Amasevisi Asekelwe Emphakathini

Iziphathimandla Zasendaweni Zokuhlakanipha Nezokuthuthukiswa Kokukhubazeka (LIDDAs)

Iziphathimandla zendawo ezikhubazeke ngokwengqondo nezokuthuthukiswa (ama-LIDDA) zisebenza njengendawo eyodwa yokungena ezinsizeni ezithile ezixhaswe ngumphakathi zokukhubazeka kwengqondo nokuthuthukiswa (IDD) kanye nokwesekwa kwabantu abahlala endaweni yesevisi ye-LIDDAs.

Izinsizakalo ze-LIDDA zihlanganisa:

• Ukuhlolwa kokuxilonga nokuhlola ukufaneleka kwezinhlelo ezixhaswa umphakathi.
• Izinsizakalo ezixhaswe nguhulumeni kubantu abane-IDD.
• Ukufakwa kwabantu ohlwini lwentshisekelo lwe-HCS ne-TxHmL.
• Ukuxhumana kwesevisi kwezinhlelo zokuyekelela.
• Ukuhlola I-Prereadmission Screening and Resident Review (PASRR) yabantu abasesikhungweni sabahlengikazi okusolwa ukuthi bane-IDD.
• Ukuhlelela indawo yesevisi yendawo.
• Ukuhlelela unomphela abantu abathile abangaphansi kweminyaka engama-22 ubudala
• Ukuvikela amalungelo abantu
• Ukwenza imisebenzi yokubhalisa ye-HCS ne-TxHmL izinhlelo zokuyekelela
• Ukuhlinzeka ngosekelo ngokusebenzisa:
• Ongoti bokungenela ezinhlekeleleni (CIS);
• Ukuphumula kwenhlekelele (CR);
• Ukudidiyelwa komphakathi okuthuthukisiwe (ECC); futhi
• Amaqembu asekela izinguquko (TST).

Ezinye izinsiza nezisekelo zinezinhlu zenzuzo ngoba azinakho ukuvuleka okukhona. Abantu abafuna amasevisi noma izisekelo ezithile kufanele bengeze amagama abo ohlwini lwezithakazelo ezifanele ngokushesha okukhulu. Abantu manje abathola izinsiza ezithile noma izisekelo bangase bengeze amagama abo ohlwini lwabathakaselwayo ukuze bathole amanye amasevisi nezisekelo.

Ukuze uthole ulwazi olwengeziwe mayelana namasevisi nezisekelo, okuhlanganisa uhlu lwabahlinzeki endaweni yakini, sicela uxhumane nabaphathi be-IDD yangakini (i-LIDDA). Ungathola imininingwane yokuxhumana ye-LIDDA yakho kokuthi https://apps.hhs.texas.gov/contact/search.cfm .

Texas LIDDA Izindawo

Izinsizakalo Zokukhetha Komphakathi Ezingahoxisi (CFC).

I-CFC engahoxisi inikeza izisebenzi eziyisisekelo kanye nezinsizakalo zokunakekela impilo yabantu abakhubazekile futhi iyatholakala kubamukeli be-Medicaid abahlangabezana nesikhungo sokunakekela esimaphakathi sabantu abakhubazekile ngokomqondo (ICF/IID) izinga lokunakekelwa.

I-CFC yenza i-Texas Medicaid ikwazi ukuhlinzeka ngendlela engabizi kakhulu kumnakekeli oyisisekelo kanye nokulethwa kwezinsizakalo zokuhlehlisa. Izinsizakalo ezitholakala ku-CFC yilezi:

• Amasevisi osizo lomuntu siqu
• Izinsiza zokuhlinzeka ngempilo
• Amasevisi ezimpendulo eziphuthumayo
• Ukuphathwa kokusekela

Ukuze afanelekele izinsiza ze-Community First Choice umuntu kufanele:

• Kufanele ufanelekele i-Medicaid.
• Udinga usizo ngemisebenzi yokuphila kwansuku zonke, njengokugqoka, ukugeza nokudla.
• Hlangana nezinga lesikhungo lokunakekelwa.

Izinsiza Zokunakekela Ezimaphakathi Zabantu Abanokukhubazeka Komqondo noma Uhlelo Lwezimo Ezihlobene (ICF/IID)

Uhlelo lwe-ICF/IID luhlinzeka ngezinsiza zokuhlala kanye nezindawo zokuhlala kubantu abakhubazeke ngokomqondo noma abanesimo esihlobene.

Ama-ICF/IID asemphakathini ahlinzeka ngezinsizakalo zokuhlala zamahora angama-24 kubantu abakhubazeke ngokobuhlakani noma izimo ezihlobene. Izakhamizi ziyakwazi ukufinyelela ezinsizeni eziphelele nezizimele kanye nokwesekwa emiphakathini yasendaweni okuhlanganisa:

Ukuze useshele i-ICF eseduze nawe, sebenzisa ikhasi le- ICF Search .

Ukuze uthole ulwazi olwengeziwe nge-ICF, vakashela ikhasi le- ICF/IID kuwebhusayithi yaseTexas Health and Human Services.

Amasevisi AseKhaya Nomphakathi (HCS)

I-HCS iwuhlelo lokuyekwa kwe-Medicaid oluhlinzeka ngezinsizakalo zomuntu ngamunye futhi lusekela i-Texans enokukhubazeka kwengqondo noma isimo esihlobene ukuze ikwazi ukuhlala emphakathini. Izinsizakalo zomuntu ngamunye kanye nokwesekwa kunganikezwa abantu abahlala ekhaya labo, ikhaya lomndeni, noma ezinye izilungiselelo zomphakathi, njengamakhaya amaqembu amancane.

