2. MENTAL RETARDATION Border Region MHMR offers an array of services specifically designed to meet the needs of individuals diagnosed with: Mental Retardation, Pervasive Developmental Disorder and/or Related Conditions.Border Region MHMR offers an array of services specifically designed to meet the needs of individuals diagnosed with: Mental Retardation, Pervasive Developmental Disorder and/or Related Conditions.

3. Mental Retardation is a disorder characterized by significantly sub average intellectual functioning, an IQ of approximately 70 or below with onset before age 18 and concurrent deficits or impairments in adaptive functioning.Mental Retardation is a disorder characterized by significantly sub average intellectual functioning, an IQ of approximately 70 or below with onset before age 18 and concurrent deficits or impairments in adaptive functioning.

4. Pervasive Developmental Disorder is characterized by severe and pervasive impairment in several areas of development reciprocal, social interaction skills, communication skills, or the presence of stereotyped behavior, interest and activities.Pervasive Developmental Disorder is characterized by severe and pervasive impairment in several areas of development reciprocal, social interaction skills, communication skills, or the presence of stereotyped behavior, interest and activities.

5. Related Condition is a severe or chronic disability that is attributed to cerebral palsy, epilepsy or any other condition, other than mental illness, found to be closely related to mental retardation because the condition results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with mental retardation, and requires treatment or services similar to those required for persons with mental retardation.

6. Admission and Required Documentation An appointment for an intake needs to be made by calling the MRA Intake Worker at (956) 794-3148 and the following documentation is required at time of the appointment:An appointment for an intake needs to be made by calling the MRA Intake Worker at (956) 794-3148 and the following documentation is required at time of the appointment: Proof of Diagnosis: Diagnosis provided by a credential professional according to the American Association of Mental RetardationProof of Diagnosis: Diagnosis provided by a credential professional according to the American Association of Mental Retardation Proof or Residence: Individual requesting services must legally reside in designated Mental Retardation Authority (MRA) local service area. Border Region local service areas are: Webb County, Starr County, Zapata County and Jim Hogg County.Proof or Residence: Individual requesting services must legally reside in designated Mental Retardation Authority (MRA) local service area. Border Region local service areas are: Webb County, Starr County, Zapata County and Jim Hogg County. Proof of Income: Copy of consumer’s income or parent’s income if minor.Proof of Income: Copy of consumer’s income or parent’s income if minor. Proof of Insurance: Medicaid/Medicare or Private Insurance if availableProof of Insurance: Medicaid/Medicare or Private Insurance if available

7. For more information or assistance please contact Alicia Cavazos, Interim MRA Intake Worker/ Continuity of Care Coordinator at: (956) 794-3148 Email: aliciac@borderregion.org or Magda Pedraza, MR Director (956) 794-3131 (956) 794-3131 Email: magdan@borderregion.org @borderregion.org

8. Border Region MHMR Community Center Mental Retardation Services DADS Services funded through the Performance Contract HCS Home Community Based Services TxHmL Texas Home Living Admissions

9. Services Funded through DADS’s Performance Contract

10. PROGRAMS AND SERVICES Determination of Eligibility for Mental Retardation Services and Supports. This service is an assessment or endorsement of an assessment conducted in accordance with state law and DADS rules to determine if an individual has Mental Retardation or is a member of the DADS Mental Retardation priority population.Determination of Eligibility for Mental Retardation Services and Supports. This service is an assessment or endorsement of an assessment conducted in accordance with state law and DADS rules to determine if an individual has Mental Retardation or is a member of the DADS Mental Retardation priority population. Service Coordination: Service that provides assistance for an individual in accessing medical, social, educational, and other appropriate services and supports that will help the individual achieve a quality of life and community participation acceptable to the individual.Service Coordination: Service that provides assistance for an individual in accessing medical, social, educational, and other appropriate services and supports that will help the individual achieve a quality of life and community participation acceptable to the individual.

11. PROGRAMS AND SERVICES Community Support: Individualized activities that are consistent with the individual’s Person Directed Plan and provided in the individual’s home or at community locations.Activities individually designed that foster improvement or facilitates an individual’s ability to perform functional living skills and other living activities.Community Support: Individualized activities that are consistent with the individual’s Person Directed Plan and provided in the individual’s home or at community locations.Activities individually designed that foster improvement or facilitates an individual’s ability to perform functional living skills and other living activities. Respite: Planned or emergency relief that is provided to the individual’s unpaid caregiver on a short term basis when the caregiver is temporarily unavailable. Provided by trained staff and can occur in the individual’s home or another location.Respite: Planned or emergency relief that is provided to the individual’s unpaid caregiver on a short term basis when the caregiver is temporarily unavailable. Provided by trained staff and can occur in the individual’s home or another location.

