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��. �:�lie�i��cr I_:cliicatic�n .���cl 'I r�iiuing <br /> l;cluc.itic�n ��iic1 ti,tiniu�� f��r tl�c c:�rcgivcr inc:lucics ir�fc�rtnation �n the <br /> ri;iturc anci rc�nisc r�f /\l�.hrin�cr's cliseasc and training tc� ittaprove the <br /> care�;iver's ;kill�, e.�., l�anclliii�; t�ehavic�ral J�roblems, recreational activities, <br /> CU1T1I11UIlIC�iti��i� skills, ariel ��cifc��n�ing petsot�al care. 'I�his service tt�ust be <br /> ��etfc�rttteel hy the r.ase �n1i����crnent staff c�r other contracteci staff. 'I�he <br /> tr7ii�in� scivicrs iTi7y l�c I�cTfc�r�ncc] iii thc l�oiz�c, c�t� an outpatient basis, <br /> c�r in a �u���un t krc�u}i scttin�. <br /> 1 U. I_aci�ilv C;c�ti►�scli���; <br /> i�an�ily cc�unsclin�? ii�clucics scrviccs to thc catcgivcr for tlic purpose of <br /> ���scssin�! ihc ��,irc�;ivcr's ��hility tc� c����c witit fcelings o[ grief, l�ss, anger, <br /> �tiilt ancl frustratic�n, ancl with the rcacti�ns of others, and also making <br /> re(errals fc�r aciclitic�ii;�l �etvices where neeclecl. These services must be <br /> ��erfc�r►necl hv se�iT�ec�ne c�ther than the case II]�I71�CIilCilt St�i{f i.e., a <br /> E��st��ral rc�unscic�r, ��syche�ic,�;ist or c�ther ��rofessioiial. T}�ey may be <br /> J�crfc�rri�ccl ii� thc' I1(liT1C, nn �n c�ut��aticnt l�asis or irt � su��port group <br /> SCl�1Tl�. <br /> ] 1. _I_rac�s��i.ta_tic�n...-_C�arcgivcr <br /> 'I'rans1x�rt,itic�n service is the conveyance of the caregiver by a suitable <br /> vehicle to atten�l a suE�1x�i-t Krot�p fc�r caregivers. 7��is service may be <br /> J�re�viclecl by a ic�c��l transpc�rt�itic�ii service or by a shared arrangement �vith <br /> a le�cal health c�r sc�cial service agency that has the use of vehicles for <br /> ��articiE�ant trans�x�rt�tic�n c�r hy an incliviclual. Z'ransportation services <br /> inclucle r��ulsir trans��c�rt�itic�n, incaning the conveyance of caregivers by <br /> nc�n-s��cciali�.ccl vchicics, c.g., cars, cabs, c.�r vans. <br /> ]2 Case ManaQcii�ct�t <br /> Case rn�tiagement is the ��r�cess t}uoug}��vhich appropriate demonstrati�n <br /> site staff m�intain contact with the partici�ant, his/}�er caregiver and �vith <br /> the ��rc�viclers �f service c�n � regular basis in order to ensure tl�at the <br /> sctviccs are a}���ropriate ai�cl are inecting the individual participant's <br /> currez�t needs. 'I�lais fut�ctioi� involves assesstt�et�t, caregiver education and <br /> training, clevelopment cif a plan of care, servi�e coordination anc] <br /> rnc�nitc�rit�p„ �nc1 J�eriodic reassessment. <br /> 11I-]4 <br />