24 Miss. Code. R. 2-30.8 - Shared Supported Living Services for Intellectual/Developmental Disabilities Service Components

A. Shared Supported Living Services are for people age 18 and older who have an intellectual/developmental disability and are provided in compact geographical areas (e.g., an apartment complex) in residences either owned or leased by themselves or an agency provider. Employee supervision is provided at the service location and in the community but does not include direct employee supervision at all times.

1. The amount of employee supervision someone receives is based on tiered levels of support based on a person's support level on the Inventory for Client and Agency Planning (ICAP) and risk reflected in the Plan of Services and Supports and the Activity Support Plan.

2. There must be awake employee(s) 24 hours per day, seven (7) days per week when people are present in any of the living units. Employees must be able to respond to requests/need for assistance from people receiving services within five (5) minutes at all times people are present at the service location.

B. Nursing services must be provided as a component of ID/DD Waiver Shared Supported Living Services in accordance with the nurses' applicable scope of practice. Nursing Services must be provided on an as-needed basis. Only activities within the nurse's scope of practice can be provided (refer to Chapter 13). Services a nurse may provide include, but are not limited to, monitoring vital signs, monitoring blood sugar, administration of medication, weight monitoring, periodic assessment, and accompanying people on medical appointments. For requirements regarding assistance with medication usage by non-licensed personnel, refer to Chapter 13.

C. Shared Supported Living Services provide people assistance with direct personal care activities such as:

1. Grooming;

2. Eating;

3. Bathing;

4. Dressing; and

5. Other personal needs.

D. Shared Supported Living Services provide assistance with instrumental activities of daily living which include:

1. Planning and preparing meals;

2. Cleaning;

3. Transportation;

4. Mobility both at home and in the community;

5. Supervision of the person's safety and security;

6. Banking;

7. Shopping;

8. Budgeting;

9. Facilitation of the person's participation in community activities;

10. Use of natural supports and typical community services available to everyone;

11. Social activities;

12. Participation in leisure activities;

13. Development of socially valued behaviors;

14. Scheduling and attending appointments; and

15. Routine and emergency healthcare.

E. Shared Supported Living Services providers must assist people in arranging and accessing routine and emergency medical care and monitoring their health and/or physical condition. Documentation of the following must be maintained in each person's record:

1. Assistance with making doctor/dentist/optical appointments;

2. Transporting and accompanying people to such appointments; and

3. Conversations with the medical professional if the person gives consent.

F. Shared Supported Living Services providers must transport people to and from community activities, work, other places of the person's choice, and other locations chosen by the person as documented in the Activity Support Plan and Plan of Services and Supports.

G. Shared Supported Living Services providers must provide the following for the person:

1. Familiarization with the living arrangement and neighborhood;

2. Introduction to employees and other persons residing in the home;

3. Description of the materials provided upon admission, and

4. Description of the process for informing people/parent(s)/legal representative(s) of their rights, responsibilities, and any service policies prior to or at the time of admission.

H. Agency providers must ensure that each person has access to meals at least three (3) times per day and snacks and drinks throughout the day. Documentation of meal planning for each person must be available for review (grocery lists, menus, etc.).

1. People must have access to food at any time. Any restrictions must be documented in their Plan of Services and Supports and/or Activity Support Plan.

2. People must have choices of the food they eat. Any restrictions must be documented in their Plan of Services and Supports and/or Activity Support Plan.

3. People must have choices about when and with whom they eat.

I. People receiving services are prohibited from having friends, family members, etc., living with them who are not also receiving services as part of the Shared Supported Living Services.

J. In living arrangements in which people pay rent and/or room and board to the agency provider, there must be a written financial agreement which addresses, at a minimum, the following:

1. Procedures for setting and collecting fees and/or room and board (in accordance with Chapter 10).

2. A detailed description of the basic charges agreed upon (e.g., rent [if applicable], utilities, food, etc.).

3. The time period covered by each charge (must be reviewed at least annually or at any time charges change).

4. The service(s) for which special charge(s) are made (e.g., internet, cable, etc.).

5. The written financial agreement must be explained to and reviewed with the person/legal representative(s) prior to or at the time of admission and at least annually thereafter or whenever fees are changed and documented in the person's record.

6. A requirement that the person's record contains a copy of the written financial agreement which is signed and dated by the person/legal representative(s) indicating the contents of the agreement were explained and the person/legal representative(s) is in agreement with the contents. A copy must also be given to the person/legal representative(s).

7. The written financial agreement must include language specifying the conditions, if any, under which a person might be evicted from the living setting that ensures that the agency provider will collaborate with Support Coordination to arrange an appropriate replacement living option to prevent the person from becoming homeless as a result of discharge/termination from the Shared Supported Living Services provider. 8. People receiving ID/DD Waiver services must be afforded the rights outlined in the Landlord/Tenant laws of the State of Mississippi.

K. People must have control over their personal resources. Agency providers cannot restrict access to personal resources. Agency providers must offer informed choice of the consequences/risks of unrestricted access to personal resources. There must be documentation in each person's record regarding all income received and expenses incurred and how/when it is reviewed with the person.

L. People have freedom and support to control their own schedules and activities.

1. People cannot be made to attend day services.

2. Employees must be available to support individual choice.

M. All employees the person invites to the Plan of Services and Supports meeting must be allowed to attend and participate in the development and review of the person's Plan of Services and Supports.

N. If shared supported living personnel were unable to participate in the development of the person's Plan of Services, employees must be trained regarding the person's plan prior to beginning work with the person. This training must be documented.

O. Agency providers must develop methods, procedures, and activities to provide meaningful days and independent living choices about activities/services/employees for the people served in the community.

P. Shared Supported Living Services for community participation activities may be shared by up to four (4) people who may or may not live together and who have a common direct agency provider. In these cases, people may share Shared Supported Living Services personnel when agreed to by the people and when the health and welfare can be assured for each person.

Q. People in Shared Supported Living Services cannot also receive: Supervised Living Services, Host Home Services, In-Home Nursing Respite, In-Home Respite, Home and Community Supports, Supported Living Services, or Community Respite Services.

R. Each person must have an Activity Support Plan that is developed based on their Plan of Services and Supports.

S. Visiting hours cannot be restricted.

T. People have choices about housemates and with whom they share a room. Documentation of each person's choice(s) must be included in the person's record.

U. The setting is selected by the person from setting options including non-disability specific settings and the option of having a private unit, to the degree allowed by personal finances, in the residential setting. This must be documented in the person's Plan of Services and Supports.

Notes

24 Miss. Code. R. 2-30.8

Miss. Code Ann. § 41-4-7

Adopted 9/1/2020 Amended 11/1/2024