12. PROGRAMS AND SERVICES Employment Assistance: Provides assistance to an individual in locating paid, individualized and competitive employment in the community.Employment Assistance: Provides assistance to an individual in locating paid, individualized and competitive employment in the community. Supported Employment: Provides assistance to an individual who has paid individualized, competitive employment in the community to maintain employment.Supported Employment: Provides assistance to an individual who has paid individualized, competitive employment in the community to maintain employment. Vocational Training: Day training service provided to individual in an industrial enclave, work crew, sheltered workshop, or affirmative industry setting to enable them to obtain employment.Vocational Training: Day training service provided to individual in an industrial enclave, work crew, sheltered workshop, or affirmative industry setting to enable them to obtain employment.

13. PROGRAMS AND SERVICES Nursing: Provided to an individual who requires treatment and monitoring of health care procedures prescribed by physician and required by standards of professional practice or state law to be performed by licensed nursing personnel.Nursing: Provided to an individual who requires treatment and monitoring of health care procedures prescribed by physician and required by standards of professional practice or state law to be performed by licensed nursing personnel. Day Habilitation: Assistance provided in a group setting on a regular scheduled basis to acquire, retain, or improve self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life.Day Habilitation: Assistance provided in a group setting on a regular scheduled basis to acquire, retain, or improve self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life.

14. PROGRAMS AND SERVICES Behavioral Support: Behavior Supports by professionals with required credentials. Specialized interventions to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home, family or community life.Behavioral Support: Behavior Supports by professionals with required credentials. Specialized interventions to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home, family or community life. In-Home Family Support (IHFS): Program that disburses assistance to eligible individuals and families to pay services or items that meet a needs that exists solely because of the individual’s mental disability or co-occurring physical disability and which allows the individual to maintain or improve his or her ability to live in the community.In-Home Family Support (IHFS): Program that disburses assistance to eligible individuals and families to pay services or items that meet a needs that exists solely because of the individual’s mental disability or co-occurring physical disability and which allows the individual to maintain or improve his or her ability to live in the community.

15. For more information please contact: Magda Pedraza, MR Director (956) 794-3131 Email: magdan@borderregion.org

16. HOME AND COMMUNITY-BASED PROGRAM (HCS) Home and Community-based Services (HCS) Program is a Medicaid waiver program that provides community- based services and supports to eligible individuals as an alternative to ICF-MR program. Enrollment is limited to the number of individuals in specified target groups and to the geographic areas approved by CMS. The HCS program is operated by DADS under the authority of HHSC.Home and Community-based Services (HCS) Program is a Medicaid waiver program that provides community- based services and supports to eligible individuals as an alternative to ICF-MR program. Enrollment is limited to the number of individuals in specified target groups and to the geographic areas approved by CMS. The HCS program is operated by DADS under the authority of HHSC. Eligibility Criteria: Enrollment of any individual in the HCS program in the local area must be approved by DADS. Eligibility Criteria: Enrollment of any individual in the HCS program in the local area must be approved by DADS.

17. HCS Services Case Management: responsible for the overall coordinating and monitoring of the individual’s Individual Plan of Care (IPC); and the provision of services for individuals enrolled in HCS program.Case Management: responsible for the overall coordinating and monitoring of the individual’s Individual Plan of Care (IPC); and the provision of services for individuals enrolled in HCS program. Nursing care provided by licensed nursing personnel consist of the performance of health care and monitoring an individual’s health condition. Nursing care provided by licensed nursing personnel consist of the performance of health care and monitoring an individual’s health condition. Respite includes room and board when provided in a setting other than the individual’s home.Respite includes room and board when provided in a setting other than the individual’s home.

18. Residential Assistance Supported Home Living: individualize services to promote independence in the home or in the community. HCS Foster/Companion Care: contracted individual or family members to provide skill training for the consumer in their home or in the community.HCS Foster/Companion Care: contracted individual or family members to provide skill training for the consumer in their home or in the community. Supervised Living; residential services provided to an individual who do not require routine supervision or support by direct providers.Supervised Living; residential services provided to an individual who do not require routine supervision or support by direct providers. Residential Support is provided in residences serving three individualsResidential Support is provided in residences serving three individuals

19. HCS Services Day Habilitation: assistance provided to individuals to acquire, retain and/or improve self help, socialization skills and adaptive skill necessary to reside successfully in home and community-based settings.Day Habilitation: assistance provided to individuals to acquire, retain and/or improve self help, socialization skills and adaptive skill necessary to reside successfully in home and community-based settings. Supported Employment activities needed to sustain paid work by individuals with developmental disabilities including supervision and training.Supported Employment activities needed to sustain paid work by individuals with developmental disabilities including supervision and training.

