Residential habilitation (ResHab) services are individually tailored supports that assist with the acquisition, retention or improvement in skills related to living in the community. These supports include adaptive skill development; assistance with activities of daily living and instrumental activities of daily living; community inclusion; transportation as part of routine and typical household activities, such as doctor’s visits, shopping for the household, participating in family functions and community events attended by household members; and social and leisure skill development that assist the participant to reside in the most integrated setting appropriate for his/her needs.

ResHab is a service provided in a licensed or certified home setting; the setting itself does not equate to ResHab services.

There are two models where ResHab services are delivered.

• 1)  Agency Model is a home that is owned or leased by 
the waiver provider agency. The operations of the home are determined by the provider and delivered by its employees.
• 2)  Shared Living Model is a private home that is owned or leased by a certified adult foster parent or licensed caregiver. The day-to-day operations of the home, as well as who the foster parent or caregiver chooses to share his or her home with and provide support in his or her home, are determined by the foster parent or caregiver.

If ResHab services will be provided through a Shared Living Model, the provider must enter into an Independent Contractor Agreement with the certified adult foster parent or licensed caregiver that specifies the scope of services and responsibilities of the contractor and the provider’s responsibilities for the monitoring and oversight of the participant’s health and welfare, and in compliance with federal, state, and waiver requirements.

Every setting where ResHab services are delivered must provide a home-like environment. The home environment must provide choices for participants and shall not demonstrate the qualities of segregated or isolated settings.

ResHab may be provided in licensed and/or certified homes but does not duplicate services furnished to the participant as other types of habilitation; participants can receive ResHab on the same day as non-residential services.

ResHab settings are defined in HAR chapters 11-148 (certified DD AFH), 11-89 (DD Dom), 11-100.2 (ARCH/E- ARCH) and 11-98 (STF), respectively.

ResHab must be used to cover participants’ physical care and training above and beyond the general care and supervision under the State Supplemental Payment/Level of Care (SSP/LOC) for certified residential settings, i.e., Adult Foster Home (AFH), and licensed residential settings, i.e., Developmental Disabilities Domiciliary Home (DD Dom), Adult Residential Care Home (ARCH), and Expanded Adult Residential Care Home (E-ARCH).

Personal care/assistance may be a component part of ResHab services but may not comprise the entirety of the service.