A SIS assessment is required for everyone who receives DD waiver services. TM and PA Supplement assessments through a conservative roll-out strategy, 0000009938 00000 n In the second year, starting July 2018, people who live at home and also receive Adult Day Health (ADH) services will begin having SIS information used in their ISPs. Maximus U.S. Services first partnered with AAIDD and states in 2007 to develop SIS programs. The SISmeeting will be scheduled as a single meeting with all respondents in attendance. It also assesses employment support needs. The purpose of this communication is to announce that effective June 1, 2020, the If you have any questions, please reach out to your SIS Regional Lead. 0000002129 00000 n Once Intake and Eligibility has determined a person is DDA Eligible and the person has requested a DDA service, an assessment is necessary to determine whether a person will receive paid services. Before the interview begins, the SIS Assessor will explain the interview process and answer questions from the attendees. HWr6NW}S,'U;KCLhDiD:= HRqZ"={vl&M=x2 Choose the appropriate printer and click the OK button. What does SIS stand for in mental health? Enjoy smart fillable fields and interactivity. Clicking on the ID/Tracking number of a case provides access the assessment you need. Additional information about the DD waivers, the waiting list, independent housing, and locating service providers can be found at My Life My Community. 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. As counties transition to the yellow and green phases, ODP will be beginning virtual SISA Ensures that a website is free of malware attacks. III. Please enable scripts and reload this page. 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 /. This will result in a more accurate and effective ISP. Service, Contact Supports Intensity Scale Adult VersionTM (SIS-ATM). A SIS assessment is a meeting with a DDS SIS Assessor and at least two people (respondents) who know a great deal about the individual's daily support needs. SIL Assessment Methods. Supports Intensity Scale (SIS) Assessment. FSIS Directive 4430.3, Revision 3, In-Plant Performance System (IPPS), 9/11/12. FORM 011 Request for Pre-Review-This form should only be used by providers requesting pre-review of a customized rate. It also assesses employment support needs. What are the levels of supports intensity scale? ODP has been working collaboratively with the American Association on Intellectual and This is a chance to think about different goals the person may achieve. LLC, Internet 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. TM and PA . TheSIS is a nationally normed assessment tool for people with intellectual and developmental disabilities. This third group is called Cohort 3. 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. Using our solution completing Sis Assessment Pa requires just a couple of minutes. Scores above and below 100 shows higher and lower than average support needs. 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. If a respondent does not #1 Internet-trusted security seal. The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder, and sole owner of the Supports Intensity Scale. The Assessments feature allows you to create a test or quiz that students complete as an assignment within SIS. Many updates and improvements! Complete Sis Assessment Pa in just a couple of moments by following the instructions listed below: Send your new Sis Assessment Pa in a digital form right after you are done with filling it out. New User Registration. ODP will gradually increase the target population. Skip table of contents. Many states use the results of the SIS to determine necessary supports and services for the individual. All rights reserved. 0000020903 00000 n Pennsylvania: PA Community Living Waiver PA Consolidated Waiver, Intensity Scale (SIS) to be the standardized needs assessment in Pennsylvania for individuals with intellectual disabilities. An individuals responses will be scored according to a standard protocol and the resulting score will be something that is comparable across individuals. From sample interview forms to conducting a pilot program, here's what your colleagues are asking about the Supports Intensity Scale. offered during the assessment and respondents should be instructed to feel free to If you believe that this page should be taken down, please follow our DMCA take down process, 17 Station St., Ste 3 Brookline, MA 02445. INSTRUCTIONS: Identify the Frequency, Daily Support Time, and Type of Support that is reported necessary for the person to besuccessful in the six activity domains (Parts A-F). The SIS-A has been used as a person-centered planning tool in New Hampshire for many years. DD Case Management Related Forms & InformationThe following are forms and information useful to case managers/support coordinators related to adding an individual to the DD Waivers Wait List, preparing for Waiver Slot Assignment Committee meetings, SIS-related forms & instructions, and requesting an emergency or reserve slot: Please contact your Regional Supports Specialist (RSS) for questions or more information about the above resources at DBHDS RSS Contact Information 7.01.2022. This can occur at any time during the year. capabilities. Guarantees that a business meets BBB accreditation standards in the US and Canada. 0000074755 00000 n The SIS-A TM focuses on the level of support needed by a person instead of evaluating deficits in skills. Respondents can be the individual, family members, friends, direct support or other staff from residential or day service providers. The Assessor will make sure that all attendees are ready to begin the interview. 0000062185 00000 n 0000016354 00000 n 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. All other years, the Case Manager will do an overview of each section and may explore specific questions, especially as they relate to client goals. SIS-A results are normed and validated. Scheduling Past Due Regular Assessment. $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 A Supports Intensity Scale (SIS) assessment determines the daily supports a person with intellectual and development disabilities needs to live as independently as possible in the community. Get your online template and fill it in using progressive features. . The SIS was developed, 01. 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. 13. ISP Manual for Individuals with ID - Department of Human Services Initial Assessment Completed when services are requested. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an . The SIS Assessor will not be the persons case manager. When autocomplete results are available use up and down arrows to review and enter to select. The first group is called Cohort 1. The Children's Support Assessment is used for clients aged 15 and younger. The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. Expedited SIS assessment requests are made for the following reasons. 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. All rights reserved. : First SIS - the individual is new to waiver services or has left and is re-entering waiver . 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. Experience a faster way to fill out and sign forms on the web. 0000005091 00000 n blank sis assessment sis assessment pa PhD AAIDD 2004 OO 1s 2s Subscale destructiveness gestural School Name: STUDENT ENROLLMENT FORM SIS-10W (Revised) Complex Area: Student ID No. 