1. Programs and Services for Adults with Disabilities
Massachusetts Rehabilitation Commission
May 2014

2. Independent Living Centers
Description
Agencies run by and for persons with disabilities, providing individual and community services to people of all ages regardless of the type of disability.
Population Served
All ages
Eligibility Qualifications/Rules
Must have a severe disability
Contact
Independent Living Center

3. Independent Living Services
Individual
Peer Counseling
Skills Training
Advocacy
Information & Referral
Emergency Intervention
Service Coordination
Community services
Community Education
Outreach
Community Advocacy
Collaboration
Technical Assistance
Are you referring to services provided by MRC, or by ILCs? This is not clear.
Need to add Transition Assistance or whatever the proper term is.
Also, the ILCs arrange a number of the listed services, but do not provide them directly. This isn’t clear.

4. Supported Living Program
Description
Supports adults with severe physical disabilities, age 18+ to live in the community or move into the community from nursing homes and other institutions. Provides a Case Manager to assist with PCA program management, financial management, personal health care management, adaptive equipment, housing, transportation and more.
Population Served
Adults
Eligibility
Severe physical disability accompanied by a sensory, cognitive or interpersonal functional limitation. Ineligible for a similar state funded service. Have the ability to tolerate the emotional stresses of community living, with reasonable supports, and have the cognitive ability to direct their case coordinators.
Contact
MRC: (617)
As currently written above, the Eligibility Qualifications can be misinterpreted to mean that someone must be both physically disabled AND have another impairment.

5. Assistive Technology - IL
Description
Provides low and high tech solutions to increase independence in major life functions such as seeing, hearing, manual dexterity, mobility, communicating, learning, working or self-care
Provisions of and training in use of AT
Population Served
All Ages
Eligibility Qualifications/Rules
Individual with a severe physical or mental impairment whose ability to function independently is substantially limited, and for whom services and training will improve the ability to function, continue functioning or move towards functioning independently.
Contact
MRC: (617) or local provider

6. Home Modification Loan Program
Description
Serves people with disabilities who need access modifications to their primary residence - such as ramps, bath or kitchen adaptations. Homeowners or landlords may borrow up to $30,000. Loans are made at 0% or 3% interest, and may be deferred or amortizing.
Population Served
All Ages
Eligibility Qualifications/Rules
Homeowner who has a disability, has a household member with a disability, or rents to an individual with a disability. The modification must relate to the functional limitations of a disability. Income less than 200% of median income. The unit requiring modifications must be the principal residence of the individual with the disability
Contact
Susan Gillam at

7. Assistive Technology Loan Program
Description
Provides reduced-rate loans to individuals with disabilities or their families to purchase assistive technology and services to be more independent. Minimum loan amount is $500.
Population Served
All Ages
Eligibility Qualifications/Rules
Serves individuals of all ages with all types of disabilities who have resided in the Commonwealth six months or more and meet bank partner’s (Sovereign Bank) credit standards.
Contact
MRC: (617)
One of the 21 Access sites in MA.
or Easter Seals Massachusetts:

8. Statewide Head Injury Program- SHIP
Description
Supports individuals with traumatic brain injury and their families to access services in the community that maintain or enhance independence in the home, community or at work.
Population Served
All ages
Eligibility Qualifications/Rules
Documented externally caused Traumatic Brain Injury with resulting impairments in behavioral, cognitive and/or physical functioning. Able to participate in community-based services.
Contact
MRC/SHIP: (617) (voice); (800) (toll free); (617) (TDD)

9. SHIP Services Service Coordination Information and referral Advocacy
Regional Head Injury Centers
Case Management
Companion Services
Individual skills training and support
Residential and Supported Living Services
Specialized Substance Abuse Treatment
Outreach to veterans with brain injury
Family Support Services
Clinical Services
Assistive Technology
Respite Services
Survivor and Family Educational Programs
Outreach to homeless people with brain injury
Consultation and Technical Assistance to Public and Private Agencies and Schools
Specialized Evaluations
Social and recreation programs

