Forgot Password. NOTE: A regular assessment is considered past due when the last SIS was conducted 60 months (5-years) or more The Support Intensity Scale (SIS) is used for clients aged 16 and older. As an additional level of quality oversight, an ODP Regional SIS Lead and/or KEPRO 0000001196 00000 n Copyright 2023 Maximus. You can use the following methods to assess the SIL value for an instrumented system: . 02. The first step to learning more about waivers is to contact your local Community Services Board (CSB) or Behavioral Health Authority (BHA). SIS-A results are normed and validated. Breaks should be respondent should be sent by mail the telephone number of a secure conference Interim Assessment Completed when an update is needed to the supports paid and unpaid caregivers are providing. 13. $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 The SISmeeting will be scheduled as a single meeting with all respondents in attendance. request a break any time one is needed. 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. Learn More About the DOJ Settlement Agreement, DD Waiver Regulations (effective 3/31/21), DBHDS-SIS Standard Operating Procedures and Review Process COVID-19 Version 8.26.22, VA SIS Interview Respondent Info COVID-19 Version 8.26.22, DBHDS SIS COVID-19 Vendor Protocols 8.17.22, SIS & PCP Process in VA 7.22.20 (SIS-A and SIS-C), Analysis of Virginias Level System Utilizing the Supports Intensity Scale, DBHDS VA SIS Reassessment Request 8.17.22, SIS Satisfaction Survey Report 1st Quarter report FY23, SIS Satisfaction Survey Report 2nd Quarter report FY23, SIS Satisfaction Survey 3rd Quarter report FY22, SIS Satisfaction Survey 4th Quarter report FY22, Ascend/Maximus VA SIS Annual Activity Report, Priority Needs Checklist (PNC) v2 5.01.21 (SC completes in WaMS), Critical Needs Summary (CNS) v2 5.01.21 (SC completes in WaMS), DBHDS SIS Scheduling Procedures 10.29.2020, DBHDS VA SIS Reassessment Request Instructions 8.17.22, DBHDS VA SIS Reassessment Request Form8.17.22, New Waiver Slot Assignment Report FY23 Q2, New Waiver Slot Assignment Report FY23 Q1 Updated. Please see contact information for each Regional Supports Specialist (RSS) at DBHDS RSS Contact Information 7.01.2022. green phases of Governor Wolfs Plan to Reopen Pennsylvania. HCSIS ISP Assessments. In addition, at least one person that has known the individual for at least six months must attend as an additional respondent. Make the steps below to fill out Sis assessment pa online easily and quickly: Make the most of DocHub, one of the most easy-to-use editors to promptly handle your paperwork online! Look through the entire form to ensure you have completed all the information and no changes are required. Your job is simply to answer these types of questions as well as you can. 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. capabilities, the virtual assessment cannot be completed. SC Home Screen. AAIDD is the oldest and largest professional society concerned with intellectual disability. The Supports Intensity Scale (SIS) is an assessment tool developed by the American Association on Intellectual and Developmental Disabilities (AAIDD) that evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). These supplemental questions collect additional information about medical and behavioral support needs. Forms, Real Estate LLC, Internet Check the box for each section you want to print. If an individual does not have access to a device with audio and video capabilities, the virtual assessment cannot be completed. Join numerous satisfied customers that are already completing legal templates from their homes. "zHZnEM.T*Kap7:#$d$. USLegal received the following as compared to 9 other form sites. AAIDD offers several types of Supports Intensity Scale (SIS) training to our customers based on their specific stage of implementation. IV-102 A3 - Mental Restriction Form - Hopkinsmedicine, PAIN MANAGEMENT CENTER REFERRAL FORM - Stagnes, Grow Clinic Referral Form - Boston Medical Center - Bmc, Identity All rights reserved. What will happen on the day of the interview? Changing Password. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. A. IPPS provides a firsthand, onsite observation of how well employees conduct FSIS inspection and verification procedures in federally-inspected establishments. Pennsylvania: PA Community Living Waiver PA Consolidated Waiver, Intensity Scale (SIS) to be the standardized needs assessment in Pennsylvania for individuals with intellectual disabilities. If an individual does not have access to a device with audio and video Customized Rate Help and Useful Documents, FORM pg-20 Customized Rate Provider Guidelines:Updated 7/1/2022, FORM SF-20-This form is required with submission of all customized rate applications and should be uploaded to WaMS:Updated 1/1/2023. 0000016954 00000 n ODP has been working collaboratively with the American Association on Intellectual and Waivers fund a variety of supports including those that: Virginia applies to the federal Medicaid agency known as the Centers for Medicare and Medicaid Services (CMS) to have waivers. In Hawaii, the SIS is being used in two ways: When certain questions on the SIS indicate an individual has extraordinary medical or behavioral needs, SIS Assessors will ask a standard set of supplemental questions to gather additional information about these needs. The SIS will help the Individualized Service Plan (ISP) team to understand what supports are needed for the person to achieve a richer, fuller life. An individuals responses will be scored according to a standard protocol and the resulting score will be something that is comparable across individuals. The assessment is anonymous and able to be submitted electronically or via USPS. The DBHDS Regional Supports Unit members provide oversight of the Supports Intensity Scale (SIS), DD waivers wait list, and waiver slot assignments. 