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

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

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.

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) 204-3851 As currently written above, the Eligibility Qualifications can be misinterpreted to mean that someone must be both physically disabled AND have another impairment.

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 www.massmatch.org www.getatstuff.com www.dmerequipment.org 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) 204-3851 or local provider

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 617-727-5944

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) 204-3851 One of the 21 Access sites in MA. or Easter Seals Massachusetts: 800-244-2756

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) 204-3852 (voice); (800) 223-2559 (toll free); (617) 204-3817 (TDD) Email: shipu@mrc.state.ma.us

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

Home Care Assistance Program Description Provides homemaker services to individuals with disabilities, age 18-59 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: 1-800-223-2559/617-204-3853

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) 204-3854

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 School @ 855-499-5109 Is it 300 persons total, annually, or cumulatively? Not clear. Up and running, so the “will offer” should be changed.

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)

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

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 855-499-5109 for information.

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

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

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

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

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.

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.

Programs and Services for Adults with Disabilities Other Agency Programs

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.

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

Mental Health Resources: Internet Links DMH Internet Page http://www.mass.gov/eohhs/gov/departments/dmh/ DMH Resource Guide http://www.mass.gov/eohhs/provider/guidelines-resources/clinical-treatment/mental-health/dmh-resource-guides.html List of RLC’s http://www.mass.gov/eohhs/gov/departments/dmh/recovery-learning-communities.html

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 800-327-5050 or www.helpline-online.com 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.

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) 740-1600 (voice) and (617) 740-1700 (TTY) Same comment as above. Why not list MCD&HH?

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 800-392-6450 (voice) and 800-392-6556 (TTY) Give more contact information. Include phone number and website.

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: 1-800-344-4867

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. (www.mass.gov/veterans/veteransagents)

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 – 617 -727-5608 or www.mass.gov/dds