Day Habilitation Training

Providers must have a Department of Mental Health (DMH) Home and Community Based Medicaid Waiver contract and one of the following:

• A valid DMH day program license or Certification by the DMH under 9 CSR 30-5.050;
• Accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF) in the area of Personal, Social and Community Services; or
• Accreditation by the Accreditation Council on Services for People with Disabilities (ACD)

Day Habilitation Training may be provided to individuals in the following ways:

• On-Site Day Habilitation -- Group Services: Are delivered at the Day Habilitation Center. Group size may vary between 1:2 and 1:6 clients to staff ratio so long as an overall ratio of 1:4 clients to staff ratio is maintained by the provider.


• On-Site Day Habilitation -- Individual Services: Are delivered at the Day Habilitation Center with a 1:1 staff to client ratio. This service is available when an individual needs the higher staffing ratio to learn a particular skill or during a transition period, or when the individual's behavior and/or health requires it.


• Off-Site Day Habilitation -- Group Services: Are delivered in the community, in natural and typical settings such as a store, post office, bank, governmental office, church, park or other recreation site. Group size may not exceed 1:4 client to staff ratio. This service may not be provided in a group home to residents of that home. Transportation costs needed to provide this service are included in the fee for service.


• Off Site Day Habilitation -- Individual: Services are delivered in the community or in the client's own home with a 1:1 staff to client ratio. Transportation costs needed to provide this service are included in the fee for service.