Slot Use Disposition Reports (Item 320 S.1), If you or someone you know is in crisis, contact the 988 Suicide and Crisis Lifeline by calling or texting 988 or visiting 988lifeline.org, Virginia Department of Behavioral Health and Developmental Services, Office of Behavioral Health Wellness (OBHW), Military Service Members, Veterans and Families, Early Intervention for Infants and Toddlers, Individual and Family Support Program (IFSP), Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/IID), Support Coordination/Case Management Resources, Victims of Eugenics Sterilization Compensation Program, Public Guardianship for Individuals with Intellectual and Developmental Disabilities, Learn about the Individual and Family Support Program (IFSP). Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The DBHDS Regional Supports Unit members provide oversight of the Supports Intensity Scale (SIS), DD waivers wait list, and waiver slot assignments. Supplement assessments virtually. 0000013052 00000 n The Print dialog box appears. Kepro will perform the assessment to assess the support needs of individuals aged 14 and older, determine the intensity of the need and to monitor individual progress and evaluate outcomes over time. The Assessor will make sure that all attendees are ready to begin the interview. Get your online template and fill it in using progressive features. Check the box for each section you want to print. A SIS interview usually takes about three or more hours to complete. The SIS-A TM Respondent Guide For Use with Remote Assessments. All rights reserved. It would be best if the interview could take place in a room that is quiet, private, comfortable and appropriate to meet the individuals needs. KEPRO will perform the assessment to determine the support necessities of individuals aged 16 and older, as well as the intensity of the needs. Click the OK button. A SIS assessment is required for everyone who receives DD waiver services. & Estates, Corporate - PA SIS - Resources and Training Materials - KEPRO INTRODUCTION: The Office of Developmental Programs, together with stakeholders from across Waiver/Program TitlePA Community HealthChoices (CHC) Quality / Outcome Assessment: PA PA Media (formerly the Press Association) is a multimedia news agency, and the national Use professional pre-built templates to fill in and sign documents online faster. Once Intake and Eligibility has determined a person is DDA Eligible and the person has requested a DDA service, an assessment is necessary to determine whether a person will receive paid services. The SIS measures a persons support needs in these areas: SIS assessments are conducted during a face-to-face interview by a SIS Assessor who has been trained by AAIDD. 0000016579 00000 n You may be trying to access this site from a secured browser on the server. During the interview, the Assessor might ask the attendees to imagine the person doing things he/she has not done before. During the interview, the assessor will ask you questions like: What type of support does Jane need to successfully get dressed each day?, How frequently does Jane need this type of support?, On a typical day when support of this type is needed, how much time should be devoted?. provide home modifications and assistive technology that help people avoid living in a nursing home or other institution. NOTE: A regular assessment is considered past due when the last SIS was conducted 60 months (5-years) or more Clicking on the ID/Tracking number of a case provides access the assessment you need. Ongoing research around the world continues to confirm the assessment's reliability and validity. Respondent teams should plan on logging in to the meeting ten minutes prior to the Type text, add images, blackout confidential details, add comments, highlights and more. Supports Intensity Scale (SIS) Assessment | Maximus A recognized SIS-A assessor asks individuals (and people familiar with an individuals needs) questions. Service Authorization Staff (effective 4/2023). Should the individual participate in the interview? The Support Intensity Scale (SIS) is used for clients aged 16 and older. 0000008121 00000 n 0000002416 00000 n 0000006500 00000 n 0000016102 00000 n We have answers to the most popular questions from our customers. Choose the document template you require in the collection of legal form samples. Spanish, Localized TM and PA Supplement assessments through a conservative roll-out strategy, Attorney, Terms of The SIS Assessor will need to have a virtual view of the individual being assessed. From sample interview forms to conducting a pilot program, here's what your colleagues are asking about the Supports Intensity Scale. Service, Contact The psychometric and technical properties are provided in the User's Manual. Access the most extensive library of templates available. For information on the Service Level Assessment: Melissa Randles, State Plan Services Unit Manager. Please enable scripts and reload this page. Improve health outcomes in today's complex world, Modernize government to serve the needs of citizens, Empower