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PROGRAM POLICY
FINANCIAL ELIGIBILITY POLICY
BASIC AND SPECIAL NEEDS POLICY
GLOSSARY
APPENDIX A – Basic and Special Needs Rates
APPENDIX B – Dental Rate Guidelines
APPENDIX C – Special Diet Rate Guidelines
APPENDIX D – Household Set-Up and Replacement Rate Guidelines for
Living Independently
APPENDIX E – Funding Source Guidelines

 DEPARTMENT OF COMMUNITY SERVICES
Disability Support Program
Program Policy
Effective: June 2012

Updated October 2014

1

 Disability Support Program

Program Policy

TABLE OF CONTENTS
1.0

POLICY STATEMENT

2.0

POLICY OBJECTIVE

3.0

DEFINITIONS

4.0

GENERAL ELIGIBILITY REQUIREMENTS

4.1
4.2
4.3
4.4
4.5
4.6
4.7
5.0

DISABILITY REQUIREMENT
AGE AND RESIDENCY REQUIREMENTS
AGE CRITERIA EXCEPTIONS
WAIVER FOR APPLICANTS WITHOUT A VALID HEALTH CARD OR RESIDING IN ANOTHER PROVINCE
COSTS FOR APPLICANTS WITH WAIVER
COMMUNITY TREATMENT ORDERS/CERTIFICATES OF LEAVE
ADDITIONAL ELIGIBILITY REQUIREMENTS
DSP SUPPORT OPTIONS

5.1
COMMUNITY BASED OPTION (UNLICENSED)
5.1.1 Direct Family Support for Adults (DFSA) Program
5.1.2 Independent Living Support (ILS) Program
5.1.3 Alternative Family Support (AFS) Program
5.2
COMMUNITY HOME (LICENSED)
5.2.1 Residential Care Facility (RCF)
5.2.2 Group Home (GH)
5.2.3 Developmental Residence (DR)
5.2.4 Small Option Home (SOH)
5.3
ADULT RESIDENTIAL/REHABILITATION CENTRE (ARC/RRC)
5.3.1 Adult Residential Centre (ARC)
5.3.2 Regional Rehabilitation Centre (RRC)
6.0
6.1
6.2
6.3
6.4
6.5
6.6
6.7

ELIGIBILITY DETERMINATION PROCESS
SCREENING
INTAKE/INITIAL CONTACT
PROGRAM APPLICATION AND CONSENT
CAPACITY TO CONSENT
MEDICAL ASSESSMENT
FUNCTIONAL ASSESSMENT
FINANCIAL ASSESSMENT

7.0

PLACEMENT

8.0

WAIT LIST MANAGEMENT

8.1
8.2
9.0
9.1
9.2
9.3
9.4

WAIT LIST ENTRY
WAIT LIST PRIORITIES
INELIGIBILITY
ASSESSED NEEDS
INVOLUNTARY PATIENTS
BEHAVIOURAL OR MEDICAL NEEDS - APPLICANT
BEHAVIOURAL OR MEDICAL NEEDS - PARTICIPANT

10.0

REVIEW AND REASSESSMENT OF PARTICIPANT ELIGIBILITY

11.0

TRANSFERS WITHIN DSP PROGRAMS

11.1
11.2

NO CHANGE IN LEVEL OF SUPPORT
CHANGES IN LEVEL OF SUPPORT

12.0

RESPITE IN LICENSED HOMES

13.0

TEMPORARY AND EXTENDED ABSENCES
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13.1
13.2

Program Policy

HOSPITALIZATION/OCCASIONAL ABSENCES
ABSENCES BEYOND THIRTY (30) DAYS

14.0

DISCHARGE FROM DSP

15.0

APPLICATION

16.0

ACCOUNTABILITY

17.0

MONITORING

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 Disability Support Program

Program Policy

1.0

POLICY STATEMENT

1.1

The Disability Support Program (DSP) provides for assistance to persons
in need under the mandate of the Social Assistance Act. It provides
support to children, youth, and adults with disabilities through residential
and at-home support programs. DSP Support Options range from
supporting families who care for a family member with a disability in their
own home, to supporting people with disabilities in a 24- hour residential
support option.

1.2

The DSP promotes a participant’s independence, self-reliance, security,
and social inclusion. The goal of the DSP is to support participants at
various stages of their development and independence through a range
of programs.

1.3

This policy applies to all DSP Programs, with the exception of the Direct
Family Support Program for Children and Adult Service
Centres/Community-based Day Programs.

2.0

POLICY OBJECTIVE
The objective of the DSP Policy is to ensure the consistent
application of the initial and ongoing program eligibility process.

3.0

DEFINITIONS
For DSP policy and program definitions refer to the DSP Glossary of
Terms.

