• Home & Community Services

    Catherine McCarthy, Supervisor, 484-237-5196


    Mission Statement

    The mission of the Home and Community Services (H&CS) program is to provide high-quality behavioral health and Applied Behavior Analysis (ABA) services to children, adolescents, and their families.

    An Overview

    Home & Community Services assists clients in increasing socially appropriate behaviors that will maximize their potential, facilitate independence and self-advocacy, and promote healthy functional relationships. We utilize evidence-based behavioral management practices, specialized instruction design, and the natural support systems available in the home, school, and community.

    Home and Community Services provides services to clients via behavioral heath rehabilitative services (BHRS), specialized instruction, and behavioral health personal care assistant services (BHPCA). Many of our consultants and staff have degrees or certifications in Applied Behavioral Analysis, Special Education, Counseling Psychology, and related fields. Staff are highly motivated and dedicated professionals with extensive experience in autism and other developmental disorders.

    Home and Community Services does not ascribe to only one form of intervention. Clients are viewed holistically and general ABA principles are followed. The goal of Home and Community Services is to assess each client’s individual needs. Treatment and specialized programming are designed based on the client’s individual needs and are updated on an ongoing basis or as needed. Treatment is provided in the client's home, school, or community setting using a team approach, which includes parents, clinical staff, community supports and educators, etc.

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    For Educators

    Definition of Behavioral Health Personal Care Assistant Services (BHPCA)

    Behavioral Health Personal Care Assistant (BHPCA) services are rendered to students with physical, educational and behavioral needs. It is considered a one-on-one service; therefore, a BHPCA may not provide services to more than one child at a time. BHPCA's encourage and support students by utilizing behavioral interventions necessary for the student's successful progress throughout the school day.

    Qualifications of Staff


    Generally, to qualify as a BHPCA, the candidate needs a high school diploma and certification in CPR and First Aid. Home & Community Services staff primarily have 60 college credits with three years of full-time, paid experience working with children or a bachelor's degree.

    BHPCA Responsibilities
    • Assist, monitor, and guide the student to pay attention, participate in activities, and complete tasks in order to master skills previously taught.
    • Assist with team members in the implementation of the treatment plan for the students.
    • Observe and intervene to redirect inappropriate behavior.
    • Provide one-on-one direct interventions, modeling appropriate behaviors necessary for successful adjustment.
    • Provide services during the school day.
    • Provide behavior management, conflict resolution, anger management, and peer interaction.
    • Collect data and document progress in a prescribed format for each and every session with the student.
    • Collaborate with Behavioral Specialist Consultant to ensure effectiveness of treatment plan.
    • Assist the student to use and maintain augmentative communication devices.
    • Accompany students on school buses or other vehicles.

    Obtaining Behavioral Health Personal Care Assistant Services

    • A letter of introduction of BHPCA services is sent to all special education directors for the respective county of residence, along with copies of the BHPCA Request Form.
    • The special education directors then request services as stated in the student’s IEP.
    • A completed request form, along with the student’s IEP, is sent to the school district funded case manager at one of the Home &Community Services' sites listed below.
    • The Case Manager processes the request form and a contract is created indicating the service needs, number of hours requested per day, and the days services are to be provided.
    • The contract, along with a letter explaining the student’s needs and the staffing assignment, is sent to the special education director for approval. The staffing process is initiated once a request form is received by Home & Community Services.

    For additional information, contact the county office in which you reside as listed below:

    • Chester County Office - 484-237-5296
    • Delaware & Montgomery County Office - 610-254-2464
    • Lancaster County Office - 717-617-2513


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    For Parents

    Home& Community Services (H&CS) are offered to children and families who reside in Chester, Delaware, Lancaster, and Montgomery Counties. Home & Community Services offers many services to meet the client’s individual needs, including: behavior modification,functional behavioral assessments, school consultation, social skills training, emotional support systems, parent training, and specific applied behavior analysis modalities.

    The links below are resources that may be helpful to parents:

    Parent Contract

    ARConnections

    Premise Alert for Police and Individuals with Disabilities


    There are five steps to obtaining Behavioral Health Rehabilitative Services, which vary by county. Please review the information for your respective county of residence below to learn how to obtain services.


    Locations:
    Chester County | Delaware County | Lancaster County | Montgomery County


    Chester County

    Step One

    Obtain Medical Assistance for your child by contacting the Department of Public Welfare at 610-466-1000.

