(1) Adult community home services must be provided in accordance with the performance requirements in this rule.

(2) A contractor providing adult community home services must comply with the performance requirements in this rule. All performance requirements are to be met as provided in department rules and the contract with the department.

(3) Adult community home services are living arrangements in which 2 to 8 individuals, 16 years of age or older, reside with supervision, care, support and training. In addition to safe, comfortable housing, an individual is provided a healthy, well-balanced diet and is assisted in choosing, caring for and selecting for wear, suitable clothing. Community homes are available to meet a wide range of needs including those of individuals who have intensive or senior needs.

(4) In addition to these rules, community home contractors are required by 53-20-305 , MCA to meet the state of Montana licensing requirements for community homes for persons with developmental disabilities.

(5) Service options and funding sources may have specific requirements that must be met.

(6) In the provision of adult community home services, the contractor must provide:

(a) safe and comfortable housing;

(b) a healthy, well-balanced diet;

(c) assistance in choosing, caring for and selecting for wear, suitable clothing;

(d) weekly opportunities for a variety of integrated community activities unless otherwise specified by the IP team;

(e) daily opportunities for a variety of leisure activities unless otherwise specified by the IP team; and

(f) an emergency response system for an individual who is at home during the day without a staff person present. The contractor must have approval from the IP team prior to an individual remaining at home. The system must be approved by the IP team based on the capability of the individual to remain at home and to use the emergency response system.

(7) In the provision of intensive services, the contractor, in addition to the other requirements of this rule, must:

(a) ensure, when specified in the contract, that facilities are capable of being certified according to ICF/MR licensing requirements for residents for whom self-evacuation is impractical; and

(b) make provisions, when specified in a contract, to allow individuals to remain at home during the day in cases of illness, episodic behavior, or individual schedules to accommodate service needs, such as supported employment.