RESPITE
Service Description and Goals (Respite)
This service provides short-term care to relieve caregivers. Individuals who are cared for by respite
providers must be eligible for supports and services through the Division. Respite Providers may be
required to be available on a 24-hour basis. Respite services are intended to temporarily relieve unpaid
caregivers. Respite services are not intended as a permanent solution for placement or care. The
number of hours authorized for respite services must be used for respite services and cannot be
transferred to another service.
Service Settings (Respite)
Respite may be provided in the following settings:
A. The consumer’s home.
B. A Medicare/Medicaid certified Nursing Facility.
C. A group home, foster home or adult developmental home certified by the Division.
D. A certified Intermediate Care Facility for the Mentally Retarded (ICF/MR).
E. An individual provider's home that comply with the requirements of the Department of Health Services
or the Division.
Service Requirements (Respite)
Before Respite can be authorized, the following requirements must be met:
A. Prior to initiating service, the provider shall meet with the primary caregiver to obtain necessary
information regarding the consumer including obtaining a notarized medical consent if the caregiver will
not be immediately accessible.
B. The provider shall:
1. Supervise the consumer and meet their social, emotional and physical needs.
2. Ensure the consumer receives all prescribed medications in the ordered dose and time.
3. Administer First Aid and give appropriate attention to injury or illness.
4. Supply food to meet daily nutritional needs including any prescribed therapeutic diets.
5. Furnish transportation as needed to day programs and appointments.
6. Carry out any programs as requested by the Planning Team.
7. Report any unusual incidents to the Division in accordance with policies and procedures.
8. Ensure appropriate consideration of consumer needs, compatibility and safety when caring for
unrelated individuals.
Target Population (Respite)
Respite, as a medically related social service is appropriate based upon family needs, as written in the
Individual Support Plan/Individualized Family Support Plan/Person Centered Plan (Planning Documents).
Respite services are also appropriate based on the following factors:
A. The primary caregiver is unable to obtain respite and other supports from his/her immediate/extended
family or from other community resources.
B. The primary caregiver needs time to recover from abnormally stressful situations in order to resume
his/her responsibilities.
C. The consumer with a developmental disability presents intense behavioral challenges or needs a
high degree of medical care.
D. The primary caregiver is experiencing an emergency that temporarily prevents performance of normal
responsibilities.
E. The primary caregiver requires more frequent or extended relief from care responsibilities due to
advanced age or disability.
F. The family is experiencing unusual stressors such as care for more than one person who has a
developmental disability.
G. Respite services can only be provided for children ages 0 to 3 related to required training for the
primary caregiver. This training requirement must be documented in the Individualized Family Services
Plan (IFSP).
Exclusions (Respite)
Exclusions to the provision of Respite services may include the following:
A. Respite shall not substitute for routine transportation, day care or another specific service.
B. Respite shall not substitute for a residential placement.
C. Respite providers shall not serve more than three (3) people at one time.
D. Foster care (child developmental homes) and adult developmental home providers shall not give
services to more individuals than would exceed their Division license.
E. Foster care (child developmental homes) and adult developmental home respite providers shall not
give services to children and adults simultaneously. This is only allowed if stated on the license.
Additionally, the provider shall not offer services to adults if the license is for children and vice versa.
F. Respite is not available for consumers living in group homes or Intermediate Care Facilities for the
Mentally Retarded (ICF/MR).
G. Assisted Living Centers, non-state operated Intermediate Care Facilities for the Mentally Retarded,
skilled nursing facilities, Level I or Level II behavioral health facilities and consumers living independently
are not approved for respite.
Service Provision Guidelines (Respite)
A. The federal government and the Arizona Heath Care Cost Containment System (AHCCCS) sets the
upper limit of 720 hours per year regarding respite services for individuals who are eligible for Long Term
Care. Respite Service hours are determined on a yearly basis by the initial Individual Support Plan/
Individualized Family Services Plan/Person Centered Plan process and periodic review of these
documents.