    Medical Assistance is the only insurance that covers Behavioral Health Rehabilitation Services (BHRS), commonly known as Wraparound. Once you have contacted the Department of Public Welfare, they will assist you with the application process. To obtain BHR services, your child must have an Axis I diagnosis such as: Autism, Pervasive Developmental Disorder (PDD), Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), Depression, Oppositional Defiant Disorder, Reactive Attachment Disorder, Bipolar, or Intermittent Explosive Disorder. Although your family’s income is not a determining eligibility factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs for the past two weeks, documentation of diagnosis, and a picture ID of your child (i.e. passport, school ID, or library card). Please have these ready in order to expedite the process.

    Medical Assistance Application

    Step Two

    Make an appointment with a Core Provider to schedule an evaluation.

    Once Medical Assistance is obtained, contact Community Care Behavioral Health at 888-251-2224 (this is the Managed Care Organization (MCO) for Chester County). The MCO will refer you to a Core Provider for a Life Domain Evaluation. You may use your own physician for prescription of services; however, the physician must utilize the Life Domain Format and be involved throughout the Wraparound process for renewal of services. Below are a few of the Core Providers to get you started:


    • Community Services of Devereux, Phoenixville: 610-933-8110, ext. 2841
    • Guild Guidance Resource Center, Coatesville: 610-383-5635, ext. 311
    • Creative Health, Spring City: 610-948-6490
    • Holcomb Behavioral Health: (Exton) 610-363-1488 / (Kennett Square) 610-388-7400, ext. 321
    • Human Services Inc., Downingtown: 610-873-1010, ext. 621


    Steps 3, 4, and 5


    Delaware County

    Step One

    Obtain Medical Assistance for your child by contacting the Department of Public Welfare at 610-461-3800 (Upper Darby) or610-447-5500 (Chester).

    Medical Assistance is the only insurance that covers Behavioral Health Rehabilitation Services (BHRS), commonly known as Wraparound. Once you have contacted the Department of Public Welfare, they will assist you with the application process. To obtain BHR services, your child must have an Axis I diagnosis such as: Autism, Pervasive Developmental Disorder (PDD), Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), Depression,Oppositional Defiant Disorder, Reactive Attachment Disorder, Bipolar, or Intermittent Explosive Disorder. Although your family’s income is not a determining eligibility factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs for the past two weeks, documentation of diagnosis, and a picture ID of your child (i.e. passport, school ID, or library card). Please have these ready in order to expedite the process.

    Medical Assistance Application


    Step Two

    Make an appointment with a Core Provider to schedule an evaluation.

    Once Medical Assistance is obtained, contact Magellan Behavioral Health of Pennsylvania, Inc. at 1-888-207-2911 (this is the Managed Care Organization (MCO) for Delaware County). Magellan will refer you to a Core Provider for a Life Domain Evaluation. You may use your own physician for prescription of services; however, the physician must utilize the Life Domain Format and be involved throughout the Wraparound process for renewal of services. Below are a few Core Providers to get you started:

    • Elwyn, Media: 610-558-8100
    • Child Guidance Resource Center, Havertown: 484-454-8746
    • Holcomb Behavioral Health, Upper Darby: 610-352-8943 X1221


    Steps 3, 4, and 5


    Lancaster County


    Step One

    Obtain Medical Assistance for your child by contacting the Department of Public Welfare at 717-299-7421.


    Medical Assistance is the only insurance that covers Behavioral Health Rehabilitation Services (BHRS), commonly known as Wraparound.Once you have contacted the Department of Public Welfare, they will assist you with the application process. To obtain BHR services, your child must have an Axis I diagnosis such as: Autism, Pervasive Developmental Disorder (PDD), Attention Deficit Disorder (ADD),Attention Deficit Hyperactivity Disorder (ADHD), Depression,Oppositional Defiant Disorder, Reactive Attachment Disorder, Bipolar,or Intermittent Explosive Disorder. Although your family’s income is not a determining eligibility factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs fo the past two weeks, documentation of diagnosis, and a picture ID of your child (i.e. passport, school ID, or library card). Please have these ready in order to expedite the process.


    Medical Assistance Application

    Step Two

    Make an appointment with a Core Provider.

    As soon as you receive your child's Medical Assistance card, contact PerformCare at 1-888-700-7370 (this is the Managed Care Organization (MCO) for Lancaster County) and they will refer you to a provider for an evaluation. You may also call Home & Community Services directly at 717-617-2513 for an evaluation.


    Steps 3, 4, and 5


    Montgomery County

    Step One

    Obtain Medical Assistance for your child by contacting the Department of Public Welfare at 610-270-3500.