4.0

GENERAL ELIGIBILITY REQUIREMENTS

4.1

Disability Requirement

4.1.1 To be eligible for the DSP a person with a disability must meet the DSP
eligibility criteria, and have a diagnosis that confirms one or more of the
following disabilities:
1.

Intellectual Developmental Disability: a disorder that includes
an intellectual deficit which creates difficulties in functioning in two
or more activities of daily living and/or instrumental activities of
daily living within the range considered typical for a person of the
same age and gender, which occurs prior to the age of 18 years.
Each of these criteria must be present:

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 Disability Support Program

a)

Program Policy

Deficits in mental abilities such as reasoning,
problem solving, planning, abstract thinking, judgment,
academic learning, and learning from experience. An
intelligence quotient (IQ) below the population mean,
which is typically an IQ score of approximately 70. There are four
levels of intellectual disability:
1.
2.
3.
4.

Mild: IQ of 50 to 70;
Moderate: IQ of 39 to 55;
Severe: IQ of 20 to 40; and
Profound: IQ of 20 to 25.

A learning disability is not the same as an Intellectual
Developmental Disability as average or above average intellectual
functioning is required for a learning disability; and
b)

Impairments in functioning within two or more aspects of activities
of daily living or instrumental activities of daily living for example,
communication, social participation, functioning at school or at
work, or personal independence at home or in community settings;
and

c)

Onset before the age of 18 years.

2.

Long Term Mental Illness: a diagnosis of chronic and persistent
mental illness which affects a person’s thinking, feeling or
behaviour and creates significant difficulties in functioning in two or more
aspects of activities of daily living or instrumental activities of daily
living within the range considered typical for someone of the same age or
gender.

3.

Physical Disability: a long-term, chronic and persistent physical
limitation that creates significant difficulties in functioning in two or more
a s p e c t s of activities of daily living or instrumental activities of daily
living within the range considered typical for someone of the same age or
gender. The physical disability substantially limits functional
independence and results in the person requiring ongoing support
and skill development.

4.1.2 Please note that a person with the following diagnosis may also eligible for the DSP.
4.1.3 Dual Diagnosis: a diagnosis of the presence of an intellectual developmental
disability and a co-occurring long term mental illness. The person may also have a
co-occurring physical disability or any combination of the above three.

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4.1.4 Acquired Brain Injury: The applicant/participant has an acquired brain injury which
results in damage to a person’s brain that occurs from events after birth rather than
as part of a genetic or congenital disorder.
4.2

Age and Residency Requirements
A person with a disability (see section 4.1 of this Policy) may apply for
admission to the DSP if the applicant:

4.3

a)

is 19 years of age or over;

b)

is lawfully entitled to be in or to remain in Canada;

c)

makes their home in and is a resident of Nova Scotia; and

d)

has a valid Nova Scotia Health Card.

Age Criteria Exceptions

4.3.1 A person with a disability between the ages of 16 and 19 may be considered
for placement in a residential support option or an Alternative Family
Support home, if:
a)

they meet all other DSP eligibility requirements;

b)

their assessed needs can be safely and consistently met
by the DSP;

c)

no alternative support program exists in Nova Scotia;

d)

the placement is an appropriate option that can best meet
the needs of the applicant;

e)

the Director of DSP approves the placement.

4.3.2 Participants in the DSP may continue to receive services and supports as they age
as long as they continue to be eligible and until their assessed support needs can
no longer be safely met by the DSP.
4.4

Waiver for Applicants without a Valid Health Card or Residing in
Another Province
A person with a disability who does not meet the requirements outlined in
section 4.2 (c) or (d) of this Policy may apply to the Minister of Community
Services to have one or both of these requirements waived, under the
following circumstances:

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 Disability Support Program

4.5

Program Policy

a)

the person is residing in Nova Scotia and has made Nova
Scotia their permanent home but does not yet have a valid
Nova Scotia Health Card; or

b)

the person is a resident of another province who wishes to
move to Nova Scotia to be close to family supports and, for
reasons related to their care and support, it is not feasible to
establish Nova Scotia residency prior to their admission to the
DSP.

Costs for Applicants with Waiver
Applicants who are granted a waiver under section 4.4 of this Policy shall be
responsible for:

4.6

a)

ensuring adequate financial coverage for all of their
physician, hospital, and prescription drug expenses, until
they are covered by Nova Scotia Health Insurance and Nova
Scotia Pharmacare; and

b)

covering any and all transportation costs related to their
relocating to Nova Scotia.

Community Treatment Orders/Certificates of Leave
A person with a disability who is the subject of a Community Treatment
Order or a Certificate of Leave may apply for and be assessed to receive
supports from the DSP provided they meet all other DSP eligibility criteria
and that the terms and arrangements of their hospital readmission, if it
becomes necessary, are secured prior to their hospital discharge.

