In Home Skill Building – Innovations

​​​​For full service definition information link here to the Clinical Coverage Policy 

In Home Skill Building is a habilitative service, meaning that it provides training to enable a participant to acquire skills that will support his or her optimal level of independent functioning. The intensity of this service should decrease over time as an individual masters goals, becomes more independent, and transitions to other services or even unsupervised time when appropriate. This service should also decease over time when the potential for habilitation has been met, and the individual will not be able to complete identified goals independently.

Intended Population​

  • This is a service offered under NC Innovations Waiver. This service is available to any NC Innovations Waiver participant who may benefit from training to acquire the skills that would support independent functioning. This service is not available to participants who receive Residential Supports.

Best Practices

 Outcomes

  • Core Expected Outcomes

  • Improvement of CQL Personal Outcome Measures

  • Development of skills that support independent functioning for the individual

  • Transition from In-Home Skill Building to community-based services such as Community Networking and Supported Employment

  • Use of Assistive Technology to increase independence when appropriate

  • Transition from In-Home Skill Building to Personal Care when appropriate

  • Transition from In-Home Skill Building to unsupervised time or natural supports when appropriate

  • Decrease in SIS scores over time

Management Approach

  • Core Management Strategies

  • For individuals under Benchmarks, In-Home Skill Building is subject to the Limits on Sets of Services as specified in the service definition. 

  • For individuals under Support Needs Matrix, In-Home Skill Building is subject to the amount of the individual's Support Needs Category Budget as specified in the service definition. 

  • Providers will be monitored through clinical review activities that focus on utilization patterns and clinical appropriateness of service.

 

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