This service pays for a person to receive support in the home of a friend, family member, or a licensed facility when their regular caregiver, paid or unpaid, is not available or needs a break.
When to Apply this Service
The person’s service and support administrator, or SSA, will assess them for a need for Residential Respite. If there is a need, the SSA will include it in the person’s individual service plan.
Residential Respite is limited to 90 calendar days per waiver span.
Providing this Service
Agency providers that have a Medicaid provider agreement and are DODD-certified can provide this service.
Residential Respite can be provided one-on-one or as a group service.
This service can only be provided in an intermediate care facility or a residence where it is provided by an agency provider.
Training Requirements for this Service
Providers must complete the initial provider certification and annual training requirements to deliver this service.
Billing and Payment Information
All services must be delivered as specified in the individual service plan and authorized in Payment Authorization for Waiver Services, known as PAWS, to be successfully submitted for payment through eMBS.
Rates and limits for Residential Respite are contained in the service rule's appendix.