B. Individuals who are eligible for respite services funded by the state are subject to the availability of
these funds. The continuation of respite services is determined on a yearly basis through the Individual
Support Plan/Individualized Family Services Plan/Person Centered Plan process and periodic review of
these documents. Respite services are intended to allow unpaid primary care givers a break and, as
such, the assessment for respite hours will need to be reconciled with the amount of time an unpaid
primary caregiver usually provides support.
C. All hours of respite utilized by the consumer/family will be tracked and reported. Respite hours for
individuals who are eligible for Long Term Care Service will be reported to AHCCCS.
D. A service unit of one (1) hour will be authorized for short- term respite up to thirteen (13) continuous
hours in a calendar day. A service unit of one (1) day will be authorized for extended respite of more than
thirteen (13) continuous hours in a calendar day. A provider for short-term respite will bill the actual hours
provided. A provider will bill for extended respite for the appropriate number of days of service. This billing
for extended respite will also include the cumulative hours of service provided on the Uniform Billing
Document.
E. A negotiated rate will be applied for families who have more than one person eligible for respite. This
negotiated rate will be reported by the provider, with the total actual hours of service given to each
individual on the Uniform Billing Document. This method of rate setting will be applied when these
individuals receive respite at the same time. The hours used will be deducted by the Division from the
authorized level of respite for each person.
F. Families receiving respite for an individual eligible for services from the Division who wish other non-
eligible individuals to receive care will be responsible for the costs of serving the non-eligible individual.
The Division will only pay for services delivered to individuals authorized to receive such service and will
pay the provider at a multiple client rate.
Service Description and Goals (Respite)
This service provides short-term care to relieve caregivers. Individuals who are cared for by respite
providers must be eligible for supports and services through the Division. Respite Providers may be
required to be available on a 24-hour basis. Respite services are intended to temporarily relieve unpaid
caregivers. Respite services are not intended as a permanent solution for placement or care. The
number of hours authorized for respite services must be used for respite services and cannot be
transferred to another service.
Service Settings (Respite)
Respite may be provided in the following settings:
A. The consumer’s home.
B. A Medicare/Medicaid certified Nursing Facility.
C. A group home, foster home or adult developmental home certified by the Division.
D. A certified Intermediate Care Facility for the Mentally Retarded (ICF/MR).
E. An individual provider's home that comply with the requirements of the Department of Health Services
or the Division.
Service Requirements (Respite)
Before Respite can be authorized, the following requirements must be met:
A. Prior to initiating service, the provider shall meet with the primary caregiver to obtain necessary
information regarding the consumer including obtaining a notarized medical consent if the caregiver will
not be immediately accessible.
B. The provider shall:
1. Supervise the consumer and meet their social, emotional and physical needs.
2. Ensure the consumer receives all prescribed medications in the ordered dose and time.
3. Administer First Aid and give appropriate attention to injury or illness.
4. Supply food to meet daily nutritional needs including any prescribed therapeutic diets.
5. Furnish transportation as needed to day programs and appointments.
6. Carry out any programs as requested by the Planning Team.
7. Report any unusual incidents to the Division in accordance with policies and procedures.
8. Ensure appropriate consideration of consumer needs, compatibility and safety when caring for
unrelated individuals.
Target Population (Respite)
Respite, as a medically related social service is appropriate based upon family needs, as written in the
Individual Support Plan/Individualized Family Support Plan/Person Centered Plan (Planning Documents).
Respite services are also appropriate based on the following factors:
A. The primary caregiver is unable to obtain respite and other supports from his/her immediate/extended
family or from other community resources.
B. The primary caregiver needs time to recover from abnormally stressful situations in order to resume
his/her responsibilities.
C. The consumer with a developmental disability presents intense behavioral challenges or needs a
high degree of medical care.
D. The primary caregiver is experiencing an emergency that temporarily prevents performance of normal
responsibilities.
E. The primary caregiver requires more frequent or extended relief from care responsibilities due to
advanced age or disability.
F. The family is experiencing unusual stressors such as care for more than one person who has a
developmental disability.
