerebral Palsy is one of the diagnoses mentioned in the Lanterman Act for eligibility for regional center services in WIC Section 4512 (a).

Child with Special Health Care Needs A child with a developmental disability who: 1) Is receiving services and service coordination from a regional center; 2) Is placed in a foster family home, small family home or group home; and 3) Has a medical condition that can rapidly deteriorate, resulting in permanent injury or death; or who has a medical condition that requires specialized in home health care, including an internal feeding tube, total parenteral feeding, a cardiorespiratory monitor, intravenous therapy, a ventilator, urinary catheterization, ministrations imposed by tracheostomy, colostomy, ileostomy, or other medical or surgical procedures; or special medication regimens,

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GLOSSARY: DEVELOPMENTAL SERVICES IN COMMUNITY SETTINGS

including injection, aerosol treatment, and intravenous or oral medication which requires specialized in-home health care.

Client Development and Evaluation Report (CDER) Assessment instrument utilized by the Regional Centers and the Department of Developmental Services (DDS) to (1) collect data on client diagnostic characteristics; (2) measure and evaluate, on an ongoing basis, client adaptive skills and challenging behavior; and (3) evaluate personal outcomes and quality of life of persons with developmental disabilities who receive services in the California developmental disabilities services system. CDER data is summarized quarterly on the DDS website: and additional information can be found here:

Commission on Accreditation of Rehabilitation Facilities (CARF). The Rehabilitation Accreditation Commission is a national organization that is responsible to ensure that standards of operation exist in various employment training and treatment programs. CARF is referenced in the Lanterman Act (Welfare and Institutions Code) Section 4851. Accreditation from CARF ensures providers of Habilitation services are in compliance with specific standards and criteria that enhance service quality and promote the program objectives.

Community-Based Adult Services (CBAS) became effective on April 1, 2012. CBAS replaced Adult Day Health Care (ADHC) services which were an optional benefit under the Medi-Cal Program through February 29, 2012. CBAS offers services to eligible older adults and/or adults with disabilities to restore or maintain their optimal capacity for self-care and delay or prevent inappropriate or personally undesirable institutionalization. CBAS is a Medi-Cal Managed Care benefit available to eligible Medi-Cal beneficiaries enrolled in Medi-Cal Managed Care. Eligibility to participate in CBAS is determined by the beneficiary's Medi-Cal Managed Care Plan.

Community Placement Plan (CPP) Annual plan developed by each regional center and funded by DDS to:

1) Develop individualized community services and supports for individuals, 2) Enhance the capacity of the community service delivery system, and 3) Reduce reliance on developmental centers (DC), mental health facilities [e.g.,

Mental Health Rehabilitation Centers (MHRC) and Institutions for Mental Disease (IMD)] ineligible for Federal Financial Participation (FFP), and out-of-state placements.

Comprehensive Assessments With the enacted Developmental Services Budget Trailer Bill, AB 89 (Chapter 25, Statutes of 2013), Section 4418.25 of the Welfare and Institutions Code was amended, specifying that comprehensive assessments of developmental center residents shall identify the types of community-based services and supports available to the consumer that would enable the consumer to move to a community setting. Necessary services and supports not currently available in the

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GLOSSARY: DEVELOPMENTAL SERVICES IN COMMUNITY SETTINGS

community setting shall be considered for development pursuant to regional center community placement plans and associated funding.

Additionally, Section 4418.25 of the Welfare and Institutions Code was amended, requiring regional centers to provide, to the extent appropriate, when updating a comprehensive assessment (i.e., annually, as part of the IPP process), relevant information from the statewide specialized resource service (SSRS) established pursuant to Section 4418.25(b). The CRA for the regional center shall be notified of each IPP meeting that includes discussion of the assessment results and may participate in the IPP meeting unless the consumer objects on his or her own behalf.

Congregate Living Health Facility (CLHF) CLHF means a residential home with a defined capacity of no more than 12 beds, except as provided in Sections 1250(i)(4)(A) & (B) of the Health and Safety (H&S) Code. CLHFs provide inpatient care, including the following basic services: medical supervision, 24-hour skilled nursing and supportive care, pharmacy, dietary, social, and recreational. CLHFs shall provide at least one type of service specified in Sections 1250(i)(2)(A), (B), & (C) of the H&S Code. The primary need of congregate living health facility residents shall be for availability of skilled nursing care on a recurring, intermittent, extended, or continuous basis. This care is generally less intense than that provided in general acute care hospitals but more intense than that provided in skilled nursing facilities (SNF).

Consumer an individual who has been determined by a regional center to meet the eligibility criteria of the Welfare and Institutions Code Section 4512, and of Title 17, California Code of Regulations, Sections 54000 , 54001 and 54010 , and for whom the regional center has accepted responsibility.

CPP See "Community Placement Plan"

Developmental Disability A disability that originates before an individual attains 18 years of age; continues, or can be expected to continue, indefinitely; and constitutes a substantial disability for that individual. As defined by the Director of Developmental Services, in consultation with the Superintendent of Public Instruction, this term shall include intellectual disability, cerebral palsy, epilepsy, and autism. This term shall also include disabling conditions found to be closely related to intellectual disability or to require treatment similar to that required for individuals with an intellectual disability, but shall not include other handicapping conditions that are solely physical in nature. "Substantial disability" means the existence of significant functional limitations in three or more of the following areas of major life activity, as determined by a regional center, and appropriate to the age of the person:

(1) Self-care. (2) Receptive and expressive language. (3) Learning.

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GLOSSARY: DEVELOPMENTAL SERVICES IN COMMUNITY SETTINGS

(4) Mobility. (5) Self-direction. (6) Capacity for independent living. (7) Economic self-sufficiency.

Any reassessment of substantial disability for purposes of continuing eligibility shall utilize the same criteria under which the individual was originally made eligible.

California Department of Health Care Services (DHCS) Medicaid regulations require states to designate a Medicaid Single State Agency responsible for overseeing all Medicaid funded programs. DHCS is the Medicaid Single State agency in California. DDS has responsibility for the operation of federal waivers for individuals with developmental disabilities through an Interagency Agreement with DHCS.

Disability Rights California (DRC) Formerly Protection & Advocacy, Inc. (PAI), provides information and training on the rights of individuals with disabilities, and monitors facility and program compliance of rights and safety of people receiving services.

DSS ? Department of Social Services State department responsible for protecting the health and safety of each person residing in community care facilities through Community Care Licensing (CCL) Division. DSS also operates the Foster Care and Adoption Assistance programs in California and thereby serves approximately 6,000 regional center consumers in these programs. ;

Direct Support Professional (DSP) Staff who provide direct care services to individuals in the places they live and work. DSPs perform their jobs in licensed homes, day programs, supported or independent living environments, or community work sites.

Direct Support Professional Training (DSPT) Mandatory competency-based two year training program for all direct support staff and administrators who provide direct-care support to adults in licensed community care facilities (CCF). CA WIC ?4695-4695.2

Dual Diagnosis A term used to describe people with a developmental or intellectual disability who also have a mental health diagnosis such as depression, bi-polar, schizophrenia, borderline personality disorder, obsessive compulsive disorder, or anxiety disorder.

Dual Eligible Beneficiaries People who qualify for both Medicare and full Medi-Cal are known as "dual eligibles" or "Medi-Medis."

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