10. Home Care Assistance Program
Description
Provides homemaker services to individuals with disabilities, age years. (Grocery shopping, meal preparation, light housecleaning, laundry). Individual can hire person, or use provider agency
Population Served
Disabled adults under age 60
Eligibility Qualifications/Rules
Disability/functional limitations, at risk of hospitalization, living situation such that no others in household are capable of performing tasks, financial eligibility, not legally blind
Contact
MRC: /

11. Community-Based Employment Services and Project Impact
Description
Assists individuals with severe disabilities to identify, obtain, and maintain long term competitive employment in integrated settings and Benefits Counseling for individuals interested in going to work.
Population Served
All Ages
Eligibility Qualifications/Rules
MRC Vocational Rehabilitation clients
Contact
MRC (617)

12. Money Follows the Person Demonstration and Waivers
Description
Community-based services to help persons with a wide range of disabilities to transition into the community from nursing homes, rehab hospitals and other institutions. This program is jointly managed by MRC, MassHealth and DDS.
Population Served
Elders 65 +
Adults with disabilities age 18 – 64
Eligibility Qualifications/Rules
Residing in an inpatient facility for 90 or more consecutive days (excluding Medicare-funded rehab days)
Resident of Massachusetts
Eligible for Medicaid + at least 1 Medicaid-paid inpatient day
Consented to the program
Transitioning to an eligible residence
Contact
UMass Medical
Is it 300 persons total, annually, or cumulatively? Not clear.
Up and running, so the “will offer” should be changed.

13. Money Follows the Person Populations Served
Elders 65 +
Adults with disabilities age 18 – 64
People with intellectual and developmental disabilities
People with physical disabilities including acquired brain injury
People with mental illness (cannot be sole disorder or disabling condition)

14. Money Follows the Person: Qualification Criteria
Residing in an inpatient facility for 90 or more consecutive days (excluding Medicare-funded rehab days)
Nursing facility
Chronic or rehabilitation hospitals
State psychiatric hospitals (for specific age group)
ICF/MR
Resident of Massachusetts
Eligible for Medicaid + at least 1 Medicaid-paid inpatient day
Consented to the program
Transitioning to an eligible residence
Home / apartment owned or leased
Community-based residential setting
Chronic Hospitals such Tewksbury and Rehabilitation Hospitals where people haven’t been able to be discharged and the MA Hospital School. ICF MRs are what are commonly called “institutions” like Fernald State School

15. MFP: Applications
The MFP waivers are separate from enrollment in the MFP Demonstration (done by the Transition Entity). To apply for a waiver, submit an application to U. Mass. Call for information.

16. Home and Community-Based Waiver Services (Adult Waivers)
ABI –Residential Habilitation Waiver (DDS)
ABI –Non-Residential
Waiver (MRC)
MFP Residential
Supports
Waiver (DDS)
MFP Community Living Waiver (MRC)
DDS Community Living Waiver
DDS Intensive Supports Waiver
DDS Adult Supports Waiver
Frail Elder Waiver (EOEA)
Traumatic Brain Injury Waiver (MRC)
Adult Companion X
Alzheimer’s/ Dementia Coaching
Assisted Living Services
Behavioral Supports and Consultation
Chore Service
Day Habilitation Supplement
Day Services X1 X2
Family Training
Grocery Shopping and Home Delivery
1 DDS waivers provide Center Based Day Supports and Community Based Day Supports
2 Supportive Day Program for Frail Elder Waiver

17. Home and Community-Based Waiver Services (Adult Waivers)
ABI –Residential Habilitation Waiver (DDS)
ABI –Non-Residential
Waiver (MRC)
MFP Residential
Supports
Waiver (DDS)
MFP Community Living Waiver (MRC)
DDS Community Living Waiver
DDS Intensive Supports Waiver
DDS Adult Supports Waiver
Frail Elder Waiver (EOEA)
Traumatic Brain Injury Waiver (MRC)
Home/
Environmental Accessibility Adaptations X X3
Home Delivery of Pre-Packaged Medication
Home Health Aide
Homemaker
Home-Delivered Meals
Independent Living Supports
Individual Goods & Services
Individual Support &Community Habilitation
Individualized Day Supports
3 Available only in Shared Living