Amasevisi e-HCS ahloselwe ukunezela esikhundleni sokuthatha indawo yezinsizakalo ezitholwe kwezinye izinhlelo, njenge-Texas Health Steps, noma ezivela kubasekeli bemvelo, okuhlanganisa imindeni, omakhelwane noma izinhlangano zomphakathi.

I-HCS ingase itholakale kunoma yimuphi umhlali waseTexas ongahlali endaweni yesikhungo:

• Une-IQ engu-69 noma ngaphansi noma unesimo esihlobene esigunyaziwe esine-IQ engu-75 noma ngaphansi; noma
• Inokuxilongwa okuyinhloko ngudokotela onelayisensi yesimo esihlobene esifakwe ohlwini lwamakhodi okuxilonga abantu abanezimo ezihlobene ezigunyazwe i-HHSC[available here] ; futhi
• Inokushoda okuncane kuye kodlulele ekuziphatheni okuguquguqukayo.
• Ifanele izinzuzo ze-Medicaid.
• Ayibhalisiwe kunoma yiluphi olunye uhlelo lokuyekwa kwe-Medicaid.

Amasevisi e-HCS angafaka lezi zinsizakalo ezilandelayo:

Ukuze uthole ulwazi olwengeziwe mayelana ne-HCS, vakashela ikhasi le- HCS kuwebhusayithi ye-Texas Health and Human Services.

Indawo yokuhlala yase-Texas Home (TxHmL)

I-TxHmL iwuhlelo lokuyekwa kwe-Medicaid olunikeza izinsizakalo ezibalulekile futhi lusekela ama-Texans anokukhubazeka kwengqondo noma isimo esihlobene nawo ukuze aqhubeke nokuhlala ekhaya lawo noma ekhaya lomndeni.

Amasevisi e-TxHmL ahloselwe ukwengezelela esikhundleni sokuthatha indawo yezinsizakalo ezitholwe kwezinye izinhlelo, njenge-Texas Health Steps, noma ezivela kubasekeli bemvelo, okuhlanganisa imindeni, omakhelwane noma izinhlangano zomphakathi.

Lolu hlelo lungatholakala kunoma yimuphi umhlali waseTexas ongahlali endaweni yesikhungo:

• Thuthukisa futhi ubheke ukuqaliswa kohlelo lwamasu lokuziphatha lokuziphatha lokuziphatha lweminyaka emihlanu
• Thuthukisa iziphakamiso zokusetshenziswa kwezimali zokuziphatha ezihlelekile zomhlaba wonke ngonyaka
• Njalo ngonyaka shicilela uhlu olusha lwezinhlelo zezempilo kanye nezinsizakalo ezixhaswa nguhulumeni

I-TxHmL ingahlinzeka ngamasevisi alandelayo:

Ukuze uthole ulwazi olwengeziwe mayelana ne-TxHmL, vakashela ikhasi le- TxHmL kusukela kuwebhusayithi ye-Texas Health and Human Services.

Usizo Lokuphila Komphakathi kanye Nezinsizakalo Zokusekela (i-CLASS) inikeza izinsizakalo zasekhaya nezasemphakathini kubantu abanezimo ezihlobene njengendlela engabizi kakhulu endaweni yokunakekela emaphakathi yabantu abanokukhubazeka ngokomqondo noma izimo ezihlobene (ICF/IID).

Izinsizakalo ze-CLASS ziyatholakala kubahlali baseTexas abangahlali endaweni yesikhungo aba:

• Utholwe unesifo esihlobene ngaphambi kweminyaka yobudala engama-22 njengoba kuchazwe ku-Texas Approved Diagnostic Codes for People with Conditions Related.
• Iba nezinga elifanelekile lokuziphatha eliguqukayo.
• Hlangana nemibandela yeleveli yokunakekelwa yokubekwa ku-ICF/IID.
• Ungeqi imali ebekiwe kanye nemikhawulo yezinsiza.
• Ababhalisiwe kunoma yiluphi olunye uhlelo lokuyeka iMedicaid.
• Bonisa isidingo sesevisi eyodwa noma ngaphezulu nyanga zonke.

Ukuze uthole ulwazi olwengeziwe mayelana ne-CLASS, vakashela i- handout yolwazi YE-CLASS evela ku-HHSC.

I-Deaf Blind With Multiple Disabilities (DBMD) inikeza izinsizakalo zasekhaya nezomphakathi kubantu abangaboni kahle kanye nokunye ukukhubazeka njengendlela engabizi kakhulu endaweni yokunakekela emaphakathi yabantu abanokukhubazeka ngokomqondo noma izimo ezihlobene (ICF/IID).

Izinsizakalo ze-DBMD ziyatholakala kubahlali baseTexas abangahlali endaweni yesikhungo:

• Thola ukuxilongwa kokungaboni kahle (noma isimo esihlobene esizoholela ekuthululweni) kanye nokuxilongwa okwengeziwe
• Yiba nesimo esihlobene esaboniswa ngaphambi kweminyaka yobudala engama-22
• Hlangana nemibandela yeleveli yokunakekelwa yokubekwa ku-ICF/IID
• Ungeqi imali ebekiwe kanye nemikhawulo yezinsiza
• Ababhalisiwe kunoma yiluphi olunye uhlelo lokuyeka iMedicaid
• Bonisa isidingo sesevisi eyodwa noma ngaphezulu nyanga zonke