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Nevada TANF State Plan P ag e | 41 Effective: December 31, 2023

A rural clinic’s outpatient counseling service includes individual, family and group therapy. These services can be provided in the mental health clinic, home, school, and detention centers for adults and youth, and other settings frequented by the recipient that might be considered a natural setting. These services are typically provided on a scheduled basis but might be provided in unscheduled or emergent situations. Thus, a rural clinic’s emergency services are a component of the general service commonly referred to as counseling. D. Family support services are individually designed services with the purpose of maintaining a child with a disability in the family residence (TANF Purpose 1). Families and individuals will have the ability to direct the services and supports identified in the plan of care within the resources available in the established individual budget. ADSD will bill TANF for family support services provided based on an individual written service plan. The support services may include the following: • Respite/Supervision services provided to children unable to care for themselves in a variety of settings provided on a regular or intermittent basis to meet planned or emergency needs of the primary caregiver. Respite care will be provided based on the individual’s plan of care, funding and need. This may include day care, after school and recreational programs, and community outings to ensure the safety and security of the individual. • In-home supports are available to children and their families who are requesting assistance in their home with teaching skills and ongoing support that can help the family to cope better with their child’s special need. Training may be provided to the children and/or their families and may include specialized instruction about treatment regimens and uses of equipment specified in the plan of care, parenting skills, individual behavior training/management, nutritional/dietary consults, assistance with the acquisition, retention or improvement in skills related to activities of daily living, socialization, leisure/recreational skills and adaptive behavior skills. Training will be provided as necessary to safely maintain the individual at home and do not include medical services. Supportive care may assist the child in participating in daily activities necessary to live at home. All family support services will be included in a service agreement in accordance with the individual’s plan of care. These services will be provided by individuals and entities that meet the unique needs and preferences of the child as specified in the individual plan of care. Individuals shall possess the skills necessary to ensure that the support services meet the individual’s health and safety needs and aligned with the desired outcome of the child/family. The plan may include funding for administration and the coordination of the plan and does not include funding of medical services or treatment. A state service coordinator will monitor the plan. • Transportation is offered in order to enable individuals to gain access to other community services, leisure activities and resources, and to enable them to participate in community life specified by the plan of care.