SECTION 317:30-5-412. Description of services

  Family support services include services identified in (1) through (6) of this section. Providers of any family support service must have an applicable SoonerCare Provider Agreement for Home and Community Based Services (HCBS) Waiver Providers for persons with developmental disabilities.

(1)   Transportation services. Transportation services are provided per Oklahoma Administrative Code (OAC) 317:40-5-103.

(2)   Assistive technology (AT) devices and services. AT devices and services are provided per OAC 317:40-5-100.

(3)   Architectural modification. Architectural modification services are provided per OAC 317:40-5-101.

(4)   Family training.

(A)   Minimum qualifications.

(i)   Individual providers must have a Developmental Disabilities Services (DDS) Family Training application and training curriculum approved by DDS staff. Individual providers must hold current licensure, certification or a Bachelor's Degree in a human service field related to the approved training curriculum, or other Bachelor's Degree combined with a minimum of five years' experience in the intellectual disabilities field. Only individuals named on the SoonerCare Provider Agreement to provide Family Training services may provide service to members.

(ii)   Agency or business providers must have a (DDS) Family Training application and training curriculum approved by DDS staff. Agency or business provider training staff must hold current licensure, certification, or a Bachelor's Degree in a human service field related to the approved training curriculum or other Bachelor's Degree combined with a minimum of five years experience in the intellectual disabilities field. The credentials of new training staff hired by an approved DDS HCBS Family Training agency or business provider must be submitted to and approved by the DDS programs manager for Family Training prior to new staff training members or members' families.

(B)   Description of services. Family Training services include instruction in skills and knowledge pertaining to the support and assistance of members. Services are:

(i)   intended to allow families to become more proficient in meeting the needs of members who are eligible;

(ii)   provided in any community setting;

(iii)   provided in either group, consisting of two to 15 persons, or individual formats; and

(iv)   for members served through DDS HCBS Waivers and their families. For the purpose of this service, family is defined as any person who lives with, or provides care to a member served on the Waiver;

(v)   included in the member's Individual Plan (Plan) and arranged through the member's case manager; and

(vi)   intended to yield outcomes as defined in the member's Plan.

(C)   Coverage limitations. Coverage limitations for family training are:

(i)   individual family training; Limitation: $5,500 per Plan of Care year;

(ii)   group family training; Limitation: $5,500 per Plan of Care year;

(iii)   session rates for individual and group sessions do not exceed a range comparable to rates charged by persons with similar credentials providing similar services; and

(iv)   rates must be justified based on costs incurred to deliver the service and are evaluated to determine if costs are reasonable.

(D)   Documentation requirements. Providers must maintain documentation fully disclosing the extent of services furnished that specifies:

(i)   the service date;

(ii)   the start and stop time for each session;

(iii)   the signature of the trainer;

(iv)   the credentials of the trainer;

(v)   the specific issues addressed;

(vi)   the methods used to address issues;

(vii)   the progress made toward outcomes;

(viii)   the member's response to the session or intervention; and

(ix)   any new issues identified during the session.

(x)   progress reports for each member served must be submitted to the DDS case manager per OAC 340:100-5-52; and

(xi)   an annual report of the provider's overall Family Training program, including statistical information about members served, their satisfaction with services, trends observed, changes made in the program and program, recommendations must be submitted to the DDS programs manager for Family Training on an annual basis.

(5)   Family counseling.

(A)   Minimum qualifications. Counseling providers must hold current licensure as clinical social workers, psychologists, licensed professional counselors (LPC), or licensed marriage and family therapists (LMFT).

(B)   Description of services. Family counseling offered to members and his or her natural, adoptive, or foster family members, helps to develop and maintain healthy, stable relationships among all family members.

(i)   Emphasis is placed on the acquisition of coping skills by building upon family strengths.

(ii)   Knowledge and skills gained through family counseling services increase the likelihood the member remains in or returns to his or her own home.

(iii)   All family counseling needs are documented in the member's Plan.

(iv)   Services are rendered in any confidential setting where the member/family resides or the provider conducts business.

(C)   Coverage limitations. Coverage limitations for family counseling are:

(i)   individual family counseling; unit: 15 minutes; limitation: 400 units per Plan of Care year; and

(ii)   group, six person maximum, family counseling; unit: 30 minutes; limitation: 225 units per Plan of Care year.

(D)   Documentation requirements. Providers must maintain documentation fully disclosing the extent of services furnished that specifies:

(i)   the service date;

(ii)   the start and stop time for each session;

(iii)   the signature of the therapist;

(iv)   the credentials of the therapist;

(v)   the specific issues addressed;

(vi)   the methods used to address issues;

(vii)   the progress made toward resolving issues and outcomes;

(viii)   the member's response to the session or intervention; and

(ix)   any new issue identified during the session.

(E)   Reporting requirements. Progress reports for each member served must be submitted to the DDS case manager per OAC 340:100-5-52.

(6)   Specialized medical supplies. Specialized medical supplies are provided per OAC 317:40-5-104.

[Source: Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff 7-27-95; Amended at 14 Ok Reg 3733, eff 9-18-97 (emergency); Amended at 15 Ok Reg 22, eff 9-18-97 (emergency); Amended at 15 Ok Reg 1528, eff 5-11-98; Amended at 19 Ok Reg 2134, eff 6-27-02; Amended at 20 Ok Reg 163, eff 10-8-02 (emergency); Amended at 20 Ok Reg 1216, eff 5-27-03; Amended at 23 Ok Reg 815, eff 2-1-06 (emergency); Amended at 23 Ok Reg 2555, eff 6-25-06; Amended at 24 Ok Reg 879, eff 5-11-07; Amended at 28 Ok Reg 1409, eff 6-25-11; Amended at 32 Ok Reg 1073, eff 8-27-15]