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?. Proudly founded in 1681 as a place of tolerance and freedom. 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. 0000016579 00000 n 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. 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. Your information is securely protected, since we adhere to the most up-to-date security requirements. Please see contact information for each Regional Supports Specialist (RSS) at DBHDS RSS Contact Information 7.01.2022. Information from the SIS helps with this discovery process. 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. 0000011509 00000 n 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. Changing Password. As an additional level of quality oversight, an ODP Regional SIS Lead and/or KEPRO Save or instantly send your ready documents. This pdf provides respondents an overview of the SIS assessment. A blank record will open where information needed to complete the request is entered. 0000004946 00000 n Supports Intensity Scale (SIS) Assessment What to expect of your assessment This assessment evaluates practical support requirements for adults with intellectual and developmental disabilities (IDD). Updated: 08/18/2020. 0000016102 00000 n There are three sections in the DDA Assessment: Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA). Respondents that can should also participate virtually (audio and video capabilities). 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). Kepro SIS Assessment Satisfaction Survey. 0000017249 00000 n Kepro SAM Scheduling Resources. You can use the following methods to assess the SIL value for an instrumented system: . The SIS-A assessment tool was created by the American Association on Intellectual and Developmental Disabilities (AAIDD). Results include a visual profile of high and low intensity support needs, an index score, and a percentile ranking. concentrating first on 5-year reassessments, prioritizing those that are overdue, and ODP-Reinstatement of SIS and PA Supplement. The psychometric and technical properties are provided in the User's Manual. The results of the SIS , other assessment information, and the person-centered planning process shall establish the basis for the individual support plan. 0000002416 00000 n SIS assessments are conducted during a face-to-face interview by a SIS Assessor who has been trained by AAIDD. People who receive services are strongly encouraged to be at their SIS interview. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. assessments will be reinstated for counties that have transitioned to the yellow and 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. 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. If you can't find an answer to your question, please contact us. The SIS-A was developed by the American Association on Intellectual and Developmental Disabilities (AAIDD). Honolulu, HI 96813. Look through the entire form to ensure you have completed all the information and no changes are required. Some responses to certain questions will trigger additional supplemental questions. This second group is called Cohort 2. Share this page on Facebook. It . The SIS-A is completed in an interview-like setting. Customized Rates:Waiver Customized Rate Funding: Providers may apply for customized rate funding for individuals who meet certain criteria qualifying them as being an outlier to the current rate structure. A. IPPS provides a firsthand, onsite observation of how well employees conduct FSIS inspection and verification procedures in federally-inspected establishments. The SIS Assessor will not be the person's case manager. 0000008121 00000 n Visit AAIDD's website to learn more. The Support Intensity Scale (SIS) is used for clients aged 16 and older. At least two people who understand the persons support needs must stay for the entire interview. (up to three hours) for accurate information to be obtained. 03. Interim Assessment Completed when an update is needed to the supports paid and unpaid caregivers are providing. The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. For more information on the DDA Assessment check out WAC Chapter 388-828. 0000004488 00000 n 0000016878 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. .)F8c7#Ulqf2&GSo L2 ~L3dfiSo @,P The SIS-ATMfocuses on the level of support needed by a person instead of evaluating deficits in skills. Technology, Power of Ongoing research around the world continues to confirm the assessment's reliability and validity. Restrictions apply; refer to the Customized Rate Provider Guidelines (FORM-PG-20). Intensity Scale (SIS) tools on the Department's Web site, nor can it provide blank assessments because of copyright restrictions on those proprietary tools. 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). The individual being assessed will always be included in their assessment. 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). Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The tool is used around the world. The SIS-A TM Respondent Guide For Use with Remote Assessments. IV-102 A3 - Mental Restriction Form - Hopkinsmedicine, PAIN MANAGEMENT CENTER REFERRAL FORM - Stagnes, Grow Clinic Referral Form - Boston Medical Center - Bmc, Identity We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. provide home modifications and assistive technology that help people avoid living in a nursing home or other institution. 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. These supplemental questions collect additional information about medical and behavioral support needs. The SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. An assessment appears as an assignment on SIS, but has questions for students to answer. The SIS Assessor will need to have a virtual view of the individual being assessed. Edit your blank sis assessment online. 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. HCSIS Individual Support Plan (ISP) is a module that monitors the creation, revision, and preliminary approval of ISP planning documents. 0000073872 00000 n The SIS-A was extensively field tested before it was initially launched in 2004. Once the assessment is scheduled, a confirmation email will be sent from KEPRO For information on the Support Assessment: Erin Fatland, Joint Requirements Planning Unit Manager. We have answers to the most popular questions from our customers. 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. Participants, also referred to as respondents, must include at least two people who have known an individual with intellectual or developmental for at least 3 months. 0000018787 00000 n 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. 0000004980 00000 n This will take you to the View SIS Assessment page where you can search for a individual's SIS assessment record or view a list of records for individuals associated with your organization. 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. Complete all the required fields (these are yellow-colored). green phases of Governor Wolfs Plan to Reopen Pennsylvania. Developmental Disabilities (AAIDD) and Keystone Peer Review Organization (KEPRO) to Supplement assessments virtually. 0000020180 00000 n Create Test: Displays a new blank SIS Proof Test record on the Proof Test Definition page. Get access to thousands of forms. The SIS assessor will ask questions about the following topics: The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder and sole owner of the Supports Intensity Scale (SIS). Complete Sis Assessment Pa online with US Legal Forms.