Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources 1/3 Connecticut Waiver Factsheet ​ CT ABI Waiver II (1085.R01.00) Provides ABI group day, adult day health, homemaker, personal care, prevocational services, respite, supported employment, ABI recovery assistant II, ABI recovery assistant, assistive technology, chore, cognitive behavioral programs, community living support services (CLSS), companion, consultation services, environmental accessibility modifications, home delivered meals, independent living skills training, personal emergency response systems (PERS), substance abuse programs, transportation, vehicle modification services for individual with brain injury ages 18 – no max age ​ ​ CT Acquired Brain Injury (ABI) Waiver I (0302.R05.00) Provides homemaker, pre-vocational service, respite, supported employment, ABI group day, assistive technology, chore, cognitive behavioral programs, community living support services (CLSS), companion, environmental accessibility adaptation, home-delivered meals, independent living skills training, personal emergency response systems (PERS), substance abuse programs, transitional living services, transportation, and vehicle modification services for individuals with brain injury ages 18 - no max age. CT Comprehensive Supports Waiver (0437.R03.00) Provides adult day health, blended supports, group day supports, group supported employment, live-in caregiver (42 CFR §441.303(f)(8)), prevocational services, respite, independent support broker, assisted living, assistive technology, behavioral support services, community companion homes (CCH), community living arrangements (CLA), companion supports aka as adult companion, continuous residential supports, customized employment supports, environmental modifications, health care coordination, individual directed goods and services, individual supported employment, individualized day supports, individualized home supports, interpreter, nutrition, parenting support, peer support, personal emergency response system (PERS), personal support, remote supports service, senior supports, shared living, specialized medical equipment and supplies, training, counseling and support services for unpaid caregivers, transitional employment services, transportation, vehicle modifications for individuals developmental disabilities 18 yrs - no max age and individuals with intellectual disabilities 3 yrs - no max age ​ CT Employment and Day Supports (0881.R02.00) Provides adult day health, blended supports, group day supports aka community based day support options, individual supported employment, prevocational services, respite, independent support broker, peer support, assistive technology, behavioral support services, customized employment supports, environmental modifications, group supported employment, individual direct goods and services, individualized day support, interpreter, personal emergency response system (PERS), remote supports services, specialized medical equipment and supplies, training, counseling and support services for unpaid caregivers, transitional employment services, transportation, and vehicle modifications for individuals with developmental disabilities ages 18 - no max age and individuals with intellectual disabilities ages 3 - no max age. ​ ​ CT HCBS for Elders (0140.R07.00) Provides adult day health, care management, homemaker, personal care assistant, respite, adult family living, assisted living, assistive technology, bill payer, care transitions, chore, chronic disease self-management program, companion, environmental accessibility adaptations, home delivered meals, mental health counseling, PERS, recovery assistant, transportation for aged individuals ages 65 - no max age ​ ​ CT Home and Community Supports Waiver for Persons with Autism (0993.R01.00) Provides live in companion, respite, assistive technology, clinical behavioral support services, community mentor, individual goods and services, interpreter, job coaching, life skills coach, non-medical transportation, personal emergency response system, social skills group, and specialized driving assessment for individuals with autism ages 3 – no max age. ​ ​ CT Individual and Family Support Waiver (0426.R03.00) Provides adult day health, blended supports, community companion homes, group day supports, individual supported employment, live-in companion, prevocational services, respite, independent support broker, assistive technology, behavioral support services, companion supports aka adult companion, continuous residential supports, customized employment supports, environmental modifications, group supported employment, health care coordination, individualized day supports, individualized home supports, individually directed goods and services, interpreter, nutrition, parenting support, peer support, personal emergency response system (PERS), personal support, remote supports services, senior supports, shared living, specialized medical equipment and supplies, training, counseling