Assists beneficiaries in accessing PROMISE services. Provides for the ongoing monitoring of the services included in the beneficiary’s Recovery Plan and the person’s health and welfare. For Medicaid beneficiaries, the CM will inform the MCO about the Promise recipient’s care plan.

One-on-one supports to obtain and maintain an individual job in competitive minimum wage or customized employment, or self-employment in an integrated work setting as part of the general workforce.

Short-term services and training activities are provided in regular business, industry, and community settings for groups of two to four workers with disabilities. Provides support to gain skills to enable transition to integrated,- in-line with the preferences of the group to eventually gain competitive employment. Emphasizes the importance of a rapid job search for a competitive job and provides work experiences to develop strengths and skills.

Builds upon the success of the $tand By Me program in Delaware. Provides a personal financial coach and a toolkit to navigate the challenges leading to personal financial security. The goal is to increase clients’ understanding and ability to manage their finances to increase their future financial stability and economic opportunities.

Benefits counseling provides work incentive counseling services to PROMISE participants seeking to improve their economic self-sufficiency and maintain access to necessary healthcare and other benefits. Will assist individuals to understand the work incentives and support programs available and the impact of work activity on those benefits.

A peer/recovery coach uses lived experience with a mental illness or substance use disorder SUD to assist and support beneficiaries in their recovery journey. Beneficiary-centered services with a rehabilitation and recovery focus designed to promote skills for coping with and managing psychiatric symptoms, while enabling the use of natural resources and the enhancement of recovery-oriented attitudes, such as hope, self-advocacy, and community living skills.

Enables qualifying participants to access employment services, activities, and resources, and is offered in addition to medical transportation under the State Plan. Available only when the beneficiary has no other transportation options available.

Provide supportive, health-related residential services in State-licensed settings. Residential services are needed, per the Recovery Plan, to enable the beneficiary to remain integrated, healthy, and safe in the community. Include personal care and supportive services (homemaker, chore, attendant services, and meal preparation). Include a 24-hour onsite response capability to meet scheduled and unscheduled or unpredictable beneficiary supervision needs to ensure safety.

Services necessary, per the Recovery Plan, to enable the beneficiary to integrate more fully into the community and ensure the health, welfare, and safety of the person. To be utilized in the beneficiary’s home and community rather than in a provider-owned setting.

Goal-directed supports and solution-focused interventions are intended to achieve identified goals or objectives as set forth in the beneficiary’s Recovery Plan. Assists the person to identify strategies or treatment options associated with his/her mental health and/or SUD needs, with the goal of minimizing the negative effects of symptoms or emotional disturbances or associated environmental stressors; which interfere with the beneficiary’s daily living, financial management, housing, academic, and/or employment progress, personal recovery or resilience, family and/or interpersonal relationships, and community integration.

Restores the beneficiary to fullest possible integration as an active and productive member of his or her family, community, and/or culture with the least amount of ongoing professional intervention. Face-to-face intervention with the beneficiary present. Restoration, rehabilitation, and support with the development of daily living skills to improve self-management of negative effects of psychiatric or emotional symptoms that interfere with a person’s daily living. Supports the development and implementation of daily living skills and daily routines.

Provided to beneficiaries unable to care for themselves, furnished on a short-term basis because of the absence, or need for relief, to those persons who normally provide supportive care. It may be provided in an emergency to prevent hospitalization. Provides planned or emergency short-term relief to a beneficiary’s unpaid caregiver or principal caregiver who is unavailable to provide support.

Services are delivered to beneficiaries who reside in a private home and are necessary, per the POC, to enable the beneficiary to integrate more fully into the community and to ensure the health, welfare, and safety of the beneficiary. Consists of general household tasks such as meal preparation, cleaning, laundry, and other routine household care or heavy household chore services such as washing floors, windows, and walls; tacking down loose rugs and tiles; moving heavy furniture in order to provide safe access and egress; removing ice, snow, and/or leaves; and yard maintenance.

Assistance with activities of daily living (bathing, dressing, personal hygiene, transferring, toileting, skin care, eating, and assisting with mobility). Primarily provides hands-on care to beneficiaries that reside in a private home and that are necessary, per the Recovery Plan, to enable the beneficiary to integrate more fully into the community and ensure health, welfare, and safety.

Non-recurring set-up expenses for individuals who are transitioning from an institutional or another provider-operated living arrangement to a living arrangement where the person has a lease or is in a private residence. Necessary to enable a person to establish a basic household that do not constitute room and board and may include: security deposits; essential household furnishings and moving expense; set-up fees or deposits for utility or service access; services necessary for the individual’s health and safety such as pest eradication and one-time cleaning; moving expenses; necessary home accessibility adaptations; and activities to assess need, arrange for and procure need resources.