0000062185 00000 n As counties transition to the yellow and green phases, ODP will be beginning virtual SISA At least two people who understand the person's support needs must stay for the entire interview. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 0000006500 00000 n FSIS Directive 4430.3, Revision 3, In-Plant Performance System (IPPS), 9/11/12. The Support Intensity Scale (SIS) is used for clients aged 16 and older. The SIS-ATMfocuses on the level of support needed by a person instead of evaluating deficits in skills. This assessment evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). This pdf provides respondents an overview of the SIS assessment. (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. It identifies the types and amount of support each person needs to be successful. have an email address, KEPRO will mail this information to the respondent. What is the SIS-A? 0000002129 00000 n 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. Share your form with others Assessments in SIS. There are three waivers available for individuals with a developmental disability: Virginia currently has a waiting list to receive a waiver. The SIS Assessor will not be the person's case manager. 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. SIS Training (CSBs and providers, please contact your RSS for scheduled training dates). 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. 33 0 obj<> endobj xref 33 45 0000000016 00000 n Intensity Scale (SIS) tools on the Department's Web site, nor can it provide blank assessments because of copyright restrictions on those proprietary tools. As needed, enter values in the available . HCSIS Individual Support Plan (ISP) is a module that monitors the creation, revision, and preliminary approval of ISP planning documents. You can also download it, export it or print it out. KEPRO will perform the assessment to determine the support necessities of individuals aged 16 and older, as well as the intensity of the needs. At Kepro, our goal is to build healthier communities in partnership with those we serve. A recognized SIS-A assessor asks individuals (and people familiar with an individuals needs) questions. Get Information for Military Service Members? The Print Blank Document page appears. %PDF-1.4 % 0000001915 00000 n Here's how it works 01. The SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. 0000006225 00000 n . The SIS was designed to: Assess support needs of individuals age 16 and older (SIS-A) Assess support needs of children age 5-15 (SIS-C) Determine the type and intensity of support needed. Maximus U.S. Services first partnered with AAIDD and states in 2007 to develop SIS programs. Supplement assessments virtually. IPL Type records are provided in the baseline database, and can be defined by an SIS Administrator or SIS Engineer. The SIS-A is designed to be used for individuals ages 16-72 however, ODP, with permission from AAIDD, selected to use the tool for individuals as young as 14 and older than 72 years of age. 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. Visit AAIDD's website to learn more. 0000065727 00000 n 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. Service Authorization Staff (effective 4/2023). After the interview, the SIS assessment results are made available to the person or their family member upon request. : First SIS - the individual is new to waiver services or has left and is re-entering waiver . It is an assessment tool developed by the American Association on Intellectual and Developmental Disabilities (AAIDD) that measures the type and amount of support that a person with intellectual and/or developmental disabilities (I/DD) needs to be successful. 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). Virtual/Remote Interview Respondent Guide Respiratory are (4 Items) Feeding Assistance (3 Items) Skin are (2 Items) Other Exceptional Medical are (10 Items) . TM and PA Many states use the results of the SIS to determine necessary supports and services for the individual. The survey gathers information about scheduling, the SIS assessor, and the assessment process. xb```f``AX,s@Fa] $2` The SISOnline is the AAIDD web-based platform designed to support administering, scoring, and retrieving data and generating reports for the suite of Supports Intensity Scale (SIS) products. Business. Scheduling Past Due Regular Assessment. Edit your blank sis assessment online Type text, add images, blackout confidential details, add comments, highlights and more. A SIS assessment is required for everyone who receives DD waiver services. Enjoy smart fillable fields and interactivity. 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). The SIS is an interview tool that measures the support needs, or level of assistance, a person with developmental disabilities needs to fully participate in their community. 