and support services for unpaid caregivers, transitional employment services, transportation, and vehicle modifications for individuals with developmental disabilities ages 18 – no max age, and individuals with intellectual disabilities ages 3 – no max age. ​ ​ CT Katie Beckett Waiver (4110.R08.00) Provides case management to individuals with physical disabilities ages 0-22 ​ ​ CT Mental Health Waiver (0653.R03.00) Provides adult day health, community support program, supported employment, assisted living, assistive technology, brief episode stabilization, chore services, home accessibility adaptations, home delivered meals, interpreter, mental health counseling, non-medical transportation, overnight recovery assistant, peer supports, personal emergency response systems, recovery assistant, specialized medical equipment, and transitional case management for individuals with mental illness ages 22 to no max age . ​ CT Personal Care Assistance (0301.R05.00) Provides adult day health, agency-based personal care assistant, care management, meals on wheels, adult family living, mental health counseling, personal emergency response system (PERS) for individuals with physical disabilities ages 18-64. ​ ​ ​

Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employm Waiver Facts Government Funded Programs CT ABI Waiver II CT Comprehensive Supports Waiver CT Employment and Day Supports CT Individual and Family Support Waiver CT Mental Health CT Katie Beckett Waiver CT Personal Care Assistance Connecticut ABI Resources 1/3

Nuestra misión es apoyar las necesidades de las personas que luchan y brindar soluciones reales que promuevan una vida feliz y saludable. ​ Línea de ayuda 860 942-0365 ​ Los servicios del programa de apoyo educativo de ABI Resources continúan guiando el camino para y con estudiantes, familias, maestros y profesionales terapéuticos que puedan estar luchando con desafíos de salud conductual. Ayudamos a identificar, defender y comunicar las necesidades de la persona, para la persona, la familia y la escuela. Trabajamos en estrecha colaboración con la persona, la familia y los maestros, además de los proveedores médicos y terapéuticos. La base de un desarrollo infantil feliz y exitoso se basa en una comunicación clara y la comprensión compasiva de todos los involucrados. ONLINE - REQUEST FORM ​ We support students diagnosed with: Intellectual Disabilities Attention Deficit Autism Spectrum PDD/NOS Dyslexia Emotional Disabilities Learning Disabilities Mental Health Challenges Brain Injury Dyscalculia Dysgraphia Processing Deficits Mood Challenges Energy Challenges Auditory Processing Disorder ​ We have many person-centered services that assist with: Preparation for the school day. Travel to and from school. Travel to and from Doctor and Therapy appointments. Implementation of EIP plans with-in the school and / or Home-based learning. Communication strategies to help students express their feelings, concerns or confusions. Data collection and communication for and with Families, Medical and Therapeutic Providers and the Educational System. Teach social communication skills. Independent living skills training functional academics, like budgeting. Early Independence work field-based training. Healthy home life communication skills and consistent routine activities of daily life. We match students with assistants that they trust and like. We work with all current Medical, Therapeutic and Educational providers. We provide resources for locating specialized help. ABI Resources advocates for the services and supports that many people and schools need to provide school-based behavioral health services. We bring trained community behavioral health professionals into schools to provide care or to link families to resources in the community. We help to provide access to services and supports and help reduce the confusion and isolation experienced by youth that may be experiencing challenges and we support their families. We create and nurture a healthy communication system for and with the Student, Families, the Education System and Therapeutic providers. We help families, school faculty and staff to compassionately understand the early warning signs of behavioral health conditions and how to link students to services. We help to facilitate school-based mental health professionals to coordinate services and supports for and with the person, families, schools and the community mental health system so that the person can successfully complete and enjoy their educational process. We'll make the right match. Do you like HipHop or Country music? Technology or Photography? We'll make sure you share common interests because making the right match between you and your assistant is very important for a long-lasting connection. ​

