Appendix A to Part 96 - Uniform Definitions of Services
45:1.0.1.1.55.14.57.1.33 : Appendix A
Appendix A to Part 96 - Uniform Definitions of Services 1. Adoption
Services 2. Case Management Services 3. Congregate Meals 4.
Counseling Services 5. Day Care Services - Adults 6. Day Care
Services - Children 7. Education and Training Services 8.
Employment Services 9. Family Planning Services 10. Foster Care
Services for Adults 11. Foster Care Services for Children 12.
Health Related and Home Health Services 13. Home Based Services 14.
Home Delivered Meals 15. Housing Services 16. Independent and
Transitional Living Services 17. Information and Referral Services
18. Legal Services 19. Pregnancy and Parenting Services for Young
Parents 20. Prevention and Intervention Services 21. Protective
Services for Adults 22. Protective Services for Children 23.
Recreational Services 24. Residential Treatment Services 25.
Special Services for Persons with Developmental or Physical
Disabilities, or Persons with Visual or Auditory Impairments 26.
Special Services for Youth Involved in or At Risk of Involvement in
Criminal Activity 27. Substance Abuse Services 28. Transportation
Services 29. Other Services Uniform Definitions of Services 1.
Adoption Services
Adoption services are those services or activities provided to
assist in bringing about the adoption of a child. Component
services and activities may include, but are not limited to,
counseling the biological parent(s), recruitment of adoptive homes,
and pre- and post-placement training and/or counseling.
2. Case Management Services
Case management services are services or activities for the
arrangement, coordination, and monitoring of services to meet the
needs of individuals and families. Component services and
activities may include individual service plan development;
counseling; monitoring, developing, securing, and coordinating
services; monitoring and evaluating client progress; and assuring
that clients' rights are protected.
3. Congregate Meals
Congregate meals are those services or activities designed to
prepare and serve one or more meals a day to individuals in central
dining areas in order to prevent institutionalization,
malnutrition, and feelings of isolation. Component services or
activities may include the cost of personnel, equipment, and food;
assessment of nutritional and dietary needs; nutritional education
and counseling; socialization; and other services such as
transportation and information and referral.
4. Counseling Services
Counseling services are those services or activities that apply
therapeutic processes to personal, family, situational, or
occupational problems in order to bring about a positive resolution
of the problem or improved individual or family functioning or
circumstances. Problem areas may include family and marital
relationships, parent-child problems, or drug abuse.
5. Day Care Services - Adults
Day care services for adults are those services or activities
provided to adults who require care and supervision in a protective
setting for a portion of a 24-hour day. Component services or
activities may include opportunity for social interaction,
companionship and self-education; health support or assistance in
obtaining health services; counseling; recreation and general
leisure time activities; meals; personal care services; plan
development; and transportation.
6. Day Care Services - Children
Day care services for children (including infants,
pre-schoolers, and school age children) are services or activities
provided in a setting that meets applicable standards of state and
local law, in a center or in a home, for a portion of a 24-hour
day. Component services or activities may include a comprehensive
and coordinated set of appropriate developmental activities for
children, recreation, meals and snacks, transportation, health
support services, social service counseling for parents, plan
development, and licensing and monitoring of child care homes and
facilities.
7. Education and Training Services
Education and training services are those services provided to
improve knowledge or daily living skills and to enhance cultural
opportunities. Services may include instruction or training in, but
are not limited to, such issues as consumer education, health
education, community protection and safety education, literacy
education, English as a second language, and General Educational
Development (G.E.D.). Component services or activities may include
screening, assessment and testing; individual or group instruction;
tutoring; provision of books, supplies and instructional material;
counseling; transportation; and referral to community
resources.
8. Employment Services
Employment services are those services or activities provided to
assist individuals in securing employment or acquiring or learning
skills that promote opportunities for employment. Component
services or activities may include employment screening,
assessment, or testing; structured job skills and job seeking
skills; specialized therapy (occupational, speech, physical);
special training and tutoring, including literacy training and
pre-vocational training; provision of books, supplies and
instructional material; counseling, transportation; and referral to
community resources.
9. Family Planning Services
Family planning services are those educational, comprehensive
medical or social services or activities which enable individuals,
including minors, to determine freely the number and spacing of
their children and to select the means by which this may be
achieved. These services and activities include a broad range of
acceptable and effective methods and services to limit or enhance
fertility, including contraceptive methods (including natural
family planning and abstinence), and the management of infertility
(including referral to adoption). Specific component services and
activities may include preconceptional counseling, education, and
general reproductive health care, including diagnosis and treatment
of infections which threaten reproductive capability. Family
planning services do not include pregnancy care (including
obstetric or prenatal care).