4.7

Additional Eligibility Requirements

4.7.1 A person with a disability must agree to the following, prior to
consideration of their eligibility for DSP services or supports:
a)

provide a physician report – medical assessment (see
section 6.5 of this Policy);

b)

consent to participation in an assessment for DSP services
which will include the collection and sharing of their
information for the purpose of determining their eligibility;

c)

undergo a functional assessment of their support level
requirements;

d)

complete a program application; and

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 Disability Support Program

e)

Program Policy

undergo a financial assessment (see the DSP Financial
Eligibility Policy).

4.7.2 A person with a disability may apply at a Department of Community Services
Office nearest to their home.
4.8

Collaborative Partnership Between Department of Community Services
and Department of Health and Wellness
There are circumstances when services from both DCS and the Department of
Health and Wellness (DHW) are beneficial to a participant. In these
circumstances the Care Coordinator shall:



5.0

assist the participant to identify the availability of supportive programs
and services through the DHW (e.g. Home Care, Self-Managed Care,
Caregiver Benefit, etc.);
ensure DCS provides no duplication of funding for services or supports.e

DSP SUPPORT OPTIONS
DSP offers community based support and residential support through:

5.1

1)

a Community Based Option (unlicensed);

2)

a Community Home (licensed); and

3)

an Adult Residential/Rehabilitation Centre (licensed).

Community Based Option (Unlicensed)
5.1.1 Direct Family Support for Adults (DFSA) Program
The DFS Program provides funding for respite and special needs to
assist families to support their family member with a disability who lives
at home.
5.1.2 Independent Living Support (ILS) Program
The Independent Living Support Program provides up to 21 hours a
week of supports and services to persons with disabilities, who live in
their own apartment or home, are semi-independent and who require
minimal support. There is no overnight support available through the
ILS Program.

5.1.3 Alternative Family Support (AFS) Program
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The Alternative Family Support Program provides an approved,
private family home, where support is provided for up to two persons
who are not related to the AFS provider. Participants may receive
varying levels of support with activities of daily living, and routine
home and community activities.
5.2

Community Home (Licensed)
A Community Home provides support through:
5.2.1 Residential Care Facility (RCF)
A Residential Care Facility provides participants with residential
living support, minimal support with their activities of daily living,
routine home and community activities. Participants are provided
with limited direct support/supervision and generally do not have
major medical or behavioral support needs.
5.2.2 Group Home (GH)
A Group Home provides participants with residential living support,
learning and assistance with their activities of daily living, routine
home and community activities. A Group Home focuses on
enhancing a participant’s skill development.
5.2.3 Developmental Residence (DR)
A Developmental Residence provides 24-hour residential support and
supervision for four or more persons with intellectual disabilities who
need moderate support with activities of daily living and high support
with routine home and community activities. Developmental
Residences provide program supports which emphasize the
development of participant’s interpersonal, self-care, domestic, and
community oriented skills. There are three categories of
Developmental Residences:
1.

DRI – for participants with a moderate to severe intellectual
disability who require supervision or support to perform most of
their activities of daily living and who do not present with
persistent behavioral challenges.

2.

DRII – for participants with a severe intellectual disability who
have challenges performing most of their activities of daily
living and may have a chronic health problem or a physical
disability, and who rarely present with persistent behavioral
challenges toward others but may present with persistent
behavioral issues towards themselves (i.e. hitting oneself, selfstimulating behavior, etc.).

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 Disability Support Program

3.

Program Policy

DRIII – for participants with intellectual disabilities who present
with persistent behavioral challenges towards others and
themselves that impact most of their activities of daily living or
instrumental activities of daily living.

5.2.4 Small Option Home (SOH)
A Small Option Home provides residential home support for three to
four participants with varying types of disability.

5.3

Adult Residential/Rehabilitation Centre (ARC/RRC)
An Adult Residential Centre and a Rehabilitation Centre provide a range of
residential supports for participants with multiple needs/severe challenges.
Staffing is provided 24 hours/7 days a week.
5.3.1 Adult Residential Centre (ARC)
An Adult Residential Centre provides support to participants who
need high levels of supervision and support in their activities of daily
living, routine home and community activities. An ARC provides
structured supports and services to enhance the
development of participant’s interpersonal, community oriented and
activities of daily living skills. Staffing is provided 24 hours/7 days a
week.
5.3.2 Regional Rehabilitation Centre (RRC)
A Regional Rehabilitation Centre provides support to participants
who need a range of support in activities of daily living, routine home
and community activities, and need high levels of support with
severe/multiple behavior challenges. A RRC provides both
rehabilitation and developmental programs to participants who
require an intensive level of support and supervision related to
complex behavioral challenges and skill development needs.
Staffing is provided 24 hours/7 days a week.