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HOME MÁS THE ULTIMATE FREE DOWNLOAD! CARE PACKAGE "Get Ahead with this Comprehensive Care Package" WHERE SHOULD I SEND YOUR FREE PLAYBOOK? First Name Last Name Email SEND ME THE FREE CARE PACKAGE! Click here to download ​ ​ Training Downloads • ABI Employer Manual-Appendix.pdf • Appointment Weekly Schedule.pdf • DSS Provider Information Manual - Acknowledgement Form.pdf • DSS Provider Information Manual.pdf • Employee Training Documentation Form-Spanish.pdf • Employee Training Documentation Form.pdf • Employer OPT-OUT Form .pdf • Employer Orientation Certification.pdf • Job Description -Chore Services.pdf • Job Description -Companion Services.pdf • Job Description -Homemaker Services.pdf • Job Description -Personal Care Assistance Services.pdf • Weekly Schedule (large format).pdf • ABI Service Description for Manual.pdf • DSS Provider Information Manual-Spanish translation.pdf Employment Downloads • ABI Employment Packet Sample.pdf • DSS Provider Directory Application.pdf • Transportation Application Packet.pdf • Transportation Services Application Supplement.pdf • ILST Application Packet.pdf • Rapid Paycard FAQs.pdf • DSS Employment Application checklist.pdf • Employment Packet Checklist.pdf • Employment Status Form.pdf • DSS Provider Agreement.pdf • Form I-9.pdf • DSS Employment Packet.pdf • 2023 CT W-4.pdf • 2023 W-4.pdf • Employment Forms Packet.pdf General Information Downloads • Agency-Vendor Information Update.pdf • Discrimination is Illegal Poster (distributed to Employer at the time of home visit).pdf • Discrimination is Illegal Poster-Spanish (distributed to Employer at the time of home visit).pdf • Emergency Contact & Medical Information Form.pdf • Participant-Employer WC Information Booklet (for distribution at the home visit or by mail upon request to DSS program participants).pdf • Sexual Harassment is Illegal Poster (distributed to Employer at time of home visit).pdf • Spanish Signature Verification Form Sample.pdf • Web B Poster to Work English Version.pdf • ACR Consent and Acknowledgement Form.pdf • Sample Signature Verification Form-Spanish.pdf • Sample Signature Verification Form.pdf • Grievance Form.pdf • Authorized Representative Documentation Packet.pdf • Signature Verification Packet.pdf • Authorized Representative Document.pdf • Authorized Representative Document Instructions with Sample.pdf • Participant-Representative Personal Information Update Packet.pdf • Personal Information Update Form.pdf Payroll Downloads • CT Universal Time Sheet Sample.pdf • DSS Vendor Billing Invoice Form (Sample).pdf • MFP Realtor Billing Invoice Form.pdf • Billing Form for Pre-Approved Services.pdf • Pre-Approved Service Payment Authorization.pdf • Billing Form for Pre-Approved Services-Sample.pdf • CT DSS Universal Time Sheet.pdf • Payroll Notice.pdf • Direct Deposit Authorization.pdf • EVV Telephony Instructions English.pdf • EVV Telephony Instructions Spanish.pdf • DSS Pay Schedule v2023.pdf Form Links • Employee termination Form • Non-Payment Inquiry Form • Personal Information Update Form • Request for Information Form ABI Basic Information Sessions ABI Basic Informational Session Quiz – Handouts – Here Spanish (Española): Informacion Basica De La Prueba De Las Sesiones – Handouts – Here There are two Acquired Brain Injury (ABI) Waivers, known as ABI Waiver I and ABI Waiver II, which are administered by the Department of Social Services (DSS). These waivers provide a person-centered plan of care for an array of non-medical, home and community-based services to individuals with an acquired brain injury who currently receive or would otherwise require services in an institutional setting. Both waivers are functionally similar, however ABI Waiver II includes new services, has a lower cost cap and does not have Transitional Living Services. Note: ABI Waiver I is currently closed to new participants. Eligibility Criteria To be eligible for the ABI Waiver II, individuals must be: • Eligible for Medicaid • Between ages 18 and 64 with an acquired brain injury • Meet the DSS “Level of Care Requirement” which means that without the waiver services the individual would otherwise receive services in an institutional setting • Able to participate in the development of a service plan in partnership with a DSS social worker or have a conservator to do so. An ABI is an injury to the brain that has occurred after birth which results in improper brain function. The condition cannot be congenital, developmental, or degenerative to be considered for the ABI Waiver II. Med-Connect applicants may also meet the financial eligibility rules for the program through the Medicaid for Employed Disabled coverage group. Under the program, working individuals can have income up to $75,000 per year, $10,000 in assets and receive Medicaid subject to payment of a monthly premium. Individuals who cannot afford the cost of care, but are over Medicaid’s limits may still qualify. The state has a spend down program that evaluates an individual’s care costs and their income. If it is calculated that an individual cannot meet their care costs, they can qualify for Medicaid by spending-down their income over the limit on