10. Foster Care Services for Adults
Foster care services for adults are those services or activities
that assess the need and arrange for the substitute care and
alternate living situation of adults in a setting suitable to the
individual's needs. Individuals may need such services because of
social, physical or mental disabilities, or as a consequence of
abuse or neglect. Care may be provided in a community-based
setting, or such services may arrange for institutionalization when
necessary. Component services or activities include assessment of
the individual's needs; case planning and case management to assure
that the individual receives proper care in the placement;
counseling to help with personal problems and adjusting to new
situations; assistance in obtaining other necessary supportive
services; determining, through periodic reviews, the continued
appropriateness of and need for placement; and recruitment and
licensing of foster care homes and facilities.
11. Foster Care Services for Children
Foster care services for children are those services or
activities associated with the provision of an alternative family
life experience for abused, neglected or dependent children,
between birth and the age of majority, on the basis of a court
commitment or a voluntary placement agreement signed by the parent
or guardian. Services may be provided to children in foster family
homes, foster homes of relatives, group homes, emergency shelters,
residential facilities, child care institutions, pre-adoptive homes
or supervised independent living situation. Component services or
activities may include assessment of the child's needs; case
planning and case management to assure that the child receives
proper care in the placement; medical care as an integral but
subordinate part of the service; counseling of the child, the
child's parents, and the foster parents; referral and assistance in
obtaining other necessary supportive services; periodical reviews
to determine the continued appropriateness and need for placement;
and recruitment and licensing of foster homes and child care
institutions.
12. Health Related and Home Health Services
Health related and home health services are those in-home or
out-of-home services or activities designed to assist individuals
and families to attain and maintain a favorable condition of
health. Component services and activities may include providing an
analysis or assessment of an individual's health problems and the
development of a treatment plan; assisting individuals to identify
and understand their health needs; assisting individuals to locate,
provide or secure, and utilize appropriate medical treatment,
preventive medical care, and health maintenance services, including
in-home health services and emergency medical services; and
providing follow-up services as needed.
13. Home Based Services
Home based services are those in-home services or activities
provided to individuals or families to assist with household or
personal care activities that improve or maintain adequate family
well-being. These services may be provided for reasons of illness,
incapacity, frailty, absence of a caretaker relative, or to prevent
abuse and neglect of a child or adult. Major service components
include homemaker services, chore services, home maintenance
services, and household management services. Component services or
activities may include protective supervision of adults and/or
children to help prevent abuse, temporary non-medical personal
care, house-cleaning, essential shopping, simple household repairs,
yard maintenance, teaching of homemaking skills, training in
self-help and self-care skills, assistance with meal planning and
preparation, sanitation, budgeting, and general household
management.
14. Home Delivered Meals
Home-delivered meals are those services or activities designed
to prepare and deliver one or more meals a day to an individual's
residence in order to prevent institutionalization, malnutrition,
and feelings of isolation. Component services or activities may
include the cost of personnel, equipment, and food; assessment of
nutritional and dietary needs; nutritional education and
counseling; socialization services; and information and
referral.
15. Housing Services
Housing services are those services or activities designed to
assist individuals or families in locating, obtaining, or retaining
suitable housing. Component services or activities may include
tenant counseling; helping individuals and families to identify and
correct substandard housing conditions on behalf of individuals and
families who are unable to protect their own interests; and
assisting individuals and families to understand leases, secure
utilities, make moving arrangements and minor renovations.
16. Independent and Transitional Living Services
Independent and transitional living services are those services
and activities designed to help older youth in foster care or
homeless youth make the transition to independent living, or to
help adults make the transition from an institution, or from
homelessness, to independent living. Component services or
activities may include educational and employment assistance,
training in daily living skills, and housing assistance. Specific
component services and activities may include supervised practice
living and post-foster care services.
17. Information and Referral Services
Information and referral services are those services or
activities designed to provide information about services provided
by public and private service providers and a brief assessment of
client needs (but not diagnosis and evaluation) to facilitate
appropriate referral to these community resources.
18. Legal Services
Legal services are those services or activities provided by a
lawyer or other person(s) under the supervision of a lawyer to
assist individuals in seeking or obtaining legal help in civil
matters such as housing, divorce, child support, guardianship,
paternity, and legal separation. Component services or activities
may include receiving and preparing cases for trial, provision of
legal advice, representation at hearings, and counseling.
19. Pregnancy and Parenting Services for Young Parents
Pregnancy and parenting services are those services or
activities for married or unmarried adolescent parents and their
families designed to assist young parents in coping with the
social, emotional, and economic problems related to pregnancy and
in planning for the future. Component services or activities may
include securing necessary health care and living arrangements;
obtaining legal services; and providing counseling, child care
education, and training in and development of parenting skills.