6.0
6.1

ELIGIBILITY DETERMINATION PROCESS
Screening
A person with a disability is screened to determine their potential eligibility for
the DSP prior to their completion of a full program application. This includes:
a)

determining what the person is requesting, and possibly
referring them to other agencies and services based on their
request; and
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 Disability Support Program

b)

6.2

Program Policy

providing the person with the following information about the DSP:


financial eligibility requirements;



functional eligibility requirements and the assessment
process, including medical and consent requirements;



a description of the DSP programs and services available;
and



information regarding the status of the current waitlist.

Intake/Initial Contact

6.2.1 A person with a disability shall be provided with detailed information on the
eligibility requirements for all DSP programs during the intake process.
6.2.2 A person with a disability may be assessed for DSP supports if they have
provided a medical report from their personal physician that confirms their
disability.
6.2.3 If an applicant does not meet the eligibility criteria, or is ineligible as a result of
the provisions in section 9.0 of this Policy, the applicant will be advised of their
ineligibility before they undergo a functional and financial assessment and
before an application is completed.
6.3

Program Application and Consent

6.3.1 An applicant must complete a program application and sign a consent form
to allow the Department to obtain and share their information for the
purposes of determining their initial and ongoing eligibility, and for the
provision of services and supports.
6.3.2

If an applicant does not meet the eligibility criteria, or is ineligible as a
result of the provisions in section 9.0 of this Policy, the applicant will be
advised of their ineligibility in writing.

6.4

Capacity to Consent

6.4.1 An applicant/participant is required to provide consent to the DSP eligibility
processes. It will be assumed that an applicant/participant has the
capacity to make decisions unless it is established that they lack the
capacity to do so.
6.4.2 To obtain valid consent an applicant/participant must be provided with all the
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Program Policy

information relevant to making a decision. The Care Coordinator must take
all practical and appropriate steps to support an applicant/ participant to
make their own decisions and provide their own consent.

6.4.3 When it appears that an applicant/participant lacks the capacity to make a
decision about their personal care, living arrangements, or health needs, a
Care Coordinator will complete a capacity to consent evaluation.
6.4.4

If an applicant/participant’s capacity to make a decision remains in question
after a consent evaluation has been conducted, the Care Coordinator will ask
the applicant/participant to have an assessment of capacity conducted by a
physician.

6.4.5 If it is determined that an applicant/participant is not capable of making a
decision regarding the initial and ongoing eligibility processes, consent
must be obtained from a substitute decision maker before proceeding
further. The Care Coordinator must ask the applicant/participant:
a)

if an applicant/participant has a Guardian appointed by the
Court for purposes of personal care, including health care
decisions;

b)

if an applicant/participant has a personal directive (also
referred to as an advance health directive, or living will, or
power of attorney);

c)

to provide a copy of the Guardianship documentation or
personal directive to the Care Coordinator.

6.4.6 An applicant/participant who is not the subject of a Guardianship Order, and
who has not made a personal directive (which would name a delegate to
make personal care decisions, or set out instructions for such decisions) and
who lacks capacity to make such decisions, may require a statutory decision
maker, as defined under the Personal Directives Act, to make decisions
regarding their personal care, including health care, placement or home-care
services (see DSP Glossary of Terms for definitions).
6.4.7 If an applicant/participant is not capable of consenting to decisions, and
does not have a court appointed Guardian or a personal directive, the Care
Coordinator must:
a)

identify a substitute decision maker in accordance with the
criteria and hierarchy identified in the Personal Directives Act;

b)

ensure that the identified substitute decision maker reads
and signs a declaration.

6.4.8 The Care Coordinator can proceed to complete the intake eligibility process
with the consent of the applicant’s identified substitute decision maker.
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Program Policy

6.4.9 On a continuing basis, it is assumed that a participant has the capacity to
make decisions. When a decision is required regarding a participant’s
personal care, living arrangements or health needs and it appears that the
participant may lack the capacity to make that decision, a Care Coordinator
will complete a capacity to consent evaluation.

6.5

Medical Assessment

6.5.1 An applicant must provide a medical report from an attending physician or
nurse practitioner who is familiar with them and their medical history when
applying to the DSP.
6.5.2 Applicants are responsible for any costs and fees associated with the
medical assessment.
6.6

Functional Assessment
An applicant shall undergo a functional assessment conducted by a Care
Coordinator. A recommendation regarding the applicant’s eligibility and
their assessed level of support needs shall be made by the Care Coordinator
to the Casework Supervisor.

