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In-Home
Services
North Dakota provides
family support services
to eligible families who may need in-home support. Options for in-home
support include and are not limited to:
-
In-home support for
respite care – someone
comes into the home so the family can have time to run errands or get a
break.
-
In-home support
while the family is at home
– someone comes into the house to work with the child who has a
disability
so the parent can rest or work with other children.
The Department of Human
Services contracts
with a licensed service provider to provide in-home supports. This
assures
families that the staff person is well trained and competent. The
Department
has made it possible for families to recruit and hire their own
provider.
This works in cases when families are in rural settings or are not
eligible
for Medicaid. In this case, the family becomes an employer, responsible
for complying with local, state and federal law regarding:
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Hiring and firing
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Payroll, social
security and income taxes
-
Wages and paychecks
-
Safety on the job
-
Training
North Dakota law regards
this as running a
small business. If you wish more information about the rules and
regulations
regarding managing in-home supports, contact the ND Center for Persons
with Disabilities toll free at 1-800-233-1737 and ask for the Consumer
Liaison.
Family
Support Services Available Are
In-Home
Supports: An authorization
for the services of a specialized caregiver to provide in-home support
for eligible children and adults living in the family home. The
specialized
family support provider must be hired through a licensed service
provider
and must complete training as required by the Department of Human
services.
Options include:
-
Someone to stay with
the person with DD so
the primary caregiver can leave and have a break. This has sometimes
been
called respite care. This does not include paid child care during
working
hours.
-
Someone to stay with
the person with DD while
the primary caregiver is home, but must attend to other children or
duties
or get a rest...
Family Care
Option: Uses a licensed
foster home to provide out-of-home placement for a child on a full or
part-time
basis. This may be used when a family needs more than a few hours a
week
of relief care. Sometimes a family may not be able to maintain the
child
in the home seven full days, but could manage three or four days.
Again,
a licensed provider must supervise the licensed foster home that
provides
support for only persons with DD. Various levels of support are
available.
Families seeking
detailed information
about in-home supports or family care options and their
eligibility
for those supports, should contact the Human
Service Center nearest to them.
Family Subsidy
Program: The purpose
of the program is to help a family meet the excess expenses related to
a disability in order to. . .
-
Meet the needs of
the family member with a
disability
-
Stay together and
avoid out-of-home placement
The Program provides
reimbursement of excess
costs that families incur due to the child’s disability, and is
available
for families of eligible children birth through age 21. Priority is
determined
by the severity of need of the family. Income is not a factor in
determining
need.
Families have used
family subsidy dollars
to pay for:
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Excess child care
costs
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Recreational
activities
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Special equipment
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Special therapy
(speech, OT, PT)
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Special diets
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Medical or dental
care not covered under insurance
or federal programs
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Home health care
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Counseling and or
behavior intervention
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Briefs and/or
special closing
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Related
transportation
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Housing modification
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Excess cost of
health insurance
Family subsidy dollars
are provided through
a negotiated contract to eligible families based on the needs of the
families
and the amount of resources allocated to the region. Many creative
arrangements
to meet family needs are possible. Because differences in family
circumstances
can affect the amount of dollars available or the type of service
allowed,
it is best not to assume that a specific service described by another
family
will be available to everyone.
Families seeking
detailed information about
a family subsidy contract for in-home supports, and their eligibility
for
those supports, should contact the Human
Service Center nearest to them and ask for the DD
Administrator.
Families are free to
hire and train their
own support providers for excess child care, but must assure that all
necessary
social security and state/federal tax requirements are met as an
employer.
Families may not use family support for this cost.
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