AAW supports coordination resources

AAW Service Utilization Calculator for SCs

The Bureau of Supports for Autism and Special Populations (BSASP) created the attached Service Utilization Calculator to be used as a tool by Supports Coordinators during the Annual Plan Review process for AAW participants.

Service Utilization Calculator for SCs (Excel)

Explanation of FY View in HCSIS on Service Detail Screen (PDF)

AAW Service Utilization Review Signature Form Revised 6 2022 (Doc)

Service Utilization Tips for AAW Providers and AAW Supports Coordinators (PDF)

AAW Supports Coordinator Documents

This section contains resources for Adult Autism Waiver (AAW) Supports Coordinators (SCs) and SC Supervisors.

Service Guidance Documents: Service Guidance Documents can be located at this link: 
Course: Service Guidance Documents (myodp.org)

AAW Services and Supports Directory (SDD)

The Services & Supports Directory provides a comprehensive list of Adult Autism Waiver (AAW) service providers, the counties they serve, and how to contact them. You can access this resource directly online or via a printable PDF.

COMPASS AAW Services and Supports Online Directory

AAW Supports & Services Directory (SSD) (PDF)

SIB-R Administration, Scoring and Reporting

The Scales of Independent Behavior-Revised (SIB-R) is administered at intake and annually.

ISP Documents

Quality of Life Questionnaire

When to use: At intake and annually
Next steps: Input scores into HCSIS
Updated: 07/21/2015

QOL Questionnaire Packet (PDF)

Parental Stress Scale

The PSS has been revised slightly by the Bureau of Supports for Autism and Special Populations (BSASP) to include additional identifying information at the top of the assessment. The assessment questions and scoring have not been altered. 

The PSS contains 18 items representing pleasure or positive themes of parenting (emotional benefits, self-enrichment, and personal development) and negative components (demands on resources, opportunity costs and restrictions). Respondents are asked to agree or disagree with the items with regard to their typical relations with their child or children. Each item is rated on a five-point scale: strongly disagree (1), disagree (2), undecided (3), agree (4), and strongly agree (5). The 8 positive items are reverse scored so that the possible scores on the scale can range between 18-90. Higher scores on the scale indicate greater stress.

When to Use: At intake and annually
Next Steps: Input the scores in HCSIS
Updated: 07/21/2015

Parental Stress Scale Packet (PDF) – Updated 07/21/2015

Outcomes Screen in HCSIS

Nine questions are to be asked of the family/informal care networks in an effort to obtain baseline information. In order to assure consistency of data across time, please refer to this document that provided the definitions of the terms used, e.g., law enforcement involvement, psychiatric emergency room visits, psychiatric hospitalizations, and crisis intervention. 

When to use: At intake (pull the questions before meeting with the participant)

Next steps: Input in HCSIS

Baseline Outcomes Screen in HCSIS (Word)

Social, Emotional & Environmental Supports Plan

To be used after a crisis occurs for a participant who does not have BSS and BSASP believes that an abridged behavior plan is needed. The SEES plan will delineate what needs to be in place to ensure that another crisis event does not occur. 

When to use: If BSASP determines, after a crisis event, that this participant does not need BSS, this plan will be used

Next steps: Send to the Regional Office mailbox at ra-basprovidersupprt@pa.gov and communicate the plan to all providers and stakeholders in the participant’s planning.

SEES Plan (Word)

Crisis Event Team Debriefing Form

To be used in the event that a BS is not available or applicable to this participant’s planning. When the team convenes after a crisis event (required 10 day period), this form will be completed in an effort for BSASP to determine next steps in the participant’s behavioral planning.

When to use: As needed, when a crisis event occurs for a participant does not have BS

Next steps: Submit to the waiver mailbox immediately following the crisis team meeting at ra-basprovidersupprt@pa.gov

Crisis Event Team Debriefing Form (Word)

SC Individual Monitoring Form Guidance

This guidance is to be used when performing quarterly individual monitoring visits.

Updated: 12/6/2019

SC Individual Monitoring Form Guidance (Word)

Annual Review Plan (ARP) Documents

Annual Review Plan (ARP) Checklist (Word)

New Annual Review Plan (ARP) Checklist: Regional Office and Clinical ARP Checklists were consolidated into one checklist.

Some of the questions have been revised or removed, and new questions have been added.

While the ARP Checklist was developed for BSASP RO use, notes have been added in the last column to provide additional information and clarification for SCs.

Service Utilization Review Signature Form (Word)

SC ARP Training PowerPoint (PDF)

AAW Supports Coordinator Manual

This manual was designed to guide Supports Coordinators (SCs) who are providing services to participants receiving services through the Adult Autism Waiver (AAW). 

Release Date: January 2016

BAS Supports Coordinator Manual – January 2016 Edition (PDF)

AAW Exceptions Process

Describes the policies and processes for requesting an exception to an established service limit

Request for Exception to Established Service Limits – Admin Notice (PDF)

AAW Request for Exception to Established Service Limits – Form (Word)