vulnerable populations to succeed, Meet expectations for service and ease of use, Leverage tax credits, recruit and retain qualified workers, Provide conflict-free health screenings and evaluations, Resolve benefit disputes with a nonjudicial approach, Modernize your program, adapt to changing needs, Make services easier to access, ensure program integrity, Driving innovation, reimaging whats possible, Creating a positive impact where we live and work, Recognized by industry and media for making an impact. Register for Webinars & Member-Only Forums, Consortium for Constituents with Disabilities, Supports Intensity Scale - Adult Version (SIS-A) (2015), Supports Intensity Scale- Children's Version(SIS-C) (2016), Supports Intensity Scale - Adult Version(SIS-A): Annual Review Protocol (2018), Person-Centered Planning With the Supports Intensity Scale - Adult Version: A Guide for Planning Teams (2017), Normed with a culturally diverse group of over 1,300 people with intellectual and developmental disabilities, Normed in 33 states and two Canadian provinces, Psychometric properties are documented in peer reviewed journals around the world, Normed with a culturally diverse group of children with intellectual and developmental disabilities. 0000004871 00000 n . Significant Change Assessment Completed when there is a significant change in the clients support needs, such as an increase in medical or behavioral supports. The Supports Intensity Scale is a unique assessment tool dedicated exclusively to identifying and measuring the supports needs of persons with intellectual disabilities in order to help them lead a regular, independent life. Your job is simply to answer these types of questions as well as you can. 0000074817 00000 n 0000071115 00000 n TTY callers please, Supports Intensity Scale (SIS). Interim Assessment Completed when an update is needed to the supports paid and unpaid caregivers are providing. Supports Intensity Scale (SIS) assessment for Innovations - Partners 8403 Colesville Road, Suite 900Silver Spring, MD 20910, Telephone: 202-387-1968 | Fax: 202-387-2193, Privacy Policy | Terms of Use | Sitemap | Contact Us, American Association on Intellectual and Developmental Disabilities (AAIDD). The SIS Assessor will not be the person's case manager. In the first year, starting in July 2017, the first group of people to receive the SIS, and have the information about what they need used in their individual service plans, are people who live in licensed or certified residential settings. The Virginia Developmental Disabilities Home and Community-Based Services (HCBS) Waivers help eligible people with a developmental disability (DD) to receive services and supports in the community. Many updates and improvements! Theft, Personal Changing Password. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. To request a screening for DD waivers, find your local CSB/BHA by usingthis link. Supports Intensity Scale Assessments | Maximus USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. A general progression from the initial steps of the initial to the more advanced and follow-up types of training are: SIS Stakeholder Training/Respondent Orientation. Follow the simple instructions below: Experience all the advantages of submitting and completing legal forms online. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an . Complete all the required fields (these are yellow-colored). The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder, and sole owner of the Supports Intensity Scale. This can include (but is not limited to) the individuals home, his or her day service provider, or the home of a family member or friend. The Supports Intensity Scale (SIS) is the tool DDD is using to understand the kind of supports people need, based on their individual circumstances, to be successful at home and in the community. trailer <<25d9bb04149811deb97f000a95d7a080>]>> startxref 0 %%EOF 35 0 obj<>stream DD Case Management Related Forms & InformationThe following are forms and information useful to case managers/support coordinators related to adding an individual to the DD Waivers Wait List, preparing for Waiver Slot Assignment Committee meetings, SIS-related forms & instructions, and requesting an emergency or reserve slot: Please contact your Regional Supports Specialist (RSS) for questions or more information about the above resources at DBHDS RSS Contact Information 7.01.2022. AAIDD offers several types of Supports Intensity Scale (SIS) training to our customers based on their specific stage of implementation. line to dial in. TM and PA You can also download it, export it or print it out. BCN crisis plan handwrite form 05-2009doc - mvbcn, Name Date Core Double Bubble Maps Compare Contrast, PRACTICE WORKSHEET A Writing a Thesis Statement. ODP-Reinstatement of SIS and PA Supplement Maximus Core Capabilities Clinical Services Understand the Assessment Process What to expect at your SIS Assessment Who will participate? In-Plant Performance System (IPPS) - Revision 4 Table of Contents table of contents + Table of Contents Hide Table of contents x. A SIS assessment is a meeting with a DDS SIS Assessor and at least two people (respondents) who know a great deal about the individual's daily support needs. 