The purpose of this Administrative Directive Memorandum (ADM) is to update existing requirements for Community Habilitation-Residential (CH-R) services delivered in an individual’s certified residence so that service delivery responds to the unique needs of the elderly, medically frail, and individuals with complex behavioral needs who are enrolled in the HCBS Waiver, and when transportation and participation in Community Habilitation programming outside of the residence would be contrary to the needs of the individual. In this ADM, the term ‘residence’ refers to Individualized Residential Alternatives (IRAs), Community Residences (CRs), and Family Care Homes. This ADM supersedes the prior memorandum, “Responding to the Day Service Needs of the Medically Frail and Elderly Individuals Enrolled in the HCBS Waiver,” dated December 30, 2010.
