13.2: SDP Service Definitions Plain Language
- Page ID
- 66350
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The Self-Determination Program (SDP) offers a wide range of services designed to help participants live independently and participate fully in their communities. Below is a plain-language explanation of each available service, organized by budget category and including the required service codes. Remember, many of the Health and Safety codes include an EPSDT -- Early and Periodic Screening, Diagnostic, and Treatment -- Medicaid option. Often, it is difficult to access these services under age 21, but these Medicaid services are a required generic service. Make sure to include information about any attempts (successful or unsuccessful) to use these services if you are trying to include these in a spending plan.
Living Arrangement (Codes 310 - 330)
- Respite Services (310, 311): This provides short-term, temporary care and supervision to give the primary caregiver a break. It can be provided in the home (310) or at a facility (311).**310 includes an Electronic Visit Verification for staff who do not live in home (EVV).
- Live-In Caregiver (312): This pays for the extra rent and food costs associated with having a caregiver (who is not a relative) live in the same home as the participant.
- Homemaker (313): This covers basic household chores, like meal preparation and cleaning, when the person usually responsible for them is away or unable to do them. This code includes an Electronic Visit Verification for staff who do not live in home (EVV).
- Housing Access Supports (314): This helps participants find housing, navigate the application process, and learn the skills needed to be a successful tenant.
- Financial Management Services (315, 316, 317): This is a required service that helps manage the participant's budget, pays service providers, and handles employment taxes. It can be set up as a Fiscal Agent (315), Co-Employer (316), or Fiscal/Employer Agent (317). These services are not charged to the participant's budget, but must be represented in the spending plan, along with the FMS's vendor number.
- Community Living Supports (320, 321): These services help participants live independently in their own homes by assisting with personal care, social skills, and household tasks like money management. This can be provided by an individual/agency (320) or in a residential facility (321). 320 includes an Electronic Visit Verification for staff who do not live in home (EVV).
Employment and Community Participation (Codes 331 - 355)
- Community Integration Supports (331): These services help participants learn the skills needed to be independent and active in their community through integrated activities. These supports specifically include:
- a. Socialization and community awareness.
- b. Communication skills.
- c. Visual, auditory, and tactile awareness and perception.
- d. Developing appropriate peer interactions and self-advocacy skills.
- e. Art and recreation programs.
- f. Continuing education classes (like GED prep) in inclusive settings.
- g. Participation in senior or faith-based groups.
- h. Peer mentoring.
- i. Mobility services, such as learning to use public transportation or ride-sharing.
- j. Friendship and relationship building.
- Participant-Directed Goods and Services (333): These are items or services not covered elsewhere that address a specific need in the participant’s plan, such as increasing safety or community inclusion.
- Individual Training and Education (334): This covers workshops or classes that help a participant learn about self-advocacy, decision-making, or how to be an employer.
- Employment Supports (335): These are services tailored to help a participant find and keep a job that pays at least minimum wage in a typical community setting.
- Technology Services (336): This includes purchasing and learning to use items like tablets, laptops, or specialized software that help a participant be more independent.
- Transition/Set Up Expenses (337): These are one-time costs to help someone move from an institution into their own home, covering things like security deposits and basic furniture.
- Non-Medical Transportation (338): This provides a way for participants to get to community activities, jobs, and other resources listed in their plan.
- Prevocational Supports (339): This training focuses on general "work-ready" skills—like punctuality, following directions, and grooming—to prepare for future community employment.
- Independent Facilitator (340): A person chosen by the participant to help them plan their services, find providers, and advocate for them during meetings.
Health and Safety (Codes 356 - 399)
- Environmental Accessibility Adaptation (356): These are physical changes to a home—like ramps or grab bars—that make it safer and easier for a participant to live independently.
- Acupuncture Services (357): This service uses needles to help manage chronic pain for adults 21 and older once regular state plan benefits are exhausted.
- Personal Emergency Response Systems (PERS) (358): This is a 24-hour emergency alert system (like a med-alert bracelet) for people who live alone or are unsupervised for parts of the day.
- Home Health Aide (359): This provides medical or personal care in the home for adults 21 and older. This code includes an Electronic Visit Verification (EVV).
- Communication Support (360): This provides helpers—like interpreters or readers—and training on technology to assist people with hearing, speech, or vision impairments.
- Skilled Nursing (361): This provides medical care from a registered or vocational nurse for adults 21 and older. This code includes an Electronic Visit Verification (EVV).
- Nutritional Consultation (362): An expert provides advice and planning for special diets and nutritional needs.
- Crisis Intervention and Supports (363): This provides immediate, 24-hour therapeutic help for behavioral or emotional emergencies to help the participant stay in their home.
- Behavioral Intervention Services (364): These programs use positive, evidence-based methods to help a participant develop better socialization and self-help skills.
- Specialized Medical Equipment and Supplies (365): This covers medical devices or items (and their repairs) that help a participant perform daily tasks or communicate.
- Family/Consumer Training (366): Training from licensed providers to help the participant or their family understand and maintain medical or behavioral treatments at home.
- Dental Services (367): This covers standard dental checkups and treatments for adults 21 and older after regular state plan limits are reached.
- Lenses and Frames (368): This covers prescription glasses for adults 21 and older.
- Optometric-Optician Services (369): This covers eye exams and the fitting of glasses for adults 21 and older.
- Psychology Services (370): This provides mental health assessment and treatment for adults 21 and older.
- Training and Counseling Services for Unpaid Caregivers (371): This provides education and support to friends or family members who provide care without being paid.
- Speech - Hearing and Language (372): This helps identify and treat speech, voice, or hearing issues for adults 21 and older. This code includes an Electronic Visit Verification (EVV).
- Chiropractic Services (373): This involves manual adjustment of the spine to help with chronic pain for adults 21 and older.
- Massage Therapy (374): This involves physical manipulation of soft body tissues as part of a medical treatment plan.
- Occupational Therapy (375): This helps adults 21 and older improve their ability to do daily activities that may be difficult due to a disability. This code includes an Electronic Visit Verification (EVV).
- Physical Therapy (376): This uses exercise and other physical treatments to address medical conditions for adults 21 and older. This code includes an Electronic Visit Verification (EVV).
- Vehicle Modifications and Adaptations (377): These are changes to a car—like wheelchair lifts—to help a participant travel safely and independently.
- Family Support Services (378): This provides regularly scheduled care and supervision of children while their parents or primary caregivers are out of the home.