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EPD Waiver Services

  • Adult Day Health Program (ADHP)
  • Assisted Living Facilities (ALF)
  • Case Management Services
  • Chore Aide Services
  • Community Transition Services
  • Environmental Accessibility Adaptation Services (EAA)
  • Homemaker Services
  • Occupational Therapy (OT)
  • Participant-Directed Services (Services My Way)
  • Personal Care Aide Services (PCA)
  • Personal Emergency Response Services (PERS)
  • Physical Therapy (PT)
  • Respite Services (Similar to PCA services)

Adult Day Health Program (ADHP) - ADHP offers a range of therapeutic, rehabilitative and support services, including nursing and rehabilitation services, assistance with life activities, social work services, dietary services and transportation provided for portions of the day during the weekdays. ADHP services are designed to encourage older adults and individuals with physical disabilities to live in the community by offering non-residential medical supports and supervised, therapeutic activities in an integrated setting. ADHP services are designed to encourage opportunities for community involvement.

Assisted Living Facilities (ALF) - An assisted living facility (ALF) is a licensed facility where participants can live, have access to, and receive the services they need to be as independent as possible. The person’s choice for independence must also protect the safety of the participant and other persons who live at the facility.

Case Management Services - Case management is the coordination of services on behalf of the participant. Case management is a shared process of conducting assessments, planning, counseling and advocating for options and services to meet the participant’s and family’s total health and social care needs. Case management services are the core of the EPD Waiver program and therefore, regular communication and visits are required to make sure services are coordinated in full.

Chore Aide Services - Chore aide services are heavy-duty housecleaning activities that are time-limited and allow for the participant’s environment to be made clean and safe in a manner that can be maintained by regular housekeeping.

Community Transition Services - Community transition services are available to EPD Waiver participants who are transitioning from an institution or other long-term care facility to a more integrated, community-based setting. Community transition services include non-repeating household setup expenses that are needed to allow an individual to establish a basic household. In addition to this, community transition services inform participants of their long-term care options and rights when returning to the community. Community transition funds must be identified in the person-centered plan, be prior authorized, and be used for a period not to exceed one hundred and twenty days (120) before discharge and up to six (6) months after discharge from an institution or long-term care facility.

Environmental Accessibility Adaptation Services (EAA) - EAA services allow for the physical adaptations (such as ramps, stair-lifts, and grab bars) to a participant’s home that are necessary to ensure the health, safety and wellness of the participant. EAA does not include carpeting, roof repair or air conditioning. Participant must first apply through the Handicap Accessibility Improvement Program of the DC Department of Housing and Community Development (202 442-7200).

Homemaker Services - Homemaker services provide general household activities such as meal preparation, housekeeping and running errands. Homemakers do not provide any hands-on personal care. Allowable services include grocery shopping, meal preparation, limited general housecleaning, providing escort services (not transportation) for medical appointments, and running care-related errands such as picking up medication or mailing utility payments.

Occupational Therapy (OT) - Occupational therapy is the use of assessment and intervention to develop, recover or maintain the meaningful activities or occupations of individuals or to restore, maintain or enhance skills necessary for activities of daily living (ADLs).

Participant-Directed Services (PDS; also called Services My Way) - The Participant-Directed Services (Services My Way) program allows EPD Waiver participants who live in their natural home the ability to have more choice and control of their Medicaid long term care services. Participants enrolled in Services My Way have the option to self-direct two (2) specific PDS services:

1. Participant-Directed Community Supports are similar to Personal Care Aide (PCA) services in the larger EPD Waiver program. When using this service the participant or his/her authorized representative is the common law employer of their Participant-Directed Worker (PDW). A PDW is the person employed by the common law employer to provide personal care aide services.

2. Individual-Directed Goods and Services are services, equipment or supplies not otherwise provided through the EPD Waiver or State Plan programs. The requested goods or services MUST address an identified need in the participant’s Person Centered Service Plan (PCSP) and meet the following requirements:

1) Decrease the need for other Medicaid services; and/or

2) Promote inclusion in the community; and/or

3) Increase the Waiver participant’s safety in the home environment.

Services My Way is only available to participants enrolled in the EPD Waiver program.

Personal Care Aide Services (PCA) - PCA services are hands-on care such as assistance with bathing, grooming, dressing, walking, toileting, eating, and medication reminders. PCA services also include assistance with range of motion exercises, meal preparation per dietary guidelines, and assistance at the participant’s place of employment.

Physical Therapy (PT) - Physical therapy (PT) is rehabilitative therapy to maximize independence and prevent further disability from a physical dysfunction. It includes assessment of the physical therapy needs, development of a therapy plan (plan of care) to provide the services and ongoing assessments. A PT program can help with recovery from an injury, improve mobility, help a participant return to a normal level of functioning or it may help to maintain the current level of functioning and prevent injury. PT can also help to improve balance and prevent falls.

Respite Services - Respite services are very similar to PCA services. It allows temporary relief to a primary caregiver by providing temporary PCA services (ADLs) in his/her absence. Respite can be provided hourly or daily and is provided in the environment where the participant receives care.