0000004946 00000 n Enjoy smart fillable fields and interactivity. About the Supports Intensity Scale Adult Version (SIS-A) If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. Experience a faster way to fill out and sign forms on the web. Its important to understand what supports people need to live a good life in their community. As needed, enter values in the available . The interview can be expected to take 3 to 4 hours to complete. A. IPPS provides a firsthand, onsite observation of how well employees conduct FSIS inspection and verification procedures in federally-inspected establishments. Respondents can be the individual, family members, friends, direct support or other staff from residential or day service providers. The purpose of this communication is to announce that effective June 1, 2020, the Ample time should be allocated Kepro SIS Assessment Satisfaction Survey. If the respondent cannot participate virtually and has access to a landline phone, the Show More Table of contents. 0000056145 00000 n 0000075110 00000 n The SIS Assessor will need to have a virtual view of the individual being assessed. Many states use the results of the SIS to determine necessary supports and services for the individual. Supports Intensity Scale (SIS) Assessment. HCSIS ISP Assessments. What is the SIS-A? Annual Assessment - Completed yearly to continue receiving services. Copyright 2023 Maximus. Supports Intensity Scale Adult VersionTM (SIS-ATM). Your information is securely protected, since we adhere to the most up-to-date security requirements. Circle the appropriate number (0-4) for each measurement (i.e., Frequency,Daily Support Time, Type of Support). We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. If you have any questions, please reach out to your SIS Regional Lead. An SNI of 100 is average and indicates average support needs. Page 1 of 4 [PA SIS. The assessment meeting should take place wherever the individual and other respondents choose. If approved, a rate unique to the individual and/or service is developed based on eligibility criteria and the individuals demonstrated exceptional support need. green phases of Governor Wolfs Plan to Reopen Pennsylvania. Supports Intensity Scale - AAIDD CMS Look through the entire form to ensure you have completed all the information and no changes are required. "zHZnEM.T*Kap7:#$d$. 0000005648 00000 n Information from the SIS helps with this discovery process. The SIS is a nationally normed assessment tool for people with intellectual and developmental disabilities. If the individual has chosen not to participate in the assessment meeting, the respondents may choose the meeting location. People who receive services are strongly encouraged to be at their SIS interview. Handbook, Incorporation The American Association on Intellectual and Developmental Disabilities (AAIDD) is the publisher, copyright holder and sole owner of the SIS. The SIS-ATMfocuses on the level of support needed by a person instead of evaluating deficits in skills. Updated: 08/18/2020. The individual being assessed will always be included in their assessment. Save or instantly send your ready documents. Once the assessment is scheduled, a confirmation email will be sent from KEPRO 0000075497 00000 n III. The SIS Assessor will not be the persons case manager. There are three sections in the DDA Assessment: Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA). The SIS-A was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD). DBHDS collects SIS Satisfaction Survey responses from those who choose to complete a survey after participating in a SIS assessment. Results include a visual profile of high and low intensity support needs, an index score, and a percentile ranking. Supporting individuals by promoting recovery, self-determination, and wellness in all aspects of life. PDF How to search for and view an individual's SIS Assessment Record The first group is called Cohort 1. The SIS assessor will ask questions about the following topics: The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder and sole owner of the Supports Intensity Scale (SIS). 0000005044 00000 n 0000020180 00000 n 0000023087 00000 n All other years, the Case Manager will do an overview of each section and may explore specific questions, especially as they relate to client goals. Respondents that can should also participate virtually (audio and video capabilities). If an individual and a family member dont quite agree on the answers to a question at first, the assessor may ask extra questions to be sure that we understand your viewpoints and help with the process of coming to agreement. My Account, Forms in services, For Small Together, we aim to support Pennsylvanians with developmental disabilities and/or autism to achieve greater independence, choice and opportunity in their daily lives. D. Establishment of supports packages, which means a set of assumptions regarding the types