6.7

Financial Assessment
An applicant’s eligibility for financial assistance shall be determined by the
Care Coordinator through a financial assessment, in accordance with the
Financial Eligibility Policy. An applicant’s individual circumstances are
considered in the assessment and, therefore, the provision of assistance
is determined on a case by case basis. An applicant who is eligible for
DSP based on their functional assessment, but who is ineligible based on
their financial assessment may access a DSP support option as a private
payer.

7.0
7.1

PLACEMENT
An applicant/participant shall be offered a DSP support option based on:
a)

the applicant/participant’s support requirements and the nature
of the support option taking into account the following factors:



the level of support that can best meet the needs of the
applicant/participant;



the service provider’s expertise with the
applicant/participant’s
disability
and
support
requirements;
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 Disability Support Program




Program Policy

the support requirements of other participants who are
sharing the same residence; and
the applicant/participant’s accessibility requirements, if any.

7.2

If an appropriate DSP support option is not immediately available, the
applicant/participant’s name will be placed on the Wait List, with their
consent.

8.0

WAIT LIST MANAGEMENT

8.1

Wait List Entry
The applicant/participant’s name and information will be entered on the Wait
List according to:

8.2

a)

their priority ranking (see chart in 8.2); and

b)

the date the Wait List Coordinator receives the
completed wait list submission form.

Wait List Priorities

8.2.1 An applicant/participant’s waitlist priority ranking for accessing the DSP is
determined by the Care Coordinator, based on individual circumstances,
in accordance with the chart below.
8.2.2 For an applicant/participant’s name to be placed on the Wait List as a
Priority 1, the approval of the DSP Casework Supervisor and the DSP
Specialist is required. Persons assigned a Priority 1 on the Wait List must
have their information and circumstances reviewed every six months.
8.2.3 For the purpose of the Wait List priority ranking only, a participant is
defined as either a person receiving DSP services or supports or a client
of a Department of Health and Wellness funded long term care facility or
admitted to hospital from a long term care facility, who meets the DSP
eligibility criteria.
8.2.4 Ranking is in descending order of priority.
Priority 1

1.1

a) An applicant/participant who is assessed by Adult Protection as an
adult in need of protection under sections 7, 9 or 10 of the Adult
Protection Act; or
b) An applicant/participant who is assessed by a DSP Care Coordinator
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Program Policy

as high risk, approved by the Casework Supervisor and Specialist.

1.2

An applicant/participant with an absolute or conditional discharge,
referred from the East Coast Forensic Hospital of the Capital District
Health Authority.

1.3

An adult applicant identified for pending transfer from the permanent
care and custody of the Minister, or from a child-caring facility provided
under the Children and Family Services Act.

Priority 2

2.1

2.2
2.3

2.4

2.5

A participant living in a program support option that does not meet their
needs, with funding for extraordinary staffing. This includes participants
in emergency settings or those in need/receipt of long-term, one-on-one
staffing, in excess of eight (8) hours per day.
A participant who has accepted an out of region program support option,
and who is waiting for transfer to the region of their choice.
A participant in hospital who has been discharged from their program
support option as a result of their hospitalization.
An applicant/participant ready for discharge from an RRC.
a) An applicant referred from a hospital who meets DSP eligibility
criteria; or
b) An applicant who is in hospital and is approved and funded under the
complex needs case planning process.

Priority 3

3.1

3.2

a) A participant whose reassessment indicates a significant increase in
their support needs, a change in their level of support, or who needs a
change in their program support option; or
b) A participant whose support needs cannot be met in their current
program support option.
A participant whose reassessment indicates a significant decrease in
their support needs, a change in their level of support, or who needs a
change in their program support option.

Priority 4
A participant who requests a transfer to a preferred program support
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4

Program Policy

option or location, in accordance with their assessment and support
plan.

Priority 5

5

An applicant requesting a DSP support option; including applicants
approved and funded under the complex needs case planning process
(also see priority 2 for applicants in hospital).

Priority 6
6

An applicant from out of province who meets DSP criteria.

8.2.5 A Care Coordinator shall review Wait List information annually and provide
notification to the Wait List Coordinator of any changes. Such changes
may result in a change in the applicant/participant’s priority ranking.
8.2.6 If changes are made to the applicant/participant’s information or their
priority on the Wait List changes, the date on which their name was
originally entered on the Wait List shall remain unchanged.
8.2.7 When a DSP support option becomes available, the applicant/participant
shall be considered for the placement based on the criteria listed in section
7.0 of this Policy, and the following:
a) the applicant/participant’s waitlist priority ranking; and
b) the date the applicant/participant’s name was entered on the Wait
List.
8.2.8 Placements made outside of this process require the approval of the DSP
Director or designate. Participants ready for discharge from the Community
Transition Program, Memory Lane, Lower Sackville, Nova Scotia, and the
Community Transition House, Pleasant Street, Dartmouth, Nova Scotia will
fall under this variant.
9.0

INELIGIBILITY

9.1

Assessed Needs

9.1.1 If an applicant/participant’s assessed support needs cannot be safely met
within one of the five levels of support provided by the DSP, or with the
assistance of available standard community resources, if necessary, the
applicant/participant is ineligible for DSP programs.
9.1.2 Exceptions may be considered for applicants whose assessed support
needs can be supported in the Direct Family Support for Adults (DFSA)
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Program.

