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Family Model Residential Support

Family Model Residential Support (FMRS) shall mean a type of residential service where a waiver participant lives in the home of a trained caregiver who is a not family member.  Family Model Residential Support includes individualized services and supports that enable the waiver participant to acquire, retain, or improve skills necessary to reside successfully in a family environment in the home of trained caregivers other than the family of origin. 

The service includes direct assistance as needed with activities of daily living (e.g., bathing, dressing, personal hygiene, eating, and meal preparation excluding cost of food), household chores essential to the health and safety of the waiver participant, budget management, attending appointments, and interpersonal and social skills building to enable the waiver participant to live in a home in the community.  It also may include medication administration as permitted under Tennessee’s Nurse Practice Act. 

The caregivers shall be recruited, screened, trained prior to providing services, and supervised by the Family Model Residential Support provider agency.  The Family Model Residential Support provider shall oversee the waiver participant’s health care needs.

A Family Model Residential Support home shall have no more than 3 residents who receive services and supports regardless of funding source.

The Family Model Residential Support provider shall be responsible for providing an appropriate level of services and supports 24 hours per day during the hours the waiver participant is not receiving Day Services or is not at school or work.

Therapeutic goals and objectives shall be required for waiver participants receiving Family Model Residential Support.

With the exception of transportation to and from medical services covered through the Medicaid State Plan/TennCare Program, transportation shall be a component of Family Model Residential Support and shall be included in the reimbursement rate for such.

Family Model Residential Support shall not be provided in inpatient hospitals, nursing facilities, and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).  Family Model Residential Support shall not be provided in a home where a waiver participant lives with family members unless such family members are also waiver participants receiving Family Model Residential Support.  Family member shall be interpreted to mean the mother, father, grandmother, grandfather, sister, brother, son, daughter, or spouse, whether the relationship is by blood, by marriage, or by adoption.

Reimbursement for Family Model Residential Support shall not include payment for Family Model Residential Support provided by the spouse of a waiver participant.  The Family Model Residential Support provider and provider staff shall not be the parent or custodial grandparent of a waiver participant under age 18 years, whether the relationship is by blood, by marriage, or by adoption; and reimbursement shall not include payment for Family Model Residential Support provided by such individuals. 

Reimbursement shall not include payment made to any other individual who is a conservator unless so permitted in the Order for Conservatorship. 

Reimbursement for Family Model Residential Support shall not be made for room and board or for the cost of maintenance of the dwelling

Applicable limits, if any, on the amount, frequency, or duration of this service: None

 

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