and amounts of supports that an individual needs to be adequately supported in the community. Below you will find information about DD waivers policies, procedures, Waiver Slot Assignment Committees,theSupport Intensity Scale assessment, and other information to support individuals currently on the DD waivers. Waivers fund a variety of supports including those that: Virginia applies to the federal Medicaid agency known as the Centers for Medicare and Medicaid Services (CMS) to have waivers. The SIS Assessor will ask about activities at home, in the community, and with friends and family. DBHDS contracts with Ascend Management Innovations (Ascend/Maximus) and Telligen to administer the Supports Intensity Scale. AAIDD is the oldest and largest professional society concerned with intellectual disability. The SIS-A has been used as a person-centered planning tool in New Hampshire for many years. Edit your blank sis assessment online. 0000062185 00000 n Focus on the individual's supports needs rather than on skill deficits. After the interview, the SIS assessment results are made available to the person or their family member upon request. The SIS-A is designed to be used for individuals ages 16-72 however, ODP, with permission from AAIDD, selected to use the tool for individuals as young as 14 and older than 72 years of age. The SIS-A was extensively field tested before it was initially launched in 2004. 0000016354 00000 n If an individual does not have access to a device with audio and video PDF Virtual/Remote Interview Respondent Guide Using our solution completing Sis Assessment Pa requires just a couple of minutes. The DDA Assessment is designed to measure the individual support needs of persons with intellectual and developmental disabilities over a broad spectrum of life areas and activities. Developmental Disabilities Division (DDD), COVID-19: Information for Participants and Families, COVID-19: Information for Waiver Providers, More information for participants / families, I am a certified adult foster home caregiver, Archive: Correspondence to AFH Caregivers, I want to be a Medicaid I/DD Waiver Provider, Administrative Hearing for Medicaid I/DD Waiver Providers, How to Apply: Medicaid I/DD Waiver Admission, The Road to Supporting Hawaiis Families: Long Description, How to file a grievance about your services, Informal Review and Administrative Hearing, Website Accessibility and Non-Discrimination Notice, Person for whom the SIS is being conducted, Parents/guardian, spouse, or other family members, Direct support staff from the persons home, day program, or employment, Friends, neighbors or community members who know the person well, Develop more effective person-centered service plans (ISP), and. What will happen on the day of the interview? It also assesses employment support needs. SISOnline supports administering, scoring, and generating reports for AAIDD's suite of SIS products. To determine the level of supports (1-7), based on level of need. Waiver Services - Virginia Department of Behavioral Health and Complete Sis Assessment Pa in just a couple of moments by following the instructions listed below: Send your new Sis Assessment Pa in a digital form right after you are done with filling it out. Click on the link below to access DMAS Forms. 0000018787 00000 n Maximus U.S. Services first partnered with AAIDD and states in 2007 to develop SIS programs. For each item, the SIS Assessor will ask: In order to ensure the correct amount and type of support is provided, the attendees need to answer the questions honestly and as thoroughly as possible. 0000004200 00000 n The SIS is an interview tool that measures the support needs, or level of assistance, a person with developmental disabilities needs to fully participate in their community. The SISmeeting will be scheduled as a single meeting with all respondents in attendance. This assessment evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). There is an assessment for adults and an assessment for children. Supports Intensity Scale (SIS) - Developmental Disabilities Division Scheduling Expedited Requests. SIS-A assessments can be long, sometimes taking between 3 and 4 hours to complete. PDF ISP Manual for Individuals with ID - Department of Human Services The SIS-A assessment tool was created by the American Association on Intellectual and Developmental Disabilities (AAIDD). This pdf provides an overview of the steps involved in a typical SIS assessment. The assessment is anonymous and able to be submitted electronically or via USPS. concentrating first on 5-year reassessments, prioritizing those that are overdue, and All rights reserved. It . In addition, IPPS assesses employees' demonstrated knowledge of job requirements . The local CSB is the first stop to being screened and assessed for waiver services. At Kepro, our goal is to build healthier communities in partnership with those we serve. The Virginia Developmental Disabilities Home and Community-Based Services (HCBS) Waivers help eligible people with a developmental disability (DD) to receive services and supports in