Rule 37.34.712 - ADULT SERVICES: SUPPORTED LIVING SERVICES REQUIREMENTS(1) Supported living services must be provided in accordance with the performance requirements in this rule.(2) A contractor providing supported living services must comply with the performance requirements in this rule. All performance requirements are to be met as provided in department rules and the contract with the department.(3) A service placement designated as an independent living or transitional living placement as of June 30, 1995 or designated after June 30, 1995 as a supported living placement but specified by contract to be a not fully converted placement, is subject only to the requirements in (4) through (7).(4) Supported living services identify, provide, and coordinate necessary supports to maintain individuals in communities of their choice and create opportunities to have valued residential, vocational, and social opportunities. Supported living services make living arrangements available to individuals who are at least 18 years old and reside in neighborhood housing. The level and intensity of supervision, care, support, training, guidance and coordination of services and resources is based on individual needs, as determined by the IP team.(5) Service options and funding sources may have specific requirements which must be met.(6) In the provision of supported living services, the contractor must provide: (a) identification of service needs including necessary resources and supports;(b) identification, development, and access to existing resources and support networks;(c) necessary current and future planning; and(d) facilitation of personal choice, opportunities, and supports.(7) In the provision of supported living services, the contractor must: (a) provide supervision, support, care, training and guidance according to the needs of the individual as specified by the IP team;(b) provide frequency of personal contact by staff with the individual as specified by the IP team;(c) provide or encourage participation in a variety of integrated community activities;(d) discuss and plan with the IP team, as appropriate for each individual, health and safety issues based on information gathered prior to the IP meeting including a risk assessment;(e) recommend to the IP team a plan for each individual that will identify an emergency backup support and crisis response system to deal with problems or issues arising when support services are interrupted or delayed, or individual's needs change; and(f) maintain the services for all supported living opportunities as described in the contract.(8) Individuals and their representatives must have the opportunity to participate in the hiring of direct care staff assigned to work with them.(9) There must be an individualized cost plan for each individual that includes a plan of care inclusive of supports which denote all support costs, administrative and support coordination costs.(10) There must be portability of all or a portion of supported living funds to another qualified supported living provider as specified in the contract.(11) There must be a consumer evaluation of supported living services conducted at least annually with a summary maintained.(12) Supported living coordination must: (a) teach the individual and caregivers to independently locate and establish contact with agencies who can assist them in securing the services they require. This allows them to become less reliant on the service system, generally, and supported living coordination, specifically;(b) provide in-service training to those people providing habilitation, personal care, or other services to the recipient;(c) manage personal and plan funding to ensure that personal and service needs are being met and that funds are efficiently utilized and accurately reported;(d) provide for adequate supervision of the individual during the day, evening, and weekend;(e) hire and supervise qualified staff to provide supported living services with input from the individual and caregivers;(f) subcontract for services required by the plan of care;(g) conduct periodic assessments of risk in order to ensure that the supported living arrangement is appropriate and safe given the individual's unique abilities and needs;(h) conduct individual assessments specifically related to the supported living service. These assessments will not duplicate assessments completed by developmental disabilities case managers in scope or type of data collected;(i) contract for suitable high quality housing, when necessary; and(j) require documentation of the services provided and for approving payments to direct service providers.Mont. Admin. r. 37.34.712
NEW, 1995 MAR p. 1136, Eff. 6/30/95; TRANS, from SRS, 1998 MAR p. 3124.Sec. 53-20-204, MCA; IMP, Sec. 53-20-205, MCA;