their medically-necessary care costs. Types of Services & Supports that can be used for Acquired Brain Injury (ABI) Waiver Services may include assistance with Activities of Daily Living (ADLs) such as eating, bathing, dressing, transferring and toileting. ​ Other supports include, but are not limited to: • Case management (care plan development and monitoring) • Transportation • Vocational support • Independent Living Skills training • Personal Care Assistance (PCA) Services • Homemaker-Companion Services • Respite Services • Home Delivered Meals • Assistive Technology • Home Modifications • Personal Emergency Response Systems (PERS) Connecticut Waiver Factsheet CT ABI Waiver II (1085.R01.00) Provides ABI group day, adult day health, homemaker, personal care, prevocational services, respite, supported employment, ABI recovery assistant II, ABI recovery assistant, assistive technology, chore, cognitive behavioral programs, community living support services, companion, consultation services, environmental accessibility modifications, home delivered meals, independent living skills training, personal emergency response systems, substance abuse programs, transportation, and vehicle modification services to individuals with brain injury ages 18 or older who meet a hospital, nursing facility, or ICF/IID level of care. CT Acquired Brain Injury (ABI) Waiver (0302.R05.00) Provides homemaker, pre-vocational service, respite, supported employment, ABI group day, assistive technology, chore, cognitive behavioral programs, community living support services, companion, environmental accessibility adaptation, home-delivered meals, independent living skills training, personal emergency response systems, substance abuse programs, transitional living services, transportation, and vehicle modification services to individuals with brain injury ages 18 or older who meet a hospital, nursing facility, or ICF/IID level of care. CT Comprehensive Supports Waiver (0437.R03.00) Provides adult day health, blended supports, group day supports, group supported employment, live-in caregiver, prevocational services, respite, independent support broker, assisted living, assistive technology, behavioral support services, community companion homes, community living arrangements, companion supports aka as adult companion, continuous residential supports, customized employment supports, employment transitional services, environmental modifications, health care coordination, home delivered meals, individual directed goods and services, individual supported employment, individualized day supports, individualized home supports, interpreter, nutrition, parenting support, peer support, personal emergency response system, personal support, remote supports service, senior supports, shared living, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT Employment and Day Supports Waiver (0881.R02.00) Provides adult day health, blended supports, group day supports aka community based day support options, individual supported employment, prevocational services, respite, independent support broker, peer support, assistive technology, behavioral support services, customized employment supports, employment transitional services, environmental modifications, group supported employment, home delivered meals, individual direct goods and services, individualized day support, interpreter, personal emergency response system, remote supports, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT HCBS for Elders Waiver (0140.R07.00) Provides adult day health, care management, homemaker, personal care assistant, respite, adult family living, assisted living, assistive technology, bill payer, care transitions, chore, chronic disease self-management program, companion, environmental accessibility adaptations, home delivered meals, mental health counseling, personal emergency response systems, recovery assistant, and transportation services to individuals ages 65 or older who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(4) authority. CT Home and Community Supports Waiver for Persons with Autism (0993.R02.00) Provides live-in companion, respite, assistive technology, clinical behavioral support services, community mentor, individual goods and services, interpreter, job coaching, life skills coach, non-medical transportation, personal emergency response system, social skills group, and specialized driving assessment services to individuals with autism ages 3 or older who meet an ICF/IID level of care. CT Individual and Family Support Waiver (0426.R04.00) Provides adult day health, blended supports, community companion homes, group day supports, individual supported employment, live-in companion, prevocational services, respite, independent support broker, assistive technology, behavioral support services, companion supports aka adult companion, continuous residential supports, customized employment supports, employment transitional services, environmental modifications, group supported