ICS is a 245D-licensed service that helps fill identified service gaps for adults on the Brain Injury (BI), Community Alternative Care (CAC), Community Access for Disability Inclusion (CADI) and Developmental Disabilities (DD) waivers. ICS supports people who choose to live and receive services in a supported apartment setting. An ICS setting is a multi-family housing building (e.g., apartment building) in which the provider has direct or indirect control over the person’s living unit.
ICS provides supports and training in four community living service categories:
- Community participation
- Health, safety and wellness
- Household management
- Adaptive skills.
All service delivery hours are awake and must provide training or support in at least one of the community living service categories.
Community participation
This category may include:
- Community mobility and pedestrian safety (e.g., safely getting in and around the community)
- Community resource use and access
- Community safety and awareness
- Informal support system and network development
- Interpersonal communications skills
- Leisure, recreation and socialization planning
- Skill-building to meet transportation needs.
Health, safety and wellness
This category may include:
- Collaboration with the person to arrange health care (e.g., physical, mental, chemical), meaningful activities, social services, meetings and appointments
- Cueing, guidance, supervision, training or instructional support to complete self-care activities
(Note: Cannot duplicate use of eligible Medical Assistance state plan home care services) - Health services support.
- Help for the person to activate and build resiliency factors
- Support for the person to design and meet individualized strategies to reach their health, safety and wellness goals.
Household management
This category may include:
1. Cueing, guidance, supervision, training or instructional support to complete routine household care and maintenance
2. Household safety knowledge and skills
3. Tenancy support and advocacy
4. Training, assistance, support and/or guidance with:
- Budgeting and assistance to manage money
- Cooking, meal-planning and nutrition
- Healthy lifestyle skills and practices
- Household chores, including minor household maintenance activities
(Note: The person is responsible for the cost of the maintenance replacement items or products) - Personal-needs purchasing.
Adaptive skills
This category may include:
- Crisis prevention skills
- Implementation of positive support strategies
- Problem-solving
- Sensory/motor development involved in acquiring functional skills
- Support strategies for self-sufficiency
- Support and training to increase positive behavior, resulting in reduction or elimination of challenging behavior.