0000003136 00000 n Individuals are absolutely invited to participate. (See rating key below.) Copyright 2023, State of Hawaii. Supports Intensity Scale (SIS) Assessment. assessment start time. FORM 011 Request for Pre-Review-This form should only be used by providers requesting pre-review of a customized rate. Scheduling Expedited Requests. If the respondent cannot participate virtually and has access to a landline phone, the line to dial in. & Estates, Corporate - 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). The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. Providers applying for a customized rate must have documentation to demonstrate that the individual meets the criteria as described within the provider guidelines. provide home modifications and assistive technology that help people avoid living in a nursing home or other institution. During the interview, the assessor will ask you questions like: What type of support does Jane need to successfully get dressed each day?, How frequently does Jane need this type of support?, On a typical day when support of this type is needed, how much time should be devoted?. Ample time should be allocated The SIS-A assessment tool was created by the American Association on Intellectual and Developmental Disabilities (AAIDD). 0000017249 00000 n The SIS-A is composed of three different sections that cover information about activities of daily living, personal advocacy, and exceptional medical and behavioral support needs. trailer <<25d9bb04149811deb97f000a95d7a080>]>> startxref 0 %%EOF 35 0 obj<>stream The interview can be expected to take 3 to 4 hours to complete. Attorney, Terms of Respondents can be the individual, family members, friends, direct support or other staff from residential or day service providers. Add new information to a previously started or completed assessment. Respondent teams should plan on logging in to the meeting ten minutes prior to the Please enable scripts and reload this page. The SIS Assessor will need to have a virtual view of the individual being assessed. The SIS-A has all the domains necessary to identify student's post-secondary support needs as required by the IDEA. The tool selected by the Pennsylvania Department of Human Services Office of Developmental Programs (DHS-ODP) is the Supports Intensity Scale Adult Version (SIS-ATM) published and owned by the American Association on Intellectual and Developmental Disabilities (AAIDD). Technology, Power of INTRODUCTION: The Office of Developmental Programs, together with stakeholders from across Waiver/Program TitlePA Community HealthChoices (CHC) Quality / Outcome Assessment: PA PA Media (formerly the Press Association) is a multimedia news agency, and the national Use professional pre-built templates to fill in and sign documents online faster. select individuals identified by ODP. 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. Theft, Personal Supports Intensity Scale-Adult (SIS-A assessments will be reinstated for counties that have transitioned to the yellow and It also assesses employment support needs. Many updates and improvements! Under "Consumer Information" enter the demographic information. JA.001] Scheduling Past Due Regular (5-year) Assessments Supports Coordinators (SCs) and SC Supervisors can submit scheduling information for regular (5-year) past due assessments in Kepro SAM by following the process outlined below. Specifically, the revisions to the rules are as follows: Paragraph 78.27 (2)"d" in Item 3 has been revised to read as follows: "d. Needs assessment. When autocomplete results are available use up and down arrows to review and enter to select. You may be trying to access this site from a secured browser on the server. 0000016878 00000 n Sign up with your credentials or create a free account to try the product prior to upgrading the subscription. 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 /. For more information on the DDA Assessment check out WAC Chapter 388-828. At least two people who understand the persons support needs must stay for the entire interview. completing a virtual assessment. This can include (but is not limited to) the individuals home, his or her day service provider, or the home of a family member or friend. The SIS-A and SIS-C are Virginia's required comprehensive assessments for persons receiving DD What are the levels of supports intensity scale? develop operating procedures that will allow for the completion of the SIS-A Ensures that a website is free of malware attacks. We make that possible through giving you access to our full-fledged editor effective at altering/correcting a document?s initial textual content, adding special boxes, and putting your signature on. Initial Assessment Completed when services are requested. On October 1, 2018, Kepro began administering needs assessments for individuals with intellectual disabilities or autism, including those in need of services in the state of Pennsylvania. 0000005044 00000 n This ensures the assessor is given the most accurate information about the persons needs and abilities that will result in the person receiving the correct level of support to improve their quality of life. ODP-Reinstatement of SIS and PA Supplement. Service, Contact The SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. 