employment, health care coordination, home delivered meals, individualized day supports, individualized home supports, individually directed goods and services, interpreter, nutrition, parenting support, peer support, personal emergency response system, personal support, remote supports services, senior supports, shared living, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older, and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT Katie Beckett Waiver (4110.R08.00) Provides case management services to individuals with physical disabilities ages 0-22 years who meet a hospital, nursing facility, or ICF/IID level of care. CT Mental Health Waiver (0653.R03.00) Provides adult day health, community support program, supported employment, assisted living, assistive technology, brief episode stabilization, chore services, home accessibility adaptations, home delivered meals, interpreter, mental health counseling, non-medical transportation, overnight recovery assistant, peer supports, personal emergency response systems, recovery assistant, specialized medical equipment, and transitional case management services to individuals with mental illness ages 22 or older who meet a nursing facility level of care. CT Personal Care Assistance Waiver (0301.R05.00) Provides adult day health, agency-based personal care assistant, care management, meals on wheels, adult family living, mental health counseling, and personal emergency response system services to individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(4) authority.

ABI RESOURCES SOCIAL GROUPS AND EVENTS FREE CONNECTICUT FISHING L ICENSES Los pescadores con dificultades físicas o problemas de movilidad pueden acceder a una pesca de alta calidad en varios lugares del estado. EMPIEZA AQUI INFORMACIÓN DEL PASO 1 2 3 4 5 6 7 8 9 10 ​ 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 ​ ​

SEGURIDAD PRIMERO Brain Injury and Maintaining Home Safety ​ Challenges: Difficulty with balance and coordination, which can increase the risk of falls Changes in cognitive function, such as memory loss or confusion, which can make it difficult to navigate the home or complete tasks Changes in sensation, such as numbness or tingling, which can make it difficult to sense potential hazards or understand one's surroundings Changes in behavior or mood, such as impulsivity or aggression, which can make it difficult to control one's actions and maintain a safe home environment Preventing Home Fires: Cognitive impairment, such as memory loss or confusion, which can make it difficult for the individual to remember to turn off appliances or properly handle flammable materials Physical impairment, such as difficulty with fine motor skills or balance, which can make it difficult to maneuver around the home and use equipment safely Behavioral changes, such as impulsivity or aggression, which can lead to reckless or dangerous actions that increase the risk of fire. Solutions: Installing smoke alarms and fire extinguishers Creating and practicing an emergency evacuation plan Providing training on fire safety Supervising the individual with brain injury when they're handling fire, cooking or using any equipment that could cause a fire. Having a professional assess the home for fire hazards and make recommendations for safety improvements. Home modifications such as handrails, stairlifts, and ramps to assist with mobility Assistive technology such as alarms and reminder systems to help with daily tasks and managing the environment Support system with family members, caregivers, and professionals to help with the identification and management of these challenges. ​ ​ ​

Social Security Administration Social Security Office in East Hartford 478 Burnside Avenue 06108, East Hartford, Connecticut 1-866-706-6759 , 1-800-772-1213 , 1-800-325-0778 Disability Determination Services While applications for Social Security disability are taken in the local field offices, the medical decisions are made in each state by a disability determination service. If you have already filed an application for disability benefits or if you are a medical provider, you can mail medical information on a Connecticut applicant to: Disability Determination Services 309 Warwarme Avenue Hartford, CT. 06114 ABI Resources Connecticut's all-inclusive community care services supported living groups MFP ABI wa ABI Resources Connecticut's all-inclusive community care services supported living groups MFP ABI wa ABI Resources Connecticut's all-inclusive community care services supported living groups MFP ABI wa 1/130

