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Mi Via Self-Directed Waiver Service Standards
Includes detailed service descriptions, provider qualifications, and specific guidelines for services.

• Appendix A: Service Descriptions in Detail
• Appendix B: Service and Support Plan
• Appendix C: Mi Via Range of Rates and Service Codes
• Appendix D: Vendor Credentialing and Information
• Appendix E: Employee Credentialing Requirements
• Appendix F: Compliance Oversight and Monitoring
• Appendix G: Mi Via Training
• Appendix H: Employee of Record Guidebook

Payment Schedules

• Mi Via Self-Directed Waiver Payment Schedule for Vendors
• Mi Via Self-Directed Waiver Payment Schedule for Employees

• Certain services are available to children, including living supports, skilled therapies, and private duty nursing. Additional services are available through programs such as EPSDT, Medicaid school-based services, and the Family Infant Toddler program.

• Person-centered guidance to develop Service and Support Plans (SSP) and maximize the participant’s ability to self-direct services.

          Consultant Tasks Include:

• • • Eligibility support
    • SSP development and implementation
    • Communication with the TPA and FMA
    • Quality assurance and monitoring

Consultant Toolkit

• Appendix B: Service and Support Plan
• 1915c Waivers Individual Transition Plan Checklist
• Client Rights Grievance Process and ANE Reporting Form and Reporting Abuse Neglect and Exploitation (Brochure)
• Requirements for Payment to Legally Responsible Individuals (LRIs), Relatives and Legal Guardians and Q & A
• Legally Responsible Individual (LRI) Information Form

Legally Responsible Individual (LRI) Process Flowchart

• Community Direct Support (CDSS)
  Supports to develop and maintain community connections and access social and educational opportunities.
• Customized Community Group Supports (CCGS)
  Congregate community day programs offering meaningful activities to improve self-help, socialization, and adaptive skills.
• Employment Supports (ESS)
  Support in achieving and maintaining community-based, competitive employment, including job coaching and development.

Mi Via Living Supports help participants remain in their homes and communities. These supports include:

• Home Health Aide (Ages 21+): Provides total care or assistance with daily living activities. Offered only through agency providers and cannot be provided in homes or apartments owned by provider agencies.
• Homemaker/Direct Support (Ages 21+): Assists with daily living, household tasks, and social interactions. Services are provided in the participant’s home or community and can be either episodic or continuous.
• In-Home Living Supports (Ages 18+): Regular, individualized services provided at least 4 hours/day, up to 24 hours/day, based on needs. Services are delivered in the participant’s private home and must be specified in the service plan.

• Skilled Therapy for Adults (OT, PT, SLP)
  Provided when Medicaid State Plan therapy services are exhausted.
• Behavior Support Consultation
  Services to manage behaviors that affect a participant’s quality of life.
• Nutritional Counseling
  Support to meet the participant’s nutritional needs.
• Private Duty Nursing for Adults
  Specialized nursing services for participants 21 and older.
• Specialized Therapies
  Non-experimental therapies like acupuncture, massage therapy, and Native American healing.

• Emergency Response Services
  Electronic devices to help participants request emergency assistance.
• Environmental Modifications
  Modifications to a participant’s home for health, welfare, safety, or independence.
• Related Goods and Services
  Equipment, supplies, or services not typically covered by Medicaid or Medicare.
• Respite
  Temporary family support services to provide caregivers time away from their duties.
• Transportation
  Services to help participants access community activities, work, and social e