9.1.3 An applicant is ineligible for DSP programs and funding when it is
determined that their assessed needs would be best supported by a
residential support option under the mandate of the Department of Health
and Wellness (DHW), Continuing Care Branch or a District Health Authority
(DHA).

9.1.4 An applicant whose primary need for care and support is palliative is
ineligible for admission to the DSP.
9.2

Involuntary Patients
An involuntary patient in a psychiatric facility is not eligible for admission or
re-admission to the DSP unless they meet the DSP eligibility criteria for
patients with Community Treatment Orders and Certificates of Leave (see
section 4.6 of this Policy).

9.3

Behavioural or Medical Needs - Applicant

9.3.1 An applicant whose assessed behavioural or medical needs cannot be
safely met by one of the five levels of support provided by the DSP, and
who cannot access standard community resources is ineligible for the
DSP.
9.3.2 An applicant who is an active substance abuser or whose support needs are
primarily related to substance abuse withdrawal are not eligible for the DSP.
9.4

Behavioural or Medical Needs - Participant

9.4.1 If a participant’s behavioural or medical needs increase after admission to
the DSP, the Care Coordinator shall:
a)

complete a re-assessment of the participant’s support
needs;

b)

based on the participant’s increased needs pursue standard
community resources from a District Health Authority; or

c)

seek an alternative support option for the participant through the
Department of Community Services or a District Health Authority.

9.4.2 If the resources referred to in section 9.4 of this Policy are not readily available
and the unavailability creates a significant impact on the safety and well-being
of the participant, the Care Coordinator may pursue assistance with short-term
interventions through section 7.6.2 of the DSP Basic and Special Needs Policy.
These interventions may only be offered until such time as standard community
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Program Policy

resources, or an alternative support option for the participant, becomes
available.
9.4.3 A DSP participant may access addiction rehabilitation and recovery programs
while in the DSP.
10.0

REVIEW AND REASSESSMENT OF PARTICIPANT ELIGIBILITY

10.1

A participant’s support needs and eligibility are reviewed by the
Care Coordinator biennially.

10.2

When there are no significant changes in a participant’s level of support, the
Care Coordinator shall complete a review every two years, unless otherwise
specified. The accuracy and currency of the information that has been
provided on the existing DSP consent form must also be reviewed. The
participant must sign an updated consent form if there are changes.

10.3

When there are significant changes in a participant’s support needs or
resources that may result in a change in the participant’s level of support
requirements, a full reassessment of the participant shall be completed. The
Care Coordinator must update the participant’s individual assessment and
support plan and, if required, obtain an updated physician report – medical
assessment. If, upon reassessment, the participant’s needs may be best met
by a new level of support, the Care Coordinator must submit this
documentation to the Casework Supervisor with their recommendation for
approval.

10.4

Reviews or reassessments of a participant’s financial eligibility and special
needs shall be conducted and documented. When there are significant
changes in a participant’s financial circumstances (e.g. change in type of
service or program provided, new income, or the requirement for a new
ongoing special need, etc.), the Care Coordinator shall update the
participant’s budget.

10.5

Reviews and reassessments shall be completed with the participant and in
consultation with the participant’s family or support network and service
providers, as appropriate.

10.6

The participant’s electronic and paper records must be updated by the Care
Coordinator after each review or reassessment to reflect their current
circumstances.

11.0

TRANSFERS WITHIN DSP PROGRAMS

11.1

No Change in Level of Support

11.1.1 A participant may request a transfer to another DSP support option that
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Program Policy

meets their support needs.
11.1.2 Transfers require the approval of the Care Coordinator and Casework
Supervisor.
11.1.3 When an alternative program support option is not immediately available,
the participant’s name shall be added to the DSP Wait List, with their
consent.
11.1.4 Care Coordinators shall ensure that participants, their families and service
providers, as appropriate are informed throughout the transfer process.
11.2

Changes in Level of Support

11.2.1The DSP shall facilitate the transfer of a participant to another DSP support
option when:

a)

the participant’s support needs can no longer be safely met
within the scope of services and approved staffing
complement of their current program support option, and with
the assistance of standard community resources; or

b)

the participant’s support needs change and they can benefit
from a more independent level of support.

