The nation's Medicaid Waiver Program was developed to provide the in-home and in-community support needed by persons who are at risk of institutionalization. Bost's Waiver Program currently serves over 400 individuals with disabilities in 34 counties in Western Arkansas.
The Waiver is an alternative to institutionalization. An individual in the ACS Waiver lives as independently as possible in the community (the least restrictive setting) with Waiver services and other supports-instead of living in an institution (a restrictive setting).
Statewide, approximately 3850 persons were receiving ACS Medicaid Waiver Services as of May 2009. Bost is one of the largest providers of ACS Medicaid Waiver services in Arkansas. Applications are made through the Arkansas Department of Human Services. www.arkansas.gov Unfortunately, State funding for this program is limited which has resulted in a waiting list for the program.
Provides direct care staff to work in the individuals home and community on goals and objectives desired by the individual that were identified in the MAPS (Multi-Agency Plan of Service). Supported Living helps individuals to develop and keep and/or improved the self-help, socialization and adaptive skills necessary to live successfully in their home and community, with their family or in an alternate living residence or setting.
Provide services where individuals work towards goals that reflect their interests. They are used to help improve community acceptance, employment opportunities and general well-being.
Enables individuals to gain access to Waiver and other community services, activities and resources activities and resources planned for must be identified and specified in the plan of care.
A system of ongoing monitoring of the provision of services included in the waiver participant's multi-agency plan of care. Case managers initiate and oversee the process of assessment of the individual's level of care and the review of plan of care at specified reassessment intervals.
Assists individuals, parents and/or guardians and/or responsible individuals, community living services providers and alternative living setting providers in carrying out an individual's service plan.
Allows waiver providers to sub-contract any service for which they are DDS enrolled. A written contract is required. It is the responsibility of the provider to line up sub-contractors, bids and bill for the service. These services must be prior-approved by DDS.
Provides for the purchase, leasing and repair of adaptive, therapeutic and augmentative equipment. This equipment must be required for the individual to increase, maintain or improve their ability to perform daily life tasks.
Adaptations to the individual's place of residence (structure). They must be to ensure the health, welfare and safety of the individual or enable the individual to function with greater independence.
Items necessary for life support and the supplies and equipment necessary for the proper functioning of such items. Non-durable medical equipment not available under the Medicaid State Plan may also be provided.
Assist an individual to live in the community and participate in leisure, recreational, social and educational activities that make a positive difference their life.
Personal care includes hands-on assistance with bathing, bladder and bowel requirements, dressing, eating, incidental housekeeping, laundry, personal hygiene, shopping for personal maintenance items, medication, and mobility/ambulation.
Non-recurring set-up expenses for individuals who are transitioning from an institutional or another provider- perated living arrangement to a living arrangement in a private residence where the person is directly responsible for his or her own living expense.
One of the most important features of the Medicaid Waiver Program is the Personal Plan of Care. This Plan of Care lists what services are needed by each individual. This completely customized plan is developed and reviewed annually with the individual served, their parent/guardian, and the case manager/coordinator.
Fort Smith Waiver Administration is located in the Elvin and Sally Frick Bost Community Center at 5812 Remington Circle. This facility, opened in October 2005, provides a home for case management and coordination for direct care staff as well as a training facility. The facility was expanded in August 2008, to more fully served individuals who choose Bost.
We have Waiver offices in Fort Smith, Rogers, Harrison, Booneville, and Russellville.
Melisa Beaty, Fort Smith Waiver Director, Ph: 479-478-5598, firstname.lastname@example.org
Mitzi Slavens, NWA Waiver Director , Ph: 479.202.5179, email@example.com
Jennifer Paterak, SC Waiver Director, Ph: 479-967-3335, firstname.lastname@example.org