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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. Kepro to Administer Need Assessments for Pennsylvania green phases of Governor Wolfs Plan to Reopen Pennsylvania. The SIS-A has all the domains necessary to identify student's post-secondary support needs as required by the IDEA. BACKGROUND. PDF Kepro SAM Scheduling Portal The SIS Assessor will not be the persons case manager. Kentucky Cabinet for Health and Family Services 0000064853 00000 n 0000004980 00000 n The SIS-C is a standardized assessment tool designed to measure the relative intensity of support needs of children with intellectual and developmental disabilities, between ages 5 to 16. For Initial Assessments and then every five years, the Case Manager will ask every question in the SIS to ensure all support needs are up to date; this is called a Directed Assessment (on average, this takes about 3 hours). Breaks should be 0000016579 00000 n 1250 Punchbowl Street, Room 463 ODP-Reinstatement of SIS and PA Supplement. PDF The Office of Developmental Programs (ODP) uses the Supports - WCSI Initial Assessment Completed when services are requested. If approved, a rate unique to the individual and/or service is developed based on eligibility criteria and the individuals demonstrated exceptional support need. respondent should be sent by mail the telephone number of a secure conference This link is enabled only when you are viewing existing SIS Proof Test records. 0000016354 00000 n New User Registration. The psychometric and technical properties are provided in the User's Manual. The SIS suite of tools includes the Supports Intensity Scale-Adult Version (SIS-A, 2015) for ages 16 years and older, and a Supports Intensity Scale-Children's Version (SIS-C TM, 2016) for ages 5-16 years. The SIS-Adult (SIS-A) version is a standardized assessment tool designed to measure the pattern and intensity of supports required by a person aged 16 years or older with an intellectual or other developmental disability to be successful in community settings. 0000005044 00000 n Interview and Profile Form ID/TRACKING NUMBER ON Adult Version (ages 16 and up) Name LAST FIRST MIDDLE LY Supports Intensity Scale Date SIS Completed Address / / / City, State, Zip Date of Birth /. Us, Delete The SIS is a validated assessment tool for people with intellectual and developmental disabilities, specifically designed to measure the pattern and intensity of supports needed by persons with disabilities to be successful in areas of life, similar to their peers without disabilities. offered during the assessment and respondents should be instructed to feel free to All rights reserved. This third group is called Cohort 3. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The SIS-ATMfocuses on the level of support needed by a person instead of evaluating deficits in skills. Before the interview begins, the SIS Assessor will explain the interview process and answer questions from the attendees. What will happen on the day of the interview? Service Authorization Staff (effective 4/2023). ODP has been working collaboratively with the American Association on Intellectual and have an email address, KEPRO will mail this information to the respondent. capabilities. SIL Assessment Methods. Providers applying for a customized rate must have documentation to demonstrate that the individual meets the criteria as described within the provider guidelines. KEPRO will perform the assessment to determine the support necessities of individuals aged 16 and older, as well as the intensity of the needs. Sign up with your credentials or create a free account to try the product prior to upgrading the subscription. PDF SIS-Adult Version SIS-Children's Version - Virginia Department of Information from the SIS helps with this discovery process. Business. Ensures that a website is free of malware attacks. Scores above and below 100 shows higher and lower than average support needs. Follow the simple instructions below: Experience all the advantages of submitting and completing legal forms online. 0000065727 00000 n Changing Password. A SIS assessment is required for everyone who receives DD waiver services. Waiver Services - Virginia Department of Behavioral Health and Guarantees that a business meets BBB accreditation standards in the US and Canada. Monitor individual progress and evaluate outcomes over time. 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. Save or instantly send your ready documents. Respondents can be the individual, family members, friends, direct support or other staff from residential or day service providers. Interim Assessment Completed when an update is needed to the supports paid and unpaid caregivers are providing. By using this site you agree to our use of cookies as described in our. The individual being assessed will always be included in their assessment. 