11.2.2 In order to facilitate the transfer of a participant from one level of program
support option to a different level of program support option, the participant
must have an updated assessment and level of support determination
completed prior to transfer (see section 10.0 of this Policy).
11.2.3 The participant’s name shall be added to the DSP Wait List when an
alternative program support option is not immediately available, upon their
request.
12.0

RESPITE IN LICENSED HOMES

12.1

The DSP is committed to providing an applicant/participant and their family
with preventive services in order to facilitate an applicant/participant
remaining in their own home with family support by providing per diem
funding for a participant to access short-term respite support in cases of
emergency, for vacation periods, or for sporadic breaks (e.g. weekends).

12.2

An applicant/participant who normally resides at home, and is dependent
upon family members for intermittent or continuous support, may access
temporary support for a planned period of time through a respite placement
in a Community Home or ARC/RRC, under the following conditions:

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19

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Program Policy

a)

the Community Home or ARC/RRC can safely accommodate
additional persons in compliance with the law, including the Fire
Marshal’s Act and Regulations and the Homes For Special Care
Act and Regulations;

b)

the Community Home or ARC/RRC licensed under the
Homes for Special Care Act has obtained approval to provide
respite supports from the licensing division of the Department of
Community Services, prior to accepting any person for respite
care; and

c)

the applicant/participant is eligible for the DSP.

12.3

An applicant/participant’s assessment documentation, including a physician
report – medical assessment and an individual assessment and support
plan, must be submitted by the Care Coordinator to the Case Work
Supervisor for all new applications for respite placement in a Community
Home or ARC/RRC.

12.4

The Care Coordinator will identify the respite options in a Community
Home or ARC/RRC which meets the applicant/participant’s support needs.

12.5

The applicant/participant, their family and service provider must be notified by
the Care Coordinator, in writing, of the terms of the respite placement,
including the number of days approved for respite.

12.6

For respite re-admissions, where the Care Coordinator has determined that
the applicant/participant requires the same level of support as in the past, no
new assessment documentation is required. Only when there is a change in
the applicant/participant’s level of support, or a change in their financial
circumstances, is updated documentation required (see section
11.2 of this Policy).

12.7

An applicant/participant, their family and service provider must be notified by
the Care Coordinator, in writing, on an annual basis of the terms of the
respite placement.

12.8

Emergency respite placements may be made by the Department upon a Care
Coordinator’s recommendation and approval by the DSP Casework
Supervisor. In such cases, an applicant/participant’s assessment
documentation, including a physician report, and an individual assessment
and support plan must be completed and approved within five working days
of an applicant/participant’s admission to the emergency respite placement.

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20

 Disability Support Program

12.9

Program Policy

The maximum respite utilization for an applicant/participant in any calendar
year is sixty (60) days. Thirty (30) consecutive days stay is the maximum
length of respite stay in a Community Home or ARC/RRC.

12.10 Exceptions to the sixty (60) day annual maximum or thirty (30) consecutive
day maximum may be considered on an individual basis with the approval
of the District Manager, space permitting. A Care Coordinator must provide
a written request and recommendation to the District Manager outlining the
exceptional circumstances which necessitate the additional respite.
12.11 Any additional costs beyond the approved per diem rate must be
approved by a District Manager.
13.0

TEMPORARY AND EXTENDED ABSENCES

13.0.1 The DSP supports participants to maintain contact with their family and other
supportive relationships in their community.
13.0.2 The DSP is committed to ensuring the continuity of a participant’s residential
placement in a DSP support option during their temporary absences due either
to hospitalization or visits with family and friends, to a maximum of thirty (30)
consecutive days.
13.0.3 A participant’s bedroom shall not be used for any purpose, and their personal
effects shall not be disturbed by the service provider, throughout any of their
occasional absences or hospitalizations of up to thirty (30) days.
13.1

Hospitalization/Occasional Absences

13.1.1 If a participant needs to be hospitalized, the DSP will fund the residential
per diem rate for thirty (30) consecutive days, when the:
a)

participant’s prognosis indicates their return to the placement
within thirty (30) days and the Care Coordinator has approved
the request to hold their placement; and

b)

the participant has experienced no change in their level of
support needs.

13.1.2 A participant’s residential support option shall be cancelled when it has
been confirmed that:
a)

the participant will require hospitalization for an extended period
of time; or

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21

 Disability Support Program

b)

Program Policy

a change in the participant’s support needs necessitate their
move to an alternative residential support option.