20. HCS Services Adaptive Aids are provided up to a maximum of $10,000 per Individual Plan of Care Year.Adaptive Aids are provided up to a maximum of $10,000 per Individual Plan of Care Year. Minor Home Modifications are provided up to a life-time maximum of $7,500 after which up to $300 per IPC year is provided for maintenance of additional modifications.Minor Home Modifications are provided up to a life-time maximum of $7,500 after which up to $300 per IPC year is provided for maintenance of additional modifications.

21. HCS services available for eligible individuals Counseling and Therapies including:Counseling and Therapies including: Physical therapyPhysical therapy Occupational therapyOccupational therapy Speech and language pathology;Speech and language pathology; Audiology;Audiology; Social work;Social work; PsychologyPsychology Dietary servicesDietary services

22. For more information please contact: Jorge Sepulveda, HCS Supervisor (956) 794-3150 jorges@borderregion.org

23. TEXAS HOME LIVING PROGRAM (TxHmL) The Texas Home Living Program (TxHmL) Program is a Medicaid waiver program that provides community-based services and supports to eligible individuals who live in their own home or in their family home. Enrollment is limited to the number of individuals in specified target groups approved by CMS.The Texas Home Living Program (TxHmL) Program is a Medicaid waiver program that provides community-based services and supports to eligible individuals who live in their own home or in their family home. Enrollment is limited to the number of individuals in specified target groups approved by CMS.

24. TxHmL Authority Function Service Coordination: To assist an individual in accessing medical, social, educational, and other appropriate services and supports that will help the individual achieve a quality of life and community participation acceptable to the individual.Service Coordination: To assist an individual in accessing medical, social, educational, and other appropriate services and supports that will help the individual achieve a quality of life and community participation acceptable to the individual.

25. TxHmL Provider Services Community Support: Individualized activities that are consistent with the individual’s Person Directed Plan and provided in the individual’s home or at community locations. Activities individually designed that foster improvement or facilitates an individual’s ability to perform functional living skills and other living activities.Community Support: Individualized activities that are consistent with the individual’s Person Directed Plan and provided in the individual’s home or at community locations. Activities individually designed that foster improvement or facilitates an individual’s ability to perform functional living skills and other living activities.

26. TxHmL Provider Services Respite: Planned or emergency relief that is provided to the individual’s unpaid caregiver on a short term basis when the caregiver is temporarily unavailable. Provided by trained staff in the individual’s home or another locationRespite: Planned or emergency relief that is provided to the individual’s unpaid caregiver on a short term basis when the caregiver is temporarily unavailable. Provided by trained staff in the individual’s home or another location Nursing: Provided to an individual who requires treatment and monitoring of health care procedures prescribed by physician and required by standards of professional practice or state law to be performed by Licensed Nursing personnel.Nursing: Provided to an individual who requires treatment and monitoring of health care procedures prescribed by physician and required by standards of professional practice or state law to be performed by Licensed Nursing personnel.

27. TxHmL Provider Services Employment Assistance: Provides assistance to an individual in locating paid, individualized, competitive employment in the community.Employment Assistance: Provides assistance to an individual in locating paid, individualized, competitive employment in the community. Supported Employment: Provides assistance to an individual who has paid individualized, competitive employment in the community to maintain that employment.Supported Employment: Provides assistance to an individual who has paid individualized, competitive employment in the community to maintain that employment.

28. TxHmL Provider Services Behavioral Support: Specialized interventions to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home, family or community life.Behavioral Support: Specialized interventions to assist an individual to increase adaptive behaviors and to replace or modify maladaptive behavior that prevent or interfere with the individual’s inclusion in home, family or community life. Day Habilitation: Assistance provided in a group setting on a regular scheduled basis to acquire, retain, or improve self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community lifeDay Habilitation: Assistance provided in a group setting on a regular scheduled basis to acquire, retain, or improve self help, socialization, and adaptive skills necessary to live successfully in the community and to participate in home and community life

29. TxHmL Provider Services Adaptive Aids are provided up to a maximum of $6,000 per Individual Plan of Care Year.Adaptive Aids are provided up to a maximum of $6,000 per Individual Plan of Care Year. Minor Home Modifications are provided up to a life-time maximum of $7,500 after which up to $300 per IPC year is provided for maintenance of additional modifications.Minor Home Modifications are provided up to a life-time maximum of $7,500 after which up to $300 per IPC year is provided for maintenance of additional modifications.

30. TxHmL Services Therapies Physical therapyPhysical therapy Occupational therapyOccupational therapy Speech and language pathology;Speech and language pathology; Audiology;Audiology; Social work;Social work; Dietary servicesDietary services

31. Alicia Cavazos, TxHmL Service Coordinator (956) 794-3148 aliciac@borderregion.org Magda Pedraza, MR Director (956) 794-3131 magdan@borderregion.org