These services can include assistance with locating appropriate housing; the acquisition, retention, or improvement of skills related to activities of daily living (e.g., personal hygiene and grooming); household chores; meal preparation; shopping; personal finances; and the social and adaptive skills necessary to enable recipients to reside on their own
Who Can Receive
Supported living coaching services provide training and assistance in a variety of activities to recipients who live in their own homes or apartments.
Who Can Provide
Providers of supported living coaching services can be solo providers or employees of agencies.
In order to identify the types of training, assistance, and intensity of support needed for the recipient, the provider must complete a Functional Community Assessment Form, found in Appendix G. This assessment is designed to assist the provider in becoming familiar with the recipient and the recipient’s capacities and needs. The assessment addresses all aspects of daily life including relationships, medical and health concerns, personal care needs, household and money management, community mobility, and community interests. The supported living provider is responsible for completing the Functional Community Assessment prior to the recipient’s move into a supported living arrangement or within 45 days of service implementation for a recipient already in a supported living arrangement. The Functional Community Assessment, updated at least annually, is available in the Guide to Supported Living available on the APD Web site at www.apdcares.org.
To ensure that the recipient’s housing selection meets housing standards, the supported living provider must complete an initial Housing Survey Form, found in Appendix H for each person. The supported living coach must complete the housing survey prior to the lease being signed. The housing survey is available in the Guide to Supported Living available on the APD Web site at www.apdcares.org.
Upon final on-site inspection of the home by the supported living provider and the WSC, the WSC’s approval of the housing survey is required. The housing survey is also reviewed quarterly as part of the quarterly home visit and made available for review by the WSC. These updates must include a review of the recipient’s overall health, safety, and well-being.
For each recipient served, the supported living provider must complete a Financial Profile Form, found in Appendix I. available in the Guide to Supported Living available on the APD Web site at www.apdcares.org. The profile is an analysis of the household costs and revenue sources associated with maintaining a balanced monthly budget for the recipient. In addition to substantiating the need for a monthly subsidy or initial start-up costs, the profile will serve as a source of information for determining strategies for assisting the recipient in money management.
The supported living provider must assist the recipient in completing the financial profile and submitting it to the WSC no more than ten days from the onset of services and updated following the selection of housing by the recipient or if the financial situation changes.
If the financial profile indicates a need for a one-time or recurring subsidy, the profile must be submitted to and approved by the APD regional office before the recipient signs a lease; any time the recipient's finances change; and annually thereafter.
Providers of supported living coaching services must participate in iBudget Waiver monitoring reviews conducted by the APD or its authorized representatives.
The provider must render supported living coaching services at the time and place mutually agreed to by the recipient and provider. The provider must have an on-call system in place that allows recipients access to services for emergency assistance 24 hours per day, seven days per week. The provider must specify a backup person to provide services in the event that the provider is unavailable. Telephone access to the provider or the backup provider must be available, without toll charges to the recipient. Services provided and documented by the backup provider must be billed by the backup.
Supported living coaching encourages maximum physical integration into the community.
Recipients who live in family homes, foster homes, or group homes are not eligible for these services unless recipients have an identified goal to move into their own homes or apartments.
Supported living coaching services can be made available to recipients who are in the process of looking for a residence within 90 days before moving, even though they will reside in a family, foster, or group home during the search process and can be receiving residential habilitation services. Supported living coaching services cannot be authorized or reimbursed for a recipient who chooses a home that does not meet acceptable housing standards as outlined in the APD housing survey. Supported living coaching services are provided on a one-to-one basis. The provider will bill for supported living coaching services in accordance with the APD rate structure. If services are provided with two or more recipients present, the amount billed must be prorated based on the number of recipients receiving the service if there are two or more recipients receiving the service at the same time.
The homes of individuals receiving supported living coaching services will meet requirements as required by APD’s Rule 65G-5.004, F.A.C.
Within 90 days before moving, supported living coaching services can be made available to recipients who are in the process of looking for a residence, even though they will reside in a family or licensed residential facility during the search process and may be receiving residential habilitation services.
For reimbursement purposes, the supported living coach must meet certain basic billing requirements (which may be maintained electronically). Billable activities may include the direct provision of, or training the recipient in, the following:
• Housing procurement
• Household maintenance and management
• Safety and emergency procedures
• Twenty-four hour emergency assistance
• Meal planning and preparation
• Shopping and consumer skills
• Clothing care
• Self-care, manners, and sexuality
• Money management and banking
• Utilizing third party benefits
• Time management
• Recreation and leisure
• Mobility and travel skills
• Civic responsibilities
• Interpersonal communication
• Facilitation of one-to-one relationships
• Support counseling
Place of Service
Supported living coaching services are provided in the recipient’s own home, apartment, or in the community. In order to be considered a supported living arrangement, the home must be available for lease or purchase by anyone in the community and cannot be co-located on the same property as the recipient’s family home. Supported living coaching cannot be provided in the same home with a legally responsible family member except during transition from the family home into supported living.
Limitations and Exclusions
When a recipient receives personal supports, life skills development services, or both, in addition to supported living coaching, the providers must work together to avoid duplication of activities with coordination by the WSC.
Supported living coaching services are separate and should not be duplicative of services performed by the personal supports provider. This provision applies to new providers. If the supported living coach is providing one or more additional services to the recipient, documentation must clearly reflect the service being provided and billed for at a given time.
An exception can be requested by the recipient to the APD regional office to request a waiver to allow supported living services to be provided on the property of a family member, in a separate structure, with a separate lease.
Supported living coaching services are not to be provided during the same period of time as residential habilitation services or when the recipient is living in the family home, except for the 90 days prior to the recipient moving into the supported living setting
f a supported living provider agency is chosen by the recipient or legal representative to serve as a representative payees, the supported living provider must document informed consent of the recipient or legal representative's choice and follow all applicable Social Security representative payee guidelines. Supported living providers must review, with the recipient and the legal representative, if applicable, alternative payee options. The provider must notify APD and provide documentation of the above prior to becoming the representative payee.
An acceptable arrangement may not include the recipient’s parents, stepparents, guardian, or guardian advocate living in the same residence.
Supported living coaching services may not be provided by a supported living coach who is living in a recipient’s home.
The supported living coaching provider or the provider's immediate family must not be the recipient’s landlord or have any interest in the ownership of the housing unit as required by APD’s Rule 65G-5.004, F.A.C. If renting, the name of the recipient receiving supported living coaching must appear on the lease either singularly or with a roommate or a guarantor.
A recipient receiving supported living coaching service must live with no more than two other people who have developmental disabilities and must have control over daily routines.
Supported living coaching services are limited to the amount of duration as scope of the services described in the recipient’s support plan and current approved cost plan