KEPRO will perform the assessment to determine the support necessities of individuals aged 16 and older, as well as the intensity of the needs. respondent should be sent by mail the telephone number of a secure conference 0000001196 00000 n The SIS was developed, 01. 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. The Supports Intensity Scale is a unique assessment tool dedicated exclusively to identifying and measuring the supports needs of persons with intellectual disabilities in order to help them lead a regular, independent life. Visit AAIDD's website to learn more. 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. provide home modifications and assistive technology that help people avoid living in a nursing home or other institution. 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. services, For Small TM and PA Supplement assessments through a conservative roll-out strategy, You may be trying to access this site from a secured browser on the server. In addition, IPPS assesses employees' demonstrated knowledge of job requirements . Table of Contents table of contents + Table of Contents Hide Table of contents x. From the Select a Template drop-down menu, choose the appropriate document. 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 /. Some responses to certain questions will trigger additional supplemental questions. To determine the level of supports (1-7), based on level of need. HCSIS Individual Support Plan (ISP) is a module that monitors the creation, revision, and preliminary approval of ISP planning documents. This site uses cookies to enhance site navigation and personalize your experience. TheSIS is a nationally normed assessment tool for people with intellectual and developmental disabilities. Save or instantly send your ready documents. Look through the entire form to ensure you have completed all the information and no changes are required. positive control over one's life. USLegal fulfills industry-leading security and compliance standards. 1250 Punchbowl Street, Room 463 Enjoy smart fillable fields and interactivity. 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. Clicking on the ID/Tracking number of a case provides access the assessment you need. The SIS-A is designed as an interview of the individual, with participation from a team of friends and supporters. Below you will find information about DD waivers policies, procedures, Waiver Slot Assignment Committees,theSupport Intensity Scale assessment, and other information to support individuals currently on the DD waivers. Check the box for each section you want to print. Providers applying for a customized rate must have documentation to demonstrate that the individual meets the criteria as described within the provider guidelines. The SIS-A assessor records information discussed in the interview and provides clarifying information about specific questions as needed. 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. 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. Significant Change Assessment Completed when there is a significant change in the clients support needs, such as an increase in medical or behavioral supports. The Assessor will make sure that all attendees are ready to begin the interview. 0000017249 00000 n From sample interview forms to conducting a pilot program, here's what your colleagues are asking about the Supports Intensity Scale. The psychometric and technical properties are provided in the User's Manual. If an individual does not have access to a device with audio and video Type text, add images, blackout confidential details, add comments, highlights and more. 0000006500 00000 n There are three waivers available for individuals with a developmental disability: Virginia currently has a waiting list to receive a waiver. select individuals identified by ODP. Add new information to a previously started or completed assessment. HCSIS ISP Assessments. The standardized assessment, SIS, focuses on the level of support needed by a person instead of evaluating deficits in skills. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 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. 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. This can occur at any time during the year. 0000004946 00000 n The SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. 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 tool is used around the world. Follow the simple instructions below: Experience all the advantages of submitting and completing legal forms online. 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. green phases of Governor Wolfs Plan to Reopen Pennsylvania. This link is enabled only when you are viewing existing SIS Proof Test records. 0000005168 00000 n This will result in a more accurate and effective ISP. The interview can be expected to take 3 to 4 hours to complete. HWr6NW}S,'U;KCLhDiD:= HRqZ"={vl&M=x2 SIS-A assessments can be long, sometimes taking between 3 and 4 hours to complete. 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). $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 SIS will be conducted every 3 years for every person 16 years and older receiving DDD services. All items with a red (*) A blank record will open where information needed to complete the request is entered. Complete Sis Assessment Pa online with US Legal Forms. It also assesses employment support needs. Copyright 2023, State of Hawaii. A SIS assessment is a meeting with a DDS SIS Assessor and at least two people (respondents) who know a great deal about the individuals daily support needs. 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. The SIS is a nationally normed assessment tool for people with intellectual and developmental disabilities. A SIS assessment is required for everyone who receives DD waiver services. line to dial in. 0000020903 00000 n 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). Under "Consumer Information" enter the demographic information. 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. Kepro SIS Assessment Satisfaction Survey. The Assessments feature allows you to create a test or quiz that students complete as an assignment within SIS. The Support Intensity Scale (SIS) is used for clients aged 16 and older. Maximus U.S. Services first partnered with AAIDD and states in 2007 to develop SIS programs. 0000016354 00000 n Focus on the individual's supports needs rather than on skill deficits. Make the steps below to fill out Sis assessment pa online easily and quickly: Log in to your account. Planning, Wills Note: should an agency desire training for their staff regarding SIS assessments, please contact the SIS team at People who receive services are strongly encouraged to be at their SIS interview. Sign up with your credentials or create a free account to try the product prior to upgrading the subscription. Experience a faster way to fill out and sign forms on the web. capabilities. FORM 011 Request for Pre-Review-This form should only be used by providers requesting pre-review of a customized rate. SC Home Screen. Kepro SAM Scheduling Resources. For information on the Support Assessment: Erin Fatland, Joint Requirements Planning Unit Manager. Click the OK button. Business. 