G. Respite services can only be provided for children ages 0 to 3 related to required training for the
primary caregiver. This training requirement must be documented in the Individualized Family Services
Plan (IFSP).
Exclusions (Respite)
Exclusions to the provision of Respite services may include the following:
A. Respite shall not substitute for routine transportation, day care or another specific service.
B. Respite shall not substitute for a residential placement.
C. Respite providers shall not serve more than three (3) people at one time.
D. Foster care (child developmental homes) and adult developmental home providers shall not give
services to more individuals than would exceed their Division license.
E. Foster care (child developmental homes) and adult developmental home respite providers shall not
give services to children and adults simultaneously. This is only allowed if stated on the license.
Additionally, the provider shall not offer services to adults if the license is for children and vice versa.
F. Respite is not available for consumers living in group homes or Intermediate Care Facilities for the
Mentally Retarded (ICF/MR).
G. Assisted Living Centers, non-state operated Intermediate Care Facilities for the Mentally Retarded,
skilled nursing facilities, Level I or Level II behavioral health facilities and consumers living independently
are not approved for respite.
Service Provision Guidelines (Respite)
A. The federal government and the Arizona Heath Care Cost Containment System (AHCCCS) sets the
upper limit of 720 hours per year regarding respite services for individuals who are eligible for Long Term
Care. Respite Service hours are determined on a yearly basis by the initial Individual Support Plan/
Individualized Family Services Plan/Person Centered Plan process and periodic review of these
documents.
B. Individuals who are eligible for respite services funded by the state are subject to the availability of
these funds. The continuation of respite services is determined on a yearly basis through the Individual
Support Plan/Individualized Family Services Plan/Person Centered Plan process and periodic review of
these documents. Respite services are intended to allow unpaid primary care givers a break and, as
such, the assessment for respite hours will need to be reconciled with the amount of time an unpaid
primary caregiver usually provides support.
C. All hours of respite utilized by the consumer/family will be tracked and reported. Respite hours for
individuals who are eligible for Long Term Care Service will be reported to AHCCCS.
D. A service unit of one (1) hour will be authorized for short- term respite up to thirteen (13) continuous
hours in a calendar day. A service unit of one (1) day will be authorized for extended respite of more than
thirteen (13) continuous hours in a calendar day. A provider for short-term respite will bill the actual hours
provided. A provider will bill for extended respite for the appropriate number of days of service. This billing
for extended respite will also include the cumulative hours of service provided on the Uniform Billing
Document.
E. A negotiated rate will be applied for families who have more than one person eligible for respite. This
negotiated rate will be reported by the provider, with the total actual hours of service given to each
individual on the Uniform Billing Document. This method of rate setting will be applied when these
individuals receive respite at the same time. The hours used will be deducted by the Division from the
authorized level of respite for each person.
F. Families receiving respite for an individual eligible for services from the Division who wish other non-
eligible individuals to receive care will be responsible for the costs of serving the non-eligible individual.
The Division will only pay for services delivered to individuals authorized to receive such service and will
pay the provider at a multiple client rate.
| RESPITE |
Respite is more than being able to
take a break once in a while and we
recognize that. We are aware that
respite is used to enable parents to
work, attend school, and care for
other family members. We strive to
have our providers be prompt in
delivering this service and providing
a safe and fun day for our
consumers. If the usual provider is
unable to provider the service and it
is needed, please let us know and
one of our administration will deliver
the service if available.
take a break once in a while and we
recognize that. We are aware that
respite is used to enable parents to
work, attend school, and care for
other family members. We strive to
have our providers be prompt in
delivering this service and providing
a safe and fun day for our
consumers. If the usual provider is
unable to provider the service and it
is needed, please let us know and
one of our administration will deliver
the service if available.
Scottsdale office:
480-272-9557
6310 E Thomas #228
Scottsdale AZ 85251
Coolidge Office:
520-723-9630
345 W Central #1
Coolidge AZ 85228
480-272-9557
6310 E Thomas #228
Scottsdale AZ 85251
Coolidge Office:
520-723-9630
345 W Central #1
Coolidge AZ 85228