CONNECTICUT BRAIN INJURY WAIVER PROGRAM ​ ( ABI WAIVER PROGRAM ) ​ APPLY ONLINE FOR BENEFITS The MEDICAID Acquired Brain Injury Waiver Program “ABI Waiver Program” What is the ABI Waiver Program and what does it do? The ABI Waiver Program provides a variety of long-lasting in-home and community-based recovery services for brain-injured survivors, at no cost to them. There are many services included within the program. The two main services are one on one daily staffing services. The first staffing service is called I.L.S.T. services or Independent Living Skills Training . This is a better quality of knowledgeable service. The staff member attends doctor and therapy sessions and then implements the prescribed therapies at home and in the community. They help to teach everyday living skills and are paid at a higher rate than all other services. The higher pay rate also helps to promote more consistent staffing coverage. It is best to start a program with the greatest amount of staffing hours being ILST services and then as a survivor becomes more independent slowly change over to companion staffing services. Ask for a lot of the best service first. Many families discover that they should have asked or pushed for more and find it very difficult to achieve more ILST hours. They also discover that if they reduce these staffing hours it is rarely given back. The second staffing service is called Companion Services. A companion is more of a friend that reminds and helps with the basic functions of daily living. They do not work with therapists or teach living skills. This service is paid at a much lower rate and families find it very hard to keep quality consistent staffing. There are many other services that can be applied for within the application. We suggest applying for all services and then removing services as needed. Contact us with any questions that you may have, we can help you with the application process. The following is a list of services; What services are available under the ABI waiver? ​ There are 19 services available under the ABI waiver. Some services may not be accessed in conjunction with other services. Case management - assistance to the individual in implementing and coordinating all sources of support and services to the waiver participant. Chore Services - services needed to maintain the participant’s home in a sanitary and safe condition. Cognitive/Behavioral Programs- individualized programs to decrease severe maladaptive behaviors that would jeopardize the participant’s ability to remain in the community. Community Living Support Services- supervised living in a community residential setting that provides up to 24-hour support services. Services may include medication management, self-care, interpersonal skills, etc. Companion Services - non-medical care, supervision, and socialization services that have a therapeutic goal as noted in the participant’s services participant’s primary mode of transportation to avoid institutionalization. Environmental Accessibility Adaptations - physical adaptations to the participant’s home to ensure the participant’s health and safety, and to promote independence. Services may include ramp installation, bathroom modifications, doorway widening, etc. Family Training - training and counseling for individuals who live with or provide care to the waiver participant. Habitation - services provided outside the participant’s home, to assist the participant with obtaining or enhancing adaptive, socialization, and self-help skills to live successfully in the community. Pre-Vocational Services - services designed to prepare the participant for employment when the participant is not expected to be able to work, or participate in a transitional work program, within 1 year. Supported Employment Services - Paid employment with intensive support provided in a variety of settings, for participants unlikely to secure competitive employment. Homemaker Services- General household activities including meal preparation, vacuuming, etc. Home-Delivered Meals - Meals are delivered to the participant when the person responsible is unable to do so. Independent Living Skills Training - Services designed and delivered on an independent or a group basis to improve the participant’s ability to live independently in the community. Services may include training in self-care, medication management, mobility, etc. Personal Care Assistance - Assistance with activities of daily living. These services may be provided by a family member of the participant if they meet the training requirements established by DSS. Personal Emergency Response Systems - Electronic Devices that enable individuals at high risk for institutionalization to obtain help in an emergency. ​ ​ Respite Care - To provide short-term assistance to the participant if a caretaker is absent or in need of relief. Specialized Medical Equipment and Supplies As specified in the participant’s service plan will enable the individual to perform activities of daily living. Substance Abuse Programs-Interventions to reduce or eliminate the use of alcohol or drugs by the participant. Transitional Living Services -Individualized, short-term, residential services providing up to 24-hour support provided only once in the participant’s lifetime. Transportation -Mobility services are offered after the exhaustion of all other resources. Vehicle Modification Services - Alterations made to the vehicle. ​ ​