the community. Share your form with others A blank datasheet for the Risk Matrix Internal assessment appears. Kepro will perform the assessment to assess the support needs of individuals aged 14 and older, determine the intensity of the need and to monitor individual progress and evaluate outcomes over time. This will allow time for troubleshooting any connectivity Scheduling Past Due Regular Assessment. In the second year, starting July 2018, people who live at home and also receive Adult Day Health (ADH) services will begin having SIS information used in their ISPs. This pdf provides respondents an overview of the SIS assessment. In Hawaii, the SIS is being used in two ways: When certain questions on the SIS indicate an individual has extraordinary medical or behavioral needs, SIS Assessors will ask a standard set of supplemental questions to gather additional information about these needs. The SIS was developed, 01. (up to three hours) for accurate information to be obtained. Developmental Disabilities (AAIDD) and Keystone Peer Review Organization (KEPRO) to the Family and Individual Supports Waiver (FIS), and. Keystone State. TM) and Pennsylvania (PA) Supplement 0000005168 00000 n Join numerous satisfied customers that are already completing legal templates from their homes. From the Select a Template drop-down menu, choose the appropriate document. The Supports Intensity Scale (SIS) is an assessment tool developed by the American Association on Intellectual and Developmental Disabilities (AAIDD) that evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). This site uses cookies to enhance site navigation and personalize your experience. The Supports Intensity Scale - Adult Version (SIS-A) is a standardized assessment tool designed to measure the pattern and intensity of supports that a person aged 16 years and older with intellectual and developmental disabilities (IDD) requires to be successful in community settings. ODP has been working collaboratively with the American Association on Intellectual and 275 E. Main Street 4CF Frankfort, KY 40621 Phone: (502) 564-7700 Fax: (502) 564-8917 Hours: Monday-Friday 8:00 am-4:30 pm ET Crisis Lines by County Hotlines/Other Contacts Suicide Prevention Hotline Contact Us PASRR, Incident Reporting, and Mortality Review Fax: (502) 564-2284 Branch Manager Cathy Lerza (502) 782-6222 The individual may choose to be an active participant in the interview. 0000005091 00000 n The SIS will help the Individualized Service Plan (ISP) team to understand what supports are needed for the person to achieve a richer, fuller life. Virtual/Remote Interview Respondent Guide Respiratory are (4 Items) Feeding Assistance (3 Items) Skin are (2 Items) Other Exceptional Medical are (10 Items) 0000001625 00000 n Honolulu, HI 96813. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. PA SIS - Homepage - KEPRO The Assessments feature allows you to create a test or quiz that students complete as an assignment within SIS. BACKGROUND. positive control over one's life. The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. Highest customer reviews on one of the most highly-trusted product review platforms. top. Forms, Real Estate For more information on the DDA Assessment check out WAC Chapter 388-828. DocHub v5.1.1 Released! The Supports Intensity Scale (SIS) is a strength-based, comprehensive assessment tool that measures an individuals support needs in personal, work-related and social activities in order to identify and describe the types and intensity of the supports an individual requires. A SIS assessment is a meeting with a DDS SIS Assessor and at least two people (respondents) who know a great deal about the individuals daily support needs. Send blank sis assessment via email, link, or fax. What is SISOnline? The blank document prints. Supports Intensity Scale - Adult Version (SIS-A). SIS-A data can also be used to examine support needs across comparable groups for a number of purposes, including program planning, projecting future population needs, analyzing resource distribution, and program evaluation. The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. This link is enabled only when you are viewing existing SIS Proof Test records. It should be a place where all respondents agree to meet. 0000016954 00000 n 0000002129 00000 n The SIS-A TM focuses on the level of support needed by a person instead of evaluating deficits in skills. Kepro SAM Scheduling Resources. Complete Sis Assessment Pa online with US Legal Forms. Additional information about the DD waivers, the waiting list, independent housing, and locating service providers can be found at My Life My Community. This requires the individual to have access to a device that has audio and video capabilities. An individuals responses will be scored according to a standard protocol and the resulting score will be something that is comparable across individuals. USLegal received the following as compared to 9 other form sites. USLegal fulfills industry-leading security and compliance standards.

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