0000004946 00000 n 0000005091 00000 n services, For Small 0000004488 00000 n 0000005168 00000 n For information on the Service Level Assessment: Melissa Randles, State Plan Services Unit Manager. Developmental Disabilities (AAIDD) and Keystone Peer Review Organization (KEPRO) to containing information on how to access the SIS-A Respondent Guide For Use withRemote Assessments and a link to join the assessment. A blank datasheet for the Risk Matrix Internal assessment appears. Virtual assessments may take longer to complete. People who receive services are strongly encouraged to be at their SIS interview. D. Establishment of supports packages, which means a set of assumptions regarding the types and amounts of supports that an individual needs to be adequately supported in the community. The individual may choose to be an active participant in the interview. The Supports Intensity Scale (SIS) is a strength-based, comprehensive assessment tool that measures an individuals support needs in personal, work-related and social activities in order to identify and describe the types and intensity of the supports an individual requires. 0000075110 00000 n 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. Save or instantly send your ready documents. 1250 Punchbowl Street, Room 463 SIS-A data can also be used to examine support needs across comparable groups for a number of purposes, including program planning, projecting future population needs, analyzing resource distribution, and program evaluation. Skip table of contents. If you have questions about the SIS assessment or supports level, contact your case manager. Focus on the individual's supports needs rather than on skill deficits. 0000016579 00000 n Rating options are: 4=full physical assistance; 3=partial physical assistance; 2=verbal/gestural prompting; 1=monitoring; 0=none. 0000013052 00000 n Experience a faster way to fill out and sign forms on the web. Many Kepro and DMAS documents are in a PDF format and can be viewed either in your browser or downloaded to your computer. SIS assessments are conducted during a face-to-face interview by a SIS Assessor who has been trained by AAIDD. You can decide whether or not to have the assessment count in their grade, and you can have the answers . Make the steps below to fill out Sis assessment pa online easily and quickly: Log in to your account. quality staff may listen in on the assessment. Highest customer reviews on one of the most highly-trusted product review platforms. This requires the individual to have access to a device that has audio and video 0000074817 00000 n 0000020180 00000 n 0000018787 00000 n top. In addition, IPPS assesses employees' demonstrated knowledge of job requirements . Get access to thousands of forms. For this reason, the respondent must have known the individual very well from direct experience and for at least 3 months. 0000020903 00000 n The results of the SIS , other assessment information, and the person-centered planning process shall establish the basis for the individual support plan. An assessment appears as an assignment on SIS, but has questions for students to answer. The SIS-A was extensively field tested before it was initially launched in 2004. Click the OK button. We have answers to the most popular questions from our customers. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 0000003824 00000 n Waivers fund a variety of supports including those that: provide medical care enable employment enable community living provide behavioral interventions The Assessments feature allows you to create a test or quiz that students complete as an assignment within SIS. 0000073872 00000 n This requires the individual to have access to a device that has audio and video capabilities. For each item, the SIS Assessor will ask: In order to ensure the correct amount and type of support is provided, the attendees need to answer the questions honestly and as thoroughly as possible. TM) and Pennsylvania (PA) Supplement TTY callers please, Supports Intensity Scale (SIS). The Childrens Support Assessment is used for clients aged 15 and younger. 0000023087 00000 n To request a screening for DD waivers, find your local CSB/BHA by usingthis link. The SIS-A interview forms rank support requirements by frequency, daily support time, and type of support needed. DBHDS contracts with Ascend Management Innovations (Ascend/Maximus) and Telligen to administer the Supports Intensity Scale. 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. This will result in a more accurate and effective ISP. Create Test: Displays a new blank SIS Proof Test record on the Proof Test Definition page. 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 DDA Assessment is designed to measure the individual support needs of persons with intellectual and developmental disabilities over a broad spectrum of life areas and activities. If you have any questions, please reach out to your SIS Regional Lead. Guarantees that a business meets BBB accreditation standards in the US and Canada. It would be best if the interview could take place in a room that is quiet, private, comfortable and appropriate to meet the individuals needs. 0000001705 00000 n Recommendations: Displays the Recommendations dialog box, where you can manage Risk Assessment Recommendation records that are linked to an SIS Proof Test record. The tool is used around the world. Complete Sis Assessment Pa online with US Legal Forms. The SIS-A is designed as an interview of the individual, with participation from a team of friends and supporters. Ongoing research around the world continues to confirm the assessment's reliability and validity. The individual being assessed will always be included in their assessment.
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