0000014548 00000 n AAIDD offers several types of Supports Intensity Scale (SIS) training to our customers based on their specific stage of implementation. Many Kepro and DMAS documents are in a PDF format and can be viewed either in your browser or downloaded to your computer. In the third year, starting July 2019, people who live at home and do not attend ADH, but receive other services will begin having SIS information used in their ISPs. The SIS Assessor will document the responses of the attendees throughout the interview. Supports Intensity Scale (SIS) Assessment | Maximus The SIS-A is a standardized assessment that measures the pattern and intensity of supports an adult (16 years and older) with intellectual and developmental disabilities requires to be successful in community settings. Sis Assessment Pa - Fill Online, Printable, Fillable, Blank - pdfFiller The Assessments feature allows you to create a test or quiz that students complete as an assignment within SIS. To request a screening for DD waivers, find your local CSB/BHA by usingthis link. All rights reserved. From the yellow left-hand navigation menu, click on CLIENT SIS ASSESSMENTS. Supports Intensity Scale (SIS) assessment for Innovations - Partners The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder, and sole owner of the Supports Intensity Scale. Focus on the individual's supports needs rather than on skill deficits. SIS assessments are conducted during a face-to-face interview by a SIS Assessor who has been trained by AAIDD. "zHZnEM.T*Kap7:#$d$. 0000009938 00000 n Waivers fund a variety of supports including those that: provide medical care enable employment enable community living provide behavioral interventions What does SIS stand for in mental health? 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. HWr6NW}S,'U;KCLhDiD:= HRqZ"={vl&M=x2 This will allow time for troubleshooting any connectivity Restrictions apply; refer to the Customized Rate Provider Guidelines (FORM-PG-20). top. capabilities, the virtual assessment cannot be completed. Complete Sis Assessment Pa online with US Legal Forms. Show More Table of contents. Kentucky Cabinet for Health and Family Services The assessor will explain how the interview works. As an additional level of quality oversight, an ODP Regional SIS Lead and/or KEPRO The SIS is a nationally normed assessment tool for people with intellectual and developmental disabilities. Annual Assessment - Completed yearly to continue receiving services. Everyone enrolled in the Innovations Waiver will complete a SIS assessment. USLegal fulfills industry-leading security and compliance standards. Forms - KEPRO Your information is securely protected, since we adhere to the most up-to-date security requirements. A recognized SIS-A assessor asks individuals (and people familiar with an individuals needs) questions. %PDF-1.4 % The decision about whether or not the individual participates in the SIS interview is entirely up to each individual and family, according to what works best. This information is essential in understanding the needs of the individuals we serve and assists Case Resource Managers with development of Person-Centered Service Plans. The American Association on Intellectual and Developmental Disabilities (AAIDD) is the publisher, copyright holder and sole owner of the SIS. Planning, Wills Easily fill out PDF blank, edit, and sign them. (2015) The 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 disability requires to be successful in community settings. Supports Intensity Scale - Adult Version (SIS-A). If the respondent cannot participate virtually and has access to a landline phone, the ARC 3184C - Iowa Administrative Rules positive control over one's life. TM) and Pennsylvania (PA) Supplement The SISmeeting will be scheduled as a single meeting with all respondents in attendance. This requires the individual to have access to a device that has audio and video This requires the individual to have access to a device that has audio and video capabilities. From the Select a Template drop-down menu, choose the appropriate document. The results of the SIS , other assessment information, and the person-centered planning process shall establish the basis for the individual support plan. If an individual does not have access to a device with audio and video TM and PA This can occur at any time during the year. Virtual/Remote Interview Respondent Guide Respiratory are (4 Items) Feeding Assistance (3 Items) Skin are (2 Items) Other Exceptional Medical are (10 Items) A blank datasheet for the Risk Matrix Internal assessment appears. The Support Intensity Scale (SIS) is used for clients aged 16 and older. If you have any questions, please reach out to your SIS Regional Lead. The SIS-A was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD). Forgot Password. Please enable scripts and reload this page. 0000001196 00000 n 33 0 obj<> endobj xref 33 45 0000000016 00000 n 0000005648 00000 n As counties transition to the yellow and green phases, ODP will