Chapter 3: Service Delivery

Revision 19-0; Effective March 1, 2019

 

Required and optional services must be addressed in the grant work plan goals, objectives and activities.

 

3.1 Required Services

A CIL must provide the following independent living core services:

 

3.2 Optional Services

A CIL must provide a combination of any two or more of the following IL services:

 

3.3 Services to Individuals with Significant Disabilities

A CIL must document that it serves people with a wide range of significant disabilities, including people who are unserved or underserved, such as people with significant disabilities who:

 

3.4 Outreach for Special Populations

A CIL must conduct aggressive outreach regarding services provided through the center in an effort to reach populations of individuals with significant disabilities that are unserved or underserved, especially minority groups and urban and rural populations.

 

3.5 Consumer Eligibility

An appropriate CIL staff member must sign and date an eligibility statement certifying that the consumer is determined eligible for IL services. This decision must be:

 

3.5.1 Consumer Ineligibility

If an applicant for IL services is determined ineligible for IL services, the CIL must provide the applicant with documentation of the ineligibility determination, which must be dated and signed by an appropriate CIL staff member.

 

3.5.2 Review of Ineligibility Decision

If an applicant for IL services has been found ineligible, the CIL must review the applicant's ineligibility at least once:

The review need not be conducted if the:

 

3.6 Termination of Services

If the CIL intends to terminate services to a consumer with a Consumer Service Record (CSR), the CIL must notify the consumer, provide information on the Client Assistance Program (CAP) and, if appropriate, refer the consumer to other agencies and facilities.

 

3.7 Independent Living Plan or Waiver

A CIL must provide the consumer with the choice of:

If the consumer chooses to develop an ILP, the CIL staff member and the consumer must develop a mutually agreed-upon ILP. The ILP must be signed by the consumer, or his or her representative, and the appropriate staff member.

If the consumer chooses to sign a waiver form, waiving his or her right to participate in plan development, CIL staff must develop the plan of services.

The plan must include:

Services entered on the ILP or waived plan must:

CIL staff must review the consumer plan or waived plan as often as necessary, but at least annually, to determine whether services should be continued, modified or discontinued.

 

3.8 Consumer Service Record

A Consumer Service Record (CSR) must be maintained for each applicant for IL services and each recipient of IL services (other than information and referral). The CSR must contain:

A CSR may be maintained electronically or in printed form. However, the IL plan or waiver must bear signatures of the consumer, or the consumer's representative, and the CIL staff member.

 

3.9 Independent Living Goals

A CIL must ensure that it facilitates development and achievement of suitable IL goals. IL goals relate directly to addressing the consumer's functional needs and what the consumer wants to achieve to access his or her home, family and/or community.

IL goals address significant life achievements that:

A consumer may have more than one goal listed on the Independent Living Plan or waived plan.

Goals may be related to:

 

3.10 Examples of Goals and Outcomes

Goals Outcomes
Communication

Improve the consumer's ability to:

  • understand and acknowledge communication by others through gestures or verbal response (receptive); or
  • produce verbal language, sign language or other nonverbal communication (for example, gestures and facial expressions).
Community-based living

Change the consumer's living situation to enable the consumer to remain in his or her home or apartment or get around better. Examples include:

  • obtaining accessible housing;
  • modifying a home or apartment;
  • attaining self-directed assisted living; and
  • attaining self-directed living with family or friends.
Community and social participation

Help the consumer participate in such community activities as:

  • worship services;
  • recreation activities;
  • community affairs; and
  • government functions.
Education needed for independent living

Achieve non-degreed and non-vocational training goals that are expected to improve the consumer's knowledge or skills in order to expand his or her independence. Examples include:

  • literacy training; and
  • training to do his or her own income taxes.
Information access and technology

Help the consumer obtain or use information necessary for independence and community integration. This may include:

  • using a computer or assistive technology, devices or equipment; and
  • developing information technology skills, such as using computer screen-reading software.
Mobility and transportation

Improve the consumer's access to his or her environment or community by:

  • improving the consumer's ability to move or transport himself or herself;
  • allowing the consumer to be moved or transported by another person; or
  • training the consumer to use public transportation.
Personal resource management

Help the consumer learn such skills as:

  • establishing and maintaining a personal or family budget;
  • managing a checkbook; and
  • obtaining information about resources for income, housing, food, medical or other benefits.
Relocation from a nursing home or other institution Achieve goals related to relocating from a nursing home or other institution to community-based living.
Self-advocacy and self-empowerment

Help the consumer:

  • represent and advocate for himself or herself with public and/or private entities;
  • make key decisions involving himself or herself; or
  • organize and manage his or her own activities to achieve desired objectives.
Self-care

Help the consumer function more independently by:

  • improving or maintaining the consumer's autonomy in activities of daily living such as:
    • personal hygiene;
    • meal preparation;
    • shopping;
    • nutrition;
    • money management; and
    • technology access; and/or
  • decreasing the amount of help and/or supervision the consumer needs to perform daily activities.
Other goals leading to independent living Achieve other goals, including obtaining, maintaining or retaining employment that are not already included in this section, but are necessary for the consumer to become or remain independent.