CHOICES Waiver
Community, Hope, Opportunity, Independence, Careers , Empowerment, Success (CHOICES) is a program that provides services tochildren and adults with intellectual and developmental disabilities.
The supports listed below are eligibility specific supports and are just one area of supports to explore and help you achieve your good life.
- Case Management
- Residential
- Supported Employment
- Day Habilitation
- Nursing
- Medical Equipment & Drugs
- Other Medical Related Services-Speech, Hearing, Language
HCBS Settings Rule
The Division of Developmental Disabilities wants to ensure that the rights of the individuals we serve are protected, and that they receive the highest quality services and supports. Through the "Home & Community Based Settings Final Rule." the Centers for Medicare & Medicaid Services (CMS) have provided assurances that the rights of people served under the CHOICES and Family Support 360 Waiver programs will be protected and that certain service standards are guaranteed. If you feel that the services you or your loved one is receiving are not in compliance with the HCBS Settings Rule, or if you feel that you or your loved one's rights are being restricted without due process, please contact the Division of Developmental Disabilities through Dakota at Home at 1-833- 663-9673 and press Option 2. Or you can send an email to DDDIntakeProcess@state.sd.us.
HCBS Settings Rule Basics:
- If you receive services through a waiver program, your home should be located in the community. This means that you should have neighbors and businesses nearby your home.
- If you attend day services, the day services center should be located in the community. This means that the building should be in an area where you can easily go out to visit businesses and restaurants and where you can meet new people.
- If you receive services under the CHOICES or Family Support 360 waiver programs, you have rights which include:
- Privacy: You have the right to privacy in your home, with your possessions, and with your relationships. This means that you should be able to lock your bedroom door and front door, choose who comes into your home, and make calls and use the internet without being supervised by staff.
- Autonomy: You have the right to make decisions about what you wear, who you are friends with, what and when you eat, where and when you go in the community, how you spend the money you earn, how you use the things you own, how you decorate your home and who you invite into it, what medical advice you follow, etc.
- Safety: You have the right to be safe and comfortable in your home and community. Staff should never harm you or neglect your needs. If there is something unsafe or unsanitary in your home, your staff have the responsibility to help fix it.
- Respect: You have the right to be treated with respect and dignity. Staff should not yell at you, call you names, or ignore you when you need help.
- Meaningful day: You have the right to determine what your day should like and how you spend it. You should not be told how to spend your day. If you want to work, your staff should help you come up with a plan to find a job.
- Quality Supports & Services: You have the right to services and supports that meet your vision of a good life. You have the right to speak up if you are not getting the services and supports you need.
- If one of your rights needs to be limited for your health or safety, your provider must provide you with "due process" which means that they must:
- Document what specific risk to your health or safety requires a limitation of your right
- Document what supports they have tried with you that have not worked.
- Document what they have tried before to help keep you safe that is less restrictive than the limitation they are now trying to put in place.
- Document how they will regularly collect data about how well the limitation on your right is working. They must also provide a plan to give you back your right if you have made the needed improvements to remain safe. Your provider cannot limit your right without a plan to give it back, in a time period that you and your team agree to.
- Make sure that the limitation of your right does not cause you emotional or physical harm.
- Ask your permission before limiting your right.