    Medical Assistance is the only insurance that covers Behavioral Health Rehabilitation Services (BHRS), commonly known as Wraparound.Once you have contacted the Department of Public Welfare, they will assist you with the application process. To obtain BHR services, your child must have an Axis I diagnosis such as: Autism, Pervasive Developmental Disorder (PDD), Attention Deficit Disorder (ADD),Attention Deficit Hyperactivity Disorder (ADHD), Depression,Oppositional Defiant Disorder, Reactive Attachment Disorder, Bipolar,or Intermittent Explosive Disorder. Although your family’s income is not a determining eligibility factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs for the past two weeks, documentation of diagnosis, and a picture ID of your child (i.e. passport, school ID, or library card). Please have these ready in order to expedite the process.

    Medical Assistance Application

    Step Two

    Make an appointment with a Core Provider to schedule an evaluation.

    Once Medical Assistance is obtained, contact Magellan Behavioral Health of Pennsylvania, Inc.at 877-769-9782 (this is the Managed Care Organization (MCO) for Montgomery County). Magellan will refer you to a Core Provider for a Life Domain Evaluation. You may use your own physician for prescription of services; however, the physician must utilize the Life Domain Format and be involved throughout the Wraparound process for renewal of services. Below are a few Core Providers to get you started:

    • Central, Norristown: 610-279-9270
    • Creative Health, Spring City: 610-948-6490
    • Indian Creek, Sellersville: 267-203-1500
    • Child and Family Focus, Phoenixville or Hatboro: 610-783-1788


    Steps 3, 4, and 5


    Steps 3, 4, and 5

    Step Three

    The Core Provider will evaluate your child and recommend a course of action in relation to your child’s mental and behavioral health needs.A prescription for Wraparound services (i.e. Therapeutic Staff Support(TSS), Behavior Specialist Consultant (BSC), Mobile Therapy (MT) and/or Case Management) may be recommended. The psychologist/psychiatrist will make a recommendation based on medical necessity and must include: 1)Having a persistent and severe clinical mental/behavioral health diagnosis and 2) Being at risk of placement outside of the home.

    If the recommendations include BHR services and you would like to choose HCS as your provider, please inform the Core Provider Coordinator. Parents/Caregivers have the “Freedom of Choice” in choosing a provider during the time your child receives BHR services.

    Step Four

    The Core Provider will schedule a meeting with the Managed Care Organization (MCO) and you to discuss the outcome of the evaluation and to discuss the recommendations. You may invite anyone to the meeting you feel is important in your child’s life. For example, if services will take place at school, a school representative should be present. If you have chosen the CCIU as your provider, a Case Manager will attempt to attend the meeting as well. At this time, the Core Provider will review the evaluation and the treatment plan, which will identify any behavioral concerns, and also allow feedback from you. This information will be sent to the MCO for approval. The MCO will have 48hours to approve, deny or request more information regarding the request for services.

    Step Five

    Services will begin following approval from the MCO. Depending upon the diagnosis, the MCO can authorize services up to 12 months. Prior to the authorization ending, you will need to schedule another evaluation in order to determine whether or not services should be continued past the initial authorization period.


    If you require additional information or explanation after reviewing the above information, please contact the Case Manager On Call for your respective county of residence as listed below.


    • Chester County - 484-237-5000/5296
    • Delaware & Montgomery County - 610-254-2464
    • Lancaster County - 717-617-2513


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    For Staff

    Resources for Wraparound/BHRS Team

    Forms


    Training

    Click here to view all  H&CS resources and training information.

    If you have additional questions, please contact H&CSTraining@cciu.org.

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    Contact Us

    For information and questions, please contact one of the sites listed below or e-mail us.

    Chester County Office
    Jeanne Crysler, Coordinator
    CCIU Educational Service Center
    455 Boot Road
    Downingtown, PA 19335
    Phone: 484-237-5296
    Fax: 484-237-5167
    Toll Free: 1-866-251-3001
    DeafRelay@cciu.org


    Delaware & Montgomery County Office
    Christina Kaissi, Coordinator
    200 Eagle Road, Suite 4
    Wayne, PA 19087
    Phone: 610-254-2464
    Fax: 610-254-2470
    Toll Free: 1-866-251-3001
    DeafRelay@cciu.org


    Lancaster County Office
    Jessica Scepansky, Coordinator
    1861 Charter Lane, Suite 115
    Lancaster, PA 17601

    Phone: 717-617-2513

    Fax: 717-617-2525

    Toll Free: 1-866-251-3001
    DeafRelay@cciu.org



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