In-Home and Community Supports

Get the help you need at home and in your community.

In-Home and Community Support is a service offered to individuals aged 0-120 years, delivered in home and community environments. The service is designed to help participants develop, maintain, and enhance the skills needed for independent living and active participation in their community.
When provided in community settings, the service ensures inclusivity, avoiding segregated environments. The support includes physical assistance, instruction, prompting, modeling, and positive reinforcement, covering areas such as self-care, health maintenance, decision-making, home management, personal finances, communication, mobility, transportation, building relationships, social interaction, personal growth, community engagement, and the use of local resources.

The level and kind of support, guidance, and assistance provided are determined by the individual’s assessed needs for physical, psychological, and emotional support, as identified through the assessment and person-centered planning processes. This assistance is tailored to promote the participant’s independence, align with their personal preferences, and help them achieve their intended goals. The In-Home and Community Support provider must provide the level of services necessary to enable the participant to meet their outcomes.

This includes ensuring the following assistance, support, and guidance (prompting, instruction, modeling, positive reinforcement) will be provided to the participant as needed to enable them to:

• Assist with daily tasks such as personal hygiene, grooming, dressing, meal preparation, and maintaining a tidy living space.
• Learn and adopt habits that support overall health and wellness, including planning nutritious meals, engaging in regular physical activity, following prescribed therapies, and avoiding potential risks like environmental hazards, exploitation, or abuse. Respond to emergencies, such as fires or injuries, and know when and how to seek help.
• Oversee medical care by scheduling and attending doctor appointments, refilling prescriptions, managing medication routines, and maintaining health records. This may also include help with medication administration, positioning the individual, taking vital signs, performing range-of-motion exercises, applying prescribed treatments, and monitoring for seizure activity as instructed by healthcare professionals.
• Manage emotional well-being and mental health by effectively handling emotions like frustration, anxiety, and anger, applying trauma-informed care, and seeking mental health support when needed. This also includes implementing components of behavior support, crisis intervention, and skill-building plans, including data collection to track progress and determine if plan adjustments are needed.
• Be actively involved in creating and executing the service plan, guiding the person-centered planning process, and identifying key participants and desired outcomes.
• Manage household responsibilities, such as finding a home, setting up utilities, paying bills, maintaining the home, and ensuring a safe living environment.
• Achieve financial independence by managing personal finances, handling banking, balancing accounts, keeping records, saving money, and utilizing programs like ABLE accounts.