03. Assessments in SIS. 0000004871 00000 n 0000008121 00000 n 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. Many Kepro and DMAS documents are in a PDF format and can be viewed either in your browser or downloaded to your computer. Share this page on Facebook. The SIS measures a persons support needs in these areas: SIS assessments are conducted during a face-to-face interview by a SIS Assessor who has been trained by AAIDD. From the yellow left-hand navigation menu, click on CLIENT SIS ASSESSMENTS. Ongoing research around the world continues to confirm the assessment's reliability and validity. Attorney, Terms of Supports Intensity Scale (SIS) Assessment. 0000001915 00000 n 0000016579 00000 n Copyright 2023 Maximus. SIL Assessment Methods. Please see contact information for each Regional Supports Specialist (RSS) at DBHDS RSS Contact Information 7.01.2022. The SISmeeting will be scheduled as a single meeting with all respondents in attendance. Maximus U.S. Services first partnered with AAIDD and states in 2007 to develop SIS programs. An individuals responses will be scored according to a standard protocol and the resulting score will be something that is comparable across individuals. 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. ODP-Reinstatement of SIS and PA Supplement. 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. Using our solution completing Sis Assessment Pa requires just a couple of minutes. 0000062185 00000 n 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. (up to three hours) for accurate information to be obtained. Pennsylvania: PA Community Living Waiver PA Consolidated Waiver, Intensity Scale (SIS) to be the standardized needs assessment in Pennsylvania for individuals with intellectual disabilities. The blank document prints. 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). 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. The American Association on Intellectual and Developmental Disabilities (AAIDD) is the developer, copyright holder, and sole owner of the Supports Intensity Scale. The SIS Assessor will need to have a virtual view of the individual being assessed. 0000009938 00000 n This pdf provides respondents an overview of the SIS assessment. The SIS-A has been used as a person-centered planning tool in New Hampshire for many years. The SIS-A and SIS-C are Virginia's required comprehensive assessments for persons receiving DD 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). Virtual assessments may take longer to complete. Edit your blank sis assessment online. The assessment is anonymous and able to be submitted electronically or via USPS. AAIDD is the oldest and largest professional society concerned with intellectual disability. Honolulu, HI 96813. 0000016954 00000 n The SIS-A assessment tool was created by the American Association on Intellectual and Developmental Disabilities (AAIDD). The respondent must be able to describe, in a very detailed way, the day-to-day supports the individual needs to successfully accomplish each task. The SIS-A has all the domains necessary to identify student's post-secondary support needs as required by the IDEA. Supports Intensity Scale Adult VersionTM (SIS-ATM). Us, Delete 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). What is the SIS-A? TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". #1 Internet-trusted security seal. 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. 0000014548 00000 n The SIS-A does not focus on identifying an individuals deficits, but rather on identifying the supports an individual needs to achieve their goals. This is a chance to think about different goals the person may achieve. The SIS-A interview forms rank support requirements by frequency, daily support time, and type of support needed. Share this page. develop operating procedures that will allow for the completion of the SIS-A 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. The SIS-A was extensively field tested before it was initially launched in 2004. 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 SIS-A TM focuses on the level of support needed by a person instead of evaluating deficits in skills. Service Authorization Staff (effective 4/2023). Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 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). concentrating first on 5-year reassessments, prioritizing those that are overdue, and Restrictions apply; refer to the Customized Rate Provider Guidelines (FORM-PG-20). 0000023087 00000 n 0000065727 00000 n 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. TTY callers please, Supports Intensity Scale (SIS). What are the levels of supports intensity scale? Share your form with others Together, we aim to support Pennsylvanians with developmental disabilities and/or autism to achieve greater independence, choice and opportunity in their daily lives. FSIS Directive 4430.3, Revision 3, In-Plant Performance System (IPPS), 9/11/12. 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. Exceptional medical and behavioral support needs. Circle the appropriate number (0-4) for each measurement (i.e., Frequency,Daily Support Time, Type of Support). Before the interview begins, the SIS Assessor will explain the interview process and answer questions from the attendees. 0000016878 00000 n It identifies the types and amount of support each person needs to be successful. Results include a visual profile of high and low intensity support needs, an index score, and a percentile ranking. Developmental Disabilities (AAIDD) and Keystone Peer Review Organization (KEPRO) to NOTE: A regular assessment is considered past due when the last SIS was conducted 60 months (5-years) or more All customized rate applications should be completed using the Waiver Management System (WaMS). 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. All rights reserved. Get Information for Military Service Members? 0000003136 00000 n 0000016102 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. 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. SIS-A results are normed and validated. An SNI of 100 is average and indicates average support needs. TM) and Pennsylvania (PA) Supplement Please enable scripts and reload this page. The SIS-A TM Respondent Guide For Use with Remote Assessments. containing information on how to access the SIS-A Respondent Guide For Use withRemote Assessments and a link to join the assessment. 0000075110 00000 n Below is a description of what will need to be done differently when scheduling and Forms, Real Estate 0000064853 00000 n Scheduling Past Due Regular Assessment. Proudly founded in 1681 as a place of tolerance and freedom. Technology, Power of Through the waivers, individuals may receive these services while living in the community. request a break any time one is needed. Handbook, Incorporation 0000005648 00000 n This second group is called Cohort 2. 0000071115 00000 n 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.
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