be beginning virtual SISA 0000004946 00000 n 0000023087 00000 n 0000074817 00000 n Choose the document template you require in the collection of legal form samples. The SIS-A was extensively field tested before it was initially launched in 2004. All items with a red (*) TTY callers please, Supports Intensity Scale (SIS). SIS-A assessments can be long, sometimes taking between 3 and 4 hours to complete. This pdf provides respondents an overview of the SIS assessment. Click the OK button. You can also download it, export it or print it out. xb```f``AX,s@Fa] $2` Assessments in SIS - Burke Tech Support & Estates, Corporate - 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 SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. The Print Blank Document page appears. It is administered in the form of an 8-page interview between the individual with IDD; any family, staff, supports coordinators, therapists, and others who have an intimate knowledge of the individuals abilities in daily life; and a highly-trained human services professional. Get your online template and fill it in using progressive features. 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. Sis assessment pa: Fill out & sign online | DocHub The SIS Assessor will need to have a virtual view of the individual being assessed. 0000004871 00000 n trailer <<25d9bb04149811deb97f000a95d7a080>]>> startxref 0 %%EOF 35 0 obj<>stream Significant Change Assessment Completed when there is a significant change in the clients support needs, such as an increase in medical or behavioral supports. DBHDS contracts with Ascend Management Innovations (Ascend/Maximus) and Telligen to administer the Supports Intensity Scale. Intensity Scale (SIS) tools on the Department's Web site, nor can it provide blank assessments because of copyright restrictions on those proprietary tools. Scheduling Past Due Regular Assessment. LLC, Internet (See rating key below.) 2023 State of New Hampshire All rights reserved, An official NEW HAMPSHIRE government website, Communication Access & Language Assistance, Alcohol, Tobacco & Other Substance Misuse, Resources for DHHS Providers, Small Business & Nonprofits, Watch this video for tips on preparing for your SIS interview, American Association on Intellectual and Developmental Disabilities (AAIDD) Frequently Asked Questions, About the Supports Intensity Scale Adult Version (SIS-A). Complete all the required fields (these are yellow-colored). line to dial in. This assessment evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). 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. HCSIS ISP Assessments | Mass.gov The standardized assessment, SIS, focuses on the level of support needed by a person instead of evaluating deficits in skills. If a respondent does not Many updates and improvements! $ii@zvE*V@ hhhc**p5B/r(TwF WZ@6GAaL12hx13|d3fu[9YY3mHkd/by9A1a>C=4x00 9 @E} endstream endobj 34 0 obj<> endobj 36 0 obj<> endobj 37 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 38 0 obj<> endobj 39 0 obj<> endobj 40 0 obj<> endobj 41 0 obj<> endobj 42 0 obj<> endobj 43 0 obj<> endobj 44 0 obj<> endobj 45 0 obj[/ICCBased 69 0 R] endobj 46 0 obj[/Separation/PANTONE#203298#20CVC 45 0 R 73 0 R] endobj 47 0 obj[/Separation/All 45 0 R 70 0 R] endobj 48 0 obj<> endobj 49 0 obj<> endobj 50 0 obj<> endobj 51 0 obj<> endobj 52 0 obj<>stream 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). 0000073872 00000 n There is an assessment for adults and an assessment for children. You may be trying to access this site from a secured browser on the server. 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. provide home modifications and assistive technology that help people avoid living in a nursing home or other institution. Agencies will assume the responsibility of making referrals for SIS assessments, reviewing completed assessments for accuracy, using the assessment to inform planning and participating in the verification of extraordinary needs. 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. 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. Assessments in SIS. The Assessor will need to know how much support is needed for the person to fully engage in these activities. What is SISOnline? PDF 4.1 Supports Intensity Scale Assessments, Referrals and Reviews People who receive services are strongly encouraged to be at their SIS interview. 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. The Childrens Support Assessment is used for clients aged 15 and younger. The tool is used around the world. Should the individual participate in the interview? In-Plant Performance System (IPPS) - Revision 4 Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. Theft, Personal 0000001915 00000 n Edit your blank sis assessment online Type text, add images, blackout confidential details, add comments, highlights and more. 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.

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