(i) Health skills training services. Activities, interventions and therapies designed to promote independence in personal health care by increasing the person's awareness of his or her physical health status and the resources required to maintain physical health, including, but not limited to, regular medical and dental appointments, basic first aid skills and basic knowledge of proper nutritional habits. Also included is training on topics such as disease prevention.

(ii) Self-administration of medication training services. Activities, interventions and/or therapies designed to develop skills and enhance capacity (or limit regression) in the functional areas including, but not limited to, understanding the role and effect of medication, the importance of adherence to any medication regimen, and the performance of the actual behavior(s) necessary to actually take medication in accordance with a prescribed regimen. While not including the act of prescribing, such training does include activities related to reviewing the need for, and appropriateness of the person's medication regimen with his/her physician or health care provider.

(iii) Socialization skills training services. Activities, interventions and therapies which are designed to assist the person in developing skills and enhancing capacities that diminish tendencies toward isolation and withdrawal by assisting the person in the acquisition or development of social and interpersonal skills. “Socialization” is an activity meant to improve or maintain a person's capacity for social involvement by providing opportunities for the application of social skills. This occurs through resident and staff interaction in the program and through exposure with staff to opportunities in the community. Modalities used in socialization include individual and group counseling and behavior intervention.

(iv) Communication skills training services. Activities, interventions and therapies designed to develop skills or enhance capacity (or limit regression) in the functional areas including; but not limited to expressive language; receptive language; use of adaptive/specialized communication devices; and listening skills.

(v) Functional skills training services. Activities, interventions and therapies which are designed to develop skills and enhance capacities (or limit regression) to engage in the primary activities of daily life. Services are provided by addressing areas of functioning such as: dressing, personal hygiene and grooming, selection and/or preparation of food, cleaning and washing of clothes, maintenance of the personal environment, budgeting and money management, education in general health, family planning and use of community resources such as public transportation. Training is intended to increase those competencies needed by the individual to live in his or her chosen environment.

(vi) Assertiveness/self-advocacy skills training services. Activities, interventions, and therapies which promote the person's ability to assess and utilize his or her strengths and capacity to make life status changes and to increase self-awareness about his or her values and preferences. Training also focuses on increasing a person's ability to respond to medical, safety and other personal problems. Activities are also intended to improve communication skills and facilitate appropriate interpersonal behavior.

(vii) Behavior skills training services. Activities, interventions and therapies designed to develop skills and enhance capacities (or limit regression) in the functional areas including; but not limited to, interpersonal behavior; minimizing/eliminating self-injurious behavior; minimizing/eliminating aggressive behavior; and conducting oneself appropriately in various community settings.

(viii) Community integration and resource utilization skills training services. Activities, interventions and therapies which are designed to help the person identify skills and community supports necessary for specific environments, to assess their skills and strengths in relationship to meeting environmental demands, to access resources available to help the person, and to develop a natural support system by assessing social, educational and recreational opportunities and learning how to make choices.

(ix) Motor skills training services. Activities, interventions and therapies designed to develop a person's skills or enhance capacity (or limit regression) in the functional areas including, but not limited to, mobility in walking/sitting/standing; fine and gross motor activities; and use of adaptive mobility equipment.

(x) Skills development training services. Activities, interventions and therapies which enhance utilization of the skills necessary to undertake employment or pursue education opportunities. This may include developing and enhancing skills related to securing appropriate clothing, scheduling, work-related symptom management, and work readiness training.

(i) services that are necessary to meet the needs of individuals while in residence;

(ii) services that, prior to August 1, 2004, could have been met by home health aide or personal care services separately billed to Medicaid;

(iii) services that, prior to October 1, 2015, could have been met by home health aide or personal care services separately billed to Medicaid, with those services provided in the community on weekday evenings or anytime on the weekend, unless the weekday evening or weekend services are established to support the individual in an integrated job site; and

(iv) services specified in paragraph (7) of this subdivision that, prior to October 1, 2015, may have been separately billed to Medicaid.

(i) nutrition services that consist of meal planning and monitoring, assessment of dietary needs and weight changes, development of specialized diets, diet education, and food safety and sanitation training;

(ii) behavioral intervention and support services delivered by a licensed psychologist, licensed clinical social worker, or behavioral intervention specialist that consist of behavioral assessment and intervention planning, delivery and review or monitoring of behavioral interventions, and behavioral support services provided pursuant to section 633.16 of this Title; and

(iii) nursing services that consist of:

(i) at the residence at any time; or

(ii) in the community on weekday evenings or anytime on the weekend, unless the weekday evening or weekend services are established to support the individual in an integrated job site.