18. Home and Community-Based Waiver Services (Adult Waivers)
ABI –Residential Habilitation Waiver (DDS)
ABI –Non-Residential
Waiver (MRC)
MFP Residential
Supports
Waiver (DDS)
MFP Community Living Waiver (MRC)
DDS Community Living Waiver
DDS Intensive Supports Waiver
DDS Adult Supports Waiver
Frail Elder Waiver (EOEA)
Traumatic Brain Injury Waiver (MRC)
Individualized Home Supports X
Laundry
Live-In Caregiver
Occupational Therapy
Peer Counseling/
Peer Support
Personal Care
Physical Therapy
Pre-vocational Services
Residential Habilitation

19. Home and Community-Based Waiver Services (Adult Waivers)
ABI Residential Habilitation Waiver (DDS)
ABI Non-Residential
Waiver (MRC)
MFP Residential
Supports
Waiver (DDS)
MFP Community Living Waiver (MRC)
DDS Community Living Waiver
DDS Intensive Supports Waiver
DDS Adult Supports Waiver
Frail Elder Waiver (EOEA)
Traumatic Brain Injury Waiver (MRC)
Respite X
Shared Home Supports
Shared Living 24 Hour Supports
Skilled Nursing
Specialized Medical Equipment X4
Speech Therapy
Stabilization
Supported Employment X5
Supported Home Care Aide
4 This service in Frail Elder Waiver is defined as Home Based Wandering Response System and Medication Dispensing System
5 DDS Waivers provide both Group Supported Employment and Individual Supported Employment Services

20. Home and Community-Based Waiver Services (Adult Waivers)
ABI –Residential Habilitation Waiver (DDS)
ABI –Non-Residential
Waiver (MRC)
MFP Residential
Supports
Waiver (DDS)
MFP Community Living Waiver (MRC)
DDS Community Living Waiver
DDS Intensive Supports Waiver
DDS Adult Supports Waiver
Frail Elder Waiver (EOEA)
Traumatic Brain Injury Waiver (MRC)
Transitional Assistance Services 6 X X7 X8
Transportation
24- Hour Self Directed Home Sharing Support
Vehicle Modification
6 Transitional Assistance Services are non-recurring personal household set-up expenses that do not constitute room and board and may include: security deposits, set-up fees and deposits for utilities, essential furnishings, pest eradication, one-time cleaning, moving expenses, environmental adaptation, adaptive equipment, assistive technology, activities to assess need, arrange for and procure needed resources.
7 Transitional Assistance Services are provided to MFP Waiver Participants through the MFP Demonstration grant.
8 Transitional Assistance Services are provided to MFP Waiver Participants through the MFP Demonstration grant.

21. MFP: Demonstration
To receive transition services under the Demonstration, a Transition Entity determines eligibility and enrolls consumers. The Demonstration assists consumers to leave institutions and follows them for the first 365 days that they are in the community. Most ILC’s and ASAP’s are Transition Entities.

