[ Kansas SRS: HCBS/TA Information Chart ]

Description and Definition of Technology Dependent

For the purposes of the Attendant Care for Independent Living (ACIL) program request, a child who is eligible for ACIL special home care services is: a technology-dependent child who is under 21 years of age, hospitalized or at imminent risk of hospitalization/institution, who requires the level of care provided in a hospital. For those over 21 years of age a referral should be made to HCBS programs.

Technology – dependent is further defined as a chronically ill and medically fragile child under 21 years old whose illness or disability, in the absence of home care services, would require admission to or a prolonged stay in a hospital or institution. Further, that child needs both a medical device to compensate for the loss of vital body function and must require substantial and ongoing care to avert death or further disability. Care assistance through this program will be provided, in part, by a nurse or other caretaker, under the supervision of a nurse.

Technologies for consideration include:

Children dependent at least part of each day on Mechanical Ventilators who cannot survive without ventilator assistance (Example: Ventilator-Dependent, BiPAP, CPAP) and children requiring prolonged intravenous administration of nutritional substance or drugs (Example: CVL and TPN)

Children requiring Tracheostomies, Peritoneal Dialysis or daily Oxygen, daily NG tube feedings, daily GT feedings or Suctioning.
None of these single technologies is the only qualifier for ACIL services.
However, any of these technologies could be considered alone based on an assessment that matches client needs and difficulty with caregiver abilities if the other above mentioned parameters are met. Further, the ACIL Plan of Care would allow a weaning period from any of the above technologies before services would be required to be terminated.

(Weaning is defined as; a consumer who is no longer utilizing his/her technology daily but continues to access it 2-3 times per week he/she could be considered in a weaning mode. Weaning could take up to 30 days. If during the weaning process the individual’s health status worsens or a relapse occurs the individual would remain on services until the individual has completed the weaning process successfully. This process maybe repeated until the weaning process is completed. If a consumer has gone a whole week without requiring/using this technology he/she should be dismissed at that time & readmitted if need be later).

Revised 01/11/05

Parental Fee Information

The parent fee program includes parents of children participating in the DD Waiver for Children with Mental Retardation or a Developmental Disability, the TA Waiver Technical Assistance for Children who depend on technology for life, and the SED Waiver for Children with a Severe Emotional Disturbance. Go to Parental Fee Information for more details.