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Nevada TANF State Plan P a g e | 4 3 Effective December 31, 2020

directing one’s own service plan. The support broker fulfills the support brokerage service or function and includes consultation and assistance in the person-centered planning process. Specific qualifications shall be established by the Division of Public and Behavioral Health and must be met by the Support Broker provider. Specialized therapeutic services provide physical, behavioral/social-emotional health that has been adapted to accommodate the unique complexities of the individual served. These services are critical to maintain, preserve, or improve the health status and developmental progress of each individual. These specialized services may include occupational therapy, physical therapy, speech therapy, music therapy, art therapy, hippotherapy, sensory integration, massage therapy, yoga, craniosacral therapy, and swim therapy. The need for Specialized Therapeutic Services must be identified in the individual’s plan of care and is to be provided only when the individual person-centered planning team has determined the reason why other generic or State Plan services cannot/do not meet the needs of the unique individual. The need to continue the Specialized Therapeutic Services will be evaluated during the individual annual support meeting in order to determine if utilization is appropriate and progress is being made as a result of the service being provided. 14. TRIBES 14.1 Equitable Access to Indian Tribes Members of Indian tribes not eligible for assistance under a tribal family assistance plan, or that choose not to apply for tribal family assistance, will have the same access to TANF as other Nevada residents. The Division has offices throughout the state, and itinerant runs are made to outlying areas to ensure access to services. Nevada works closely with tribal social services to ensure applications for the TANF program are available to tribal members. Tribal social services liaisons work with the state agency and the applicant/recipient to gather and provide eligibility information. 14.2 Assistance with Implementation of Native TANF Program The Washoe Tribe of Nevada and California has established a family assistance plan for its people residing in Nevada called the Native TANF program. The Native TANF program provides tribal family assistance to its eligible members residing on or near the reservation. Washoe Tribal jurisdiction includes Dresslerville, Carson Colony, Stewart, and the counties of Douglas and Carson City, Nevada. The DWSS continues to meet with tribal representatives to discuss the coordination and implications of operating a Tribal TANF program. In the event a tribe opts to operate its own TANF program, the State will assist the tribe(s) in the following manner. • Provide financial information from fiscal year 1994 on expenditures for Indian families residing in the service area identified by the tribe; and