Individual Community Living Supports (ICLS)
Assistance and Support Services Through HealthMax Home Health Care
Individual community living supports (ICLS) is a bundled service that includes six service categories. ICLS services offer assistance and support for people who need reminders, cues, intermittent/moderate supervision, or physical assistance to remain in their own homes.
What ICLs Covers
ICLs covers assistance and support for eligible people 65 years and older who use Elderly Waiver (EW) or the Alternative Care (AC) Program. It includes the following service categories:
- Active cognitive support
- Adaptive support service
- Activities of daily living (ADLs)
- Household management
- Health, safety and wellness
- Community engagement
Active Cognitive Support
The “active cognitive support” category includes interventions intended to address cognitive issues and challenges important to the person. Active cognitive supports are the only ICLS services that the person can receive both in-person and remotely. For more information, see settings under secondary information. Active Cognitive Support services can be received either in person or remotely via real-time, two-way communication with the provider such as with a phone or live video.
Examples of ICLS services covered under this category include:
- Problem-solving the person’s concerns related to daily living
- Providing assurance to the person
- Observing and redirecting to address behavioral, orientation, or other cognitive concerns
Adaptive Support Service
The “adaptive support service” category includes services intended to help the person adopt ways to meet his or her needs. ICLS adaptive support services:
- Encourage the person’s self-sufficiency
- Reduce the person’s reliance on human assistance
Examples of ICLS services covered under this category include:
- Verbal, visual, and/or touch guidance to help a person complete a task
- Developing and demonstrating cue or reminder tools (e.g., calendars, lists)
- Providing verbal, visual, and/or touch guidance to help the person complete a task
- Helping the person understand written assistive technology directions or instructions from the manufacturer or health professional so the person can maintain independence
Activities of Daily Living (ADLs)
The “ADLs” category includes services intended to assist the person with ADLs.
Household Management
The “household management” category includes services intended to help the person manage his or her home. Examples of ICLS services covered under this category include:
- Assisting with cleaning, meal planning/preparation, and shopping for household/personal needs
- Assisting with budgets and money management
- Assisting with communications (e.g., sorting mail, accessing email, placing phone calls, making appointments)
Health, Safety, and Wellness
The “health, safety, and wellness” category includes services intended to help the person maintain his or her overall well-being. Examples of ICLS services covered under this category include:
- Identifying changes in health needs, and notifying the case manager and/or informal caregivers as needed
- Coordinating or implementing changes to mitigate environmental risks in the home
- Providing reminders about and assistance with exercises and other health maintenance/improvement activities
- Providing medication assistance (e.g., medication refills, reminders, administration, and/or preparation)
- Monitoring the person’s health according to written instructions from a licensed health professional
- Using medical equipment devices or adaptive technology according to written instructions from a licensed health professional
Community Engagement
The “community engagement” category includes services intended to help the person have meaningful integration and participation in his or her community. Examples of ICLS services covered under this category include:
- Facilitating the person in socially valued roles through engagement in relevant activities that lead to desired outcomes
- Helping the person access activities, services, and resources that facilitate meaningful community integration and participation
- Helping the person develop and/or maintain his or her informal support system
Non-Covered Services
Adult companion services do not cover:
- Activity fees (e.g. movie tickets)
- Assistance with activities of daily living (ADLs)
- Hands-on nursing care
- Services provided by people related to the person by blood, marriage or adoption
- Socialization that is for recreation
Transportation and Errands
HealthMax does not authorize Support Staff to transport clients. Support Staff are likewise not authorized to have possession of the client’s belongings, money, or account information and therefore cannot run errands for said client. HealthMax does allow Support Staff to accompany clients to shop or do laundry.