Northern Hills Training Center Funding

HCBS Waiver-Home and Community Based Service Waiver
The HCBS program is based on a waiver of federal regulations pertaining to the ICF/MR program (intermediate care facilities such as the Developmental Center in Redfield).  A state must submit and receive approval from the federal government to maintain their HCBS program. South Dakota began participating in this program in 1981. The waiver provides an alternative to the ICF/MR program. All 19 community support providers, including Northern Hills Training Center, participate in the HCBS program.

HCBS funding can be used to serve children and adults. This program also requires a non-federal match of approximately 1/3 of the reimbursement rate. People usually use Supplemental Security Income (SSI) for room and board costs. Examples of services that are provided under the HCBS waiver program include case management, training and habilitation services, prevocational training, and supported employment.

CTS-Community Training Services
CTS is the only funding source available that is strictly state general funds. It is the smallest funding program, but also the most flexible. CTS is typically used for people who need less intensive services or who do not meet the financial eligibility for HCBS-funded services. The three main services provided under the CTS program are prevocational training, community living training, and expanded follow along/support.  Northern Hills Training Center also participates in this funding program.

Title XIX/Medicaid
Title XIX of the Social Security Act is commonly referred to as Medicaid. In addition to HCBS, Medicaid encompasses an array of services including care provided in nursing facilities, health benefits, etc. Eligibility for Medicaid is determined by local Department of Social Services offices. For further information regarding South Dakota Title XIX/Medicaid, go to http://dss.sd.gov.