22. Programs and Services for Adults with Disabilities
Other Agency Programs

23. Department of Mental Health Services: Brief Descriptions
Inpatient/Continuing Care System
DMH-operated psychiatric inpatient facilities: two psychiatric hospitals; psychiatric units in two public health hospitals; five community mental health centers that promote treatment, rehabilitation, recovery.
Community Based Flexible Supports (CBFS)
The DMH community service system: Rehabilitation, support, and supervision with the goal of stable housing, participation in the community, self management, self determination, empowerment, wellness, improved physical health, and independent employment.
Respite Services
Respite Services provide temporary short-term, community-based clinical and rehabilitative services that enable a person to live in the community as fully and independently as possible.
Program of Assertive Community Treatment (PACT)
A multidisciplinary team approach providing acute and long term support, community based psychiatric treatment, assertive outreach, and rehabilitation services to persons served.
Clubhouses
Clubhouse Services provide skill development and employment services that help individuals to develop skills in social networking, independent living, budgeting, accessing transportation, self-care, maintaining educational goals, and securing and retaining employment.
Recovery Learning Communities (RLCs)
Consumer-operated networks of self help/peer support, information and referral, advocacy and training activities.
DMH Case Management
State-operated service that provides assessment of needs, service planning development and monitoring, service referral and care coordination, and family/caregiver support.
Emergency Services (ESP)
Mobile behavioral health crisis assessment, intervention, stabilization services, 24/7, 365 days per year. Services are either provided at an ESP physical site or in the community.
Homelessness Services
Comprehensive screening, engagement, stabilization, needs assessment, and referral services for adults living in shelters.
Child/Adolescent Services
Services include case management, individual and family flexible support, residential, day programs, respite care and intensive residential treatment.
Forensic Services
Provides court-based forensic mental health assessments and consultations for individuals facing criminal or delinquency charges and civil commitment proceedings; individual statutory and non-statutory evaluations; mental health liaisons to adult and juvenile justice court personnel.

24. Mental Health and Substance Abuse Treatment
Covered by MassHealth through individual’s Managed Care Organization OR through Mass. Behavioral Health Partnership for those on PCC Plan

25. Mental Health Resources: Internet Links
DMH Internet Page
DMH Resource Guide
List of RLC’s

26. Massachusetts Substance Abuse Information and Education Helpline
Description
Provides free and confidential information and referrals for alcohol and other drug abuse problems and related concerns. Links consumers with information about treatment and prevention services. Services are available 24 hours a day, 7 days a week. Language interpreters are always available
Population Served
All Ages
Eligibility Qualifications/Rules
Contact or
Which agency provides this service? Is it DPH BSAS?
This section is generally confusing in that it goes from non-MRC state agency services, to more generic services.

27. Services for Deaf and Hard of Hearing
Description
Technical Assistance, Case Management, DHILS, Interpreters, Assistive Technology
Population Served
All ages
Eligibility Qualifications/Rules
Deaf and Hard of Hearing who: require assistance from more than one agency and need help coordinating, having difficulty accessing state services, particularly due to communication issues, want to live more independently, have legal issues, are in crisis, or are in hospitals, jails or homeless.
Contact
Massachusetts Commission for the Deaf and Hard of Hearing (617) (voice) and (617) (TTY)
Same comment as above. Why not list MCD&HH?

28. Services for Legally Blind
Description
Vocational Rehabilitation; Homemaking services to individuals under 60 with multiple disabilities; Independent living social services; Rehabilitation teaching; Orientation and mobility training, Assistive technology
Population Served
All Ages
Eligibility Qualifications/Rules
Determined Legally Blind by Eye Care Provider and reported to MCB
Contact
Massachusetts Commission for the Blind
(voice) and (TTY)
Give more contact information. Include phone number and website.

29. MS Homelinks Program Description
Short term care management that provides information and referral, hands on assistance with applications, and financial assistance with some services. The goal is to help stabilize individual with MS and their families during difficult times/crises
Population Served
All Ages
Eligibility Qualifications/Rules
People with MS
Contact
MS Society:

30. Veteran’s Services Description
Massachusetts Department of Veterans' Services website provides information on state and federal benefits, including details about where and how to apply as well as resources for veterans and their families
Population Served
All Ages
Eligibility Qualifications/Rules
Veteran
Contact
Each city and town has a Veteran’s Agent. (

31. DD - Specialized Services
Description
An array of services and supports for eligible adults, including day, residential, individual support, transportation, and services for children with autism.
Population Served
All ages
Eligibility Qualifications/Rules
Have an intellectual disability as defined in DDS regulations
Contact
DDS – or