Additional Services for Members Enrolled in the Habilitation Supports Waiver (HSW)
Servicios Adicionales Para Miembros Inscritos en Los Servicios Especiales de Apoyos Para Habilitación (versión española)
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| Community Living Supports |
Supports that focus on personal self-sufficiency, independence and integration into the community. |
| Enhanced Dental Services |
Includes dental procedures that improve ability to chew and swallow properly. |
Enhanced Medical Equipment |
Devices or appliances that are not covered under the Medicaid Health Plan, which help individuals to increase his/her activities of daily living, or to perceive, control, or communicate with the environment in which he/she lives. |
| Enhanced Medical Supplies |
Medical supplies not covered by the Medicaid Health plan. |
| Enhanced Pharmacy |
Doctor-ordered non-prescription or over-the counter items that are not covered by your Qualified Health Plan. |
Environmental Modifications |
Changes to the individual’s or family’s home, vehicle, and/or work environment, to ensure health and safety and/or allow greater independence. |
| Private Duty Nursing |
Nursing procedures that meet the person’s health needs. Licensed nurses provide the nursing treatments, observation, and or teaching in the home as prescribed by the physician. |
| Respite-Care Services |
Services that are provided in the individual’s/ family’s home or outside the home to temporarily relieve the unpaid primary care giver. |
| Supports Coordination |
Coordination of the services developed for the HSW enrollee and their family, through the person centered planning process. The person providing this service will make sure that your needs and desires are known, that you are getting the supports and service you need and want, that your issues with housing and employment are taken care of, and that your natural and community supports are being used.
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| Supported Employment |
Provide initial and ongoing support services to help you get and keep a job. |
| Chore Services |
Service to maintain your home in a clean, sanitary, and safe environment, when there is no one in the home that can do them. |
| Family Training |
Training and counseling services for the family members who live with or care for the individual enrolled in the HSW.
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| Out-Of-Home Nonvocational Habilitation |
Assistance with mobility, transferring, and personal hygiene functions at the various sites where habilitation is provided in the community. |
| Personal Emergency Response Systems |
Electronic devices that help members contact someone to help them if they have an emergency. |
| Prevocational Services |
Services that help members to develop motor skills, improve attention spans, understand concepts such as attendance and task completion, but does not teach specific job skills. |
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Covered Substance Abuse Services
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| Assessment |
A process that you will go through either over the phone or face to face, to give information on your past history. After the information has been collected they will determine the level of care that you need and what services can be provided to you from the list below. |
| Outpatient |
Depending on your specific needs, you will be provided with individual counseling appointments, and attending one or two therapy groups a week. |
| Intensive Outpatient |
This service provides more individual counseling appointments and additional and longer therapy groups than the traditional outpatient services. There is also the option of attending a day treatment program. You will be provided with services based on your individual needs. |
| Methadone and LAAM Treatment |
This service is provided to customers who have
heroin addictions, with an opiate substitution at least two sessions per month. In addition, it is required that you attend a number of groups and/or individual counseling sessions. The need, amount, and frequency will be determined upon your individual needs. |
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Alternative Substance Abuse Services
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| Sub-acute Residential Detoxification |
If it is determined that you need this service you will enter into an Inpatient Residential program for 3-5 days, in order to safely withdrawal from alcohol and/ or drugs |
| Residential services are allowed up to 22 days per plan member, per benefit plan year. Additional days may be authorized if criteria are met. |
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Substance abuse services are sub-contracted to other agencies. Venture has the right to withdraw these allowable services if the situation calls for those actions. To find out what benefits are available to you, and to access your substance abuse services, please contact the following providers:
If you live in Barry, Branch or Van Buren County, Contact:
Community Assessment & Screening Service
1-800-381-2359 |
If you live in Calhoun County, Contact:
Central Diagnostic & Referral Service, Inc.
1-800-342-0349
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If you live in Berrien County, Contact:
Shoreline Consultation Services
Muskegon 1-800-981-2481
Benton Harbor 1-800-926-8389
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For more complete contact information, please see the Substance Abuse provider list at the back of this handbook.
Changing Providers
You have the right to request a change in who it is that provides your service(s) or supports. If you wish to change providers, discuss this with the person who is currently providing your service or with the Member Services Representative from your local Community Mental Health. You may also ask for assistance in changing providers by calling Venture Member Services at 1-888-357-0016.
Other Insurance Plans
Make sure you inform your local Community Mental Health of all the insurances that you are covered by as well as any changes to your insurance. The law states that if you are covered by another insurance plan they will be billed before any state funds are (including Medicaid), to cover the services provided to you. It is important that this information is current at all times.
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