ADM #2015-01 Service Documentation for Community Habilitation Services Provided to Individuals Residing in Certified and Non-Certified Locations

This Administrative Memorandum issued by the Office for People With Developmental Disabilities (OPWDD) describes the Community Habilitation (CH) service documentation requirements that support a provider’s claim for reimbursement. These requirements apply to CH services delivered to individuals who are enrolled in the Home and Community Based Services (HCBS) waiver or to non-waiver enrolled individuals. Beginning October 1, 2014, eligibility for CH services is expanded to include not only individuals residing outside of OPWDD certified settings, but also individuals who live in an OPWDD-certified Individualized Residential Alternative (IRA), Community Residence (CR) or Family Care Home (FCH). This expansion of eligibility will allow individuals residing in OPWDD-certified settings to utilize CH services in lieu of part or all of their day services. Requirements set forth in this Administrative Memorandum supersede Administrative Memorandum #2010-05 and fiscal audit service documentation requirements addressed in The Key to Individualized Services, The Home and Community Based Services Waiver (OMRDD, 1997). Quality service standards in The Key remain the same.