20. Prevention and Intervention Services
Prevention and intervention services are those services or
activities designed to provide early identification and/or timely
intervention to support families and prevent or ameliorate the
consequences of, abuse, neglect, or family violence, or to assist
in making arrangement for alternate placements or living
arrangements where necessary. Such services may also be provided to
prevent the removal of a child or adult from the home. Component
services and activities may include investigation; assessment
and/or evaluation of the extent of the problem; counseling,
including mental health counseling or therapy as needed;
developmental and parenting skills training; respite care; and
other services including supervision, case management, and
transportation.
21. Protective Services for Adults
Protective services for adults are those services or activities
designed to prevent or remedy abuse, neglect or exploitation of
adults who are unable to protect their own interests. Examples of
situations that may require protective services are injury due to
maltreatment or family violence; lack of adequate food, clothing or
shelter; lack of essential medical treatment or rehabilitation
services; and lack of necessary financial or other resources.
Component services or activities may include investigation;
immediate intervention; emergency medical services; emergency
shelter; developing case plans; initiation of legal action (if
needed); counseling for the individual and the family;
assessment/evaluation of family circumstances; arranging
alternative or improved living arrangements; preparing for foster
placement, if needed; and case management and referral to service
providers.
22. Protective Services for Children
Protective services for children are those services or
activities designed to prevent or remedy abuse, neglect, or
exploitation of children who may be harmed through physical or
mental injury, sexual abuse or exploitation, and negligent
treatment or maltreatment, including failure to be provided with
adequate food, clothing, shelter, or medical care. Component
services or activities may include immediate investigation and
intervention; emergency medical services; emergency shelter;
developing case plans; initiation of legal action (if needed);
counseling for the child and the family; assessment/evaluation of
family circumstances; arranging alternative living arrangement;
preparing for foster placement, if needed; and case management and
referral to service providers.
23. Recreational Services
Recreational services are those services or activities designed
to provide, or assist individuals to take advantage of, individual
or group activities directed towards promoting physical, cultural,
and/or social development.
24. Residential Treatment Services
Residential treatment services provide short-term residential
care and comprehensive treatment and services for children or
adults whose problems are so severe or are such that they cannot be
cared for at home or in foster care and need the specialized
services provided by specialized facilities. Component services and
activities may include diagnosis and psychological evaluation;
alcohol and drug detoxification services; individual, family, and
group therapy and counseling; remedial education and GED
preparation; vocational or pre-vocational training; training in
activities of daily living; supervised recreational and social
activities; case management; transportation; and referral to and
utilization of other services.
25. Special Services for Persons With Developmental or Physical
Disabilities, or Persons With Visual or Auditory Impairments
Special services for persons with developmental or physical
disabilities, or persons with visual or auditory impairments, are
services or activities to maximize the potential of persons with
disabilities, help alleviate the effects of physical, mental or
emotional disabilities, and to enable these persons to live in the
least restrictive environment possible. Component services or
activities may include personal and family counseling; respite
care; family support; recreation; transportation; aid to assist
with independent functioning in the community; and training in
mobility, communication skills, the use of special aids and
appliances, and self-sufficiency skills. Residential and medical
services may be included only as an integral, but subordinate, part
of the services.
26. Special Services for Youth Involved in or at Risk of
Involvement With Criminal Activity
Special services for youth involved in or at risk of involvement
with criminal activity are those services or activities for youth
who are, or who may become, involved with the juvenile justice
system and their families. Components services or activities are
designed to enhance family functioning and/or modify the youth's
behavior with the goal of developing socially appropriate behavior
and may include counseling, intervention therapy, and residential
and medical services if included as an integral but subordinate
part of the service.
27. Substance Abuse Services
Substance abuse services are those services or activities that
are primarily designed to deter, reduce, or eliminate substance
abuse or chemical dependence. Except for initial detoxification
services, medical and residential services may be included but only
as an integral but subordinate part of the service. Component
substance abuse services or activities may include a comprehensive
range of personal and family counseling methods, methadone
treatment for opiate abusers, or detoxification treatment for
alcohol abusers. Services may be provided in alternative living
arrangements such as institutional settings and community-based
halfway houses.
28. Transportation Services
Transportation services are those services or activities that
provide or arrange for the travel, including travel costs, of
individuals in order to access services, or obtain medical care or
employment. Component services or activities may include special
travel arrangements such as special modes of transportation and
personnel to accompany or assist individuals or families to utilize
transportation.
29. Other Services
Other Services are services that do not fall within the
definitions of the preceding 28 services. The definition used by
the State for each of these services should appear elsewhere in the
annual report.
[58 FR 60128, Nov. 15, 1993]