Home and Community Support Services (HCSS): Enhancing Lives in the Community

Home and Community Support Services (HCSS) are utilized when oversight and/or supervision as a discrete service is necessary to maintain the health and welfare of the participant living in the community. Oversight and/or supervision is necessary to prevent a cognitively impaired individual from unsafe activities (for example, wandering or leaving the stove unattended). Oversight and/or supervision can be accomplished through cueing, prompting, direction, and instruction. If the applicant/participant does not require oversight and/or supervision, HCSS would not be appropriate.

Referral and Assessment Process:

Upon determining the need for HCSS, the participant selects a provider from a list of qualified agencies. The Service Coordinator (SC) contacts the chosen provider for an assessment. If personal care needs arise, coordination with the participant's physician and the Local Department of Social Services (LDSS) is essential for evaluation and service arrangement.

The assessment process involves completing the Home Assessment Abstract (DSS-3139) with input from the HCSS provider's supervising Registered Professional Nurse. The assessment outlines the frequency and duration of HCSS, ensuring a personalized and effective plan.

Provider Qualifications:
HCSS can only be provided by a Licensed Home Care Services Agency (LHCSA), with staff meeting specific requirements. HCSS staff members must be at least 18 years old, able to follow instructions, possess necessary skills, and complete relevant training. The supervising Registered Professional Nurse must meet specific qualifications and conduct an initial home visit to introduce staff, assess services, and address any environmental considerations.
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