13.1.3 The Care Coordinator shall ensure that the participant, their family (when
appropriate), service providers and hospital staff are informed of any
changes in the participant’s residential placement.
13.1.4 A participant who is hospitalized for longer than thirty (30) days, and is
waiting for a DSP support option to become available, may continue to
receive the following supports and services, with the approval of the
Casework Supervisor:
a)

comfort allowance;

b)

special needs; and

c)

case management support.

13.1.5 If a participant is hospitalized for thirty (30) days or more their support needs
must be reassessed by the Care Coordinator prior to re-admission to the
DSP.
13.2

Absences Beyond Thirty (30) Days

13.2.1 A participant who has been absent from the Province for more than thirty
(30) consecutive days shall have their financial support discontinued by the
Care Coordinator.
13.2.2 A participant’s program support option may be maintained and funded by
the DSP if they are absent for more than thirty (30) consecutive days, with
the approval of the District Manager.
13.2.3 When a participant’s absence extends beyond thirty (30) days and with the
agreement of the participant, the service provider and the District Manager,
the participant’s bedroom may be used temporarily by another DSP
participant, under exceptional circumstances. The participant’s personal
effects shall be stored in a safe, secure and easily accessible area.
14.0

DISCHARGE FROM DSP

14.1 When a participant no longer meets the eligibility criteria of the DSP, as
determined through their reassessment, the participant will be notified of
their ineligibility by the Care Coordinator, in writing.
14.2

A participant must be given written notification of their right to:
a)

appeal their support eligibility determination; and

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22

 Disability Support Program

b)

Program Policy

appeal their financial eligibility determination (see section 6.1 of
the Financial Eligibility Policy).

14.3

A participant shall have an opportunity to provide any supplemental
information that may affect their eligibility decision.

14.4

The Care Coordinator shall meet with a participant who is leaving the DSP to
provide support with regard to a transition plan. This may include referrals to
the Employment Support and Income Assistance Program, the Department
of Health and Wellness, or other programs.

14.5

A participant who becomes financially ineligible for the DSP due to changes
in their financial circumstances may choose to pay privately for their supports
and remain in their DSP support option without DSP case management (see
section 5.10 of the DSP Financial Eligibility Policy).

15.0

APPLICATION
This policy applies to all applicants/participants or any person acting on
their behalf, and all DSP staff.

16.0

ACCOUNTABILITY

16.1

The Director is responsible for ensuring that the DSP achieves the
objectives for which it was created, and is delivered within a fiscally
sustainable manner.

16.2

Regional Administrators are responsible for implementing policy and
ensuring compliance within their respective areas of responsibility, and the
resources made available.

16.3

Managers and supervisors are responsible for complying with the policy
within their respective areas of responsibility and adequately preparing
their employees to carry out their respective functions.

17.0

MONITORING

17.1

The Director is responsible for implementing appropriate mechanisms to
ensure monitoring and compliance with this policy.

17.2

Regional Administrators are responsible for regularly monitoring and
reporting on compliance with this policy.

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23

 DEPARTMENT OF COMMUNITY SERVICES
Disability Support Program
Financial Eligibility Policy
Effective: June 2012

Updated March 2015
24

 Disability Support Program

Financial Eligibility Policy

TABLE OF CONTENTS
1.0

POLICY STATEMENT

2.0

DEFINITIONS

3.0

POLICY OBJECTIVE

4.0

ELIGIBILITY

5.0

FINANCIAL ASSESSMENT PROCESS

5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.7.1
5.7.2
5.7.3
5.8
5.9
5.10
6.0
6.1
6.2
6.3
6.4
6.5
6.6

MANDATORY PROGRAM APPLICATION
APPLICATION COMPLETION
FINANCIAL ASSESSMENT
APPLICABLE ASSETS
INCOME
INITIAL BUDGET CALCULATIONS
BUDGET DEVELOPMENT FOR ELIGIBLE PARTICIPANTS
LIVING IN A RESIDENTIAL OPTION
LIVING WITH FAMILY
LIVING INDEPENDENTLY IN OWN HOME/APARTMENT
ONGOING ELIGIBILITY FOR FINANCIAL ASSISTANCE
INELIGIBILITY FOR FINANCIAL ASSISTANCE
PRIVATE PAY
APPEAL PROCESS
RIGHT TO APPEAL
COMMENCING AN APPEAL
ADMINISTRATIVE REVIEW
APPEAL HEARINGS
PROCEDURES FOR APPEAL BOARD HEARINGS
INTERPRETING DATES

7.0

APPLICATION

8.0

ACCOUNTABILITY

9.0

MONITORING

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25

 Disability Support Program

Financial Eligibility Policy

1.0

POLICY STATEMENT

1.1

This policy applies to all Disability Support Program (DSP) Programs for
adults. It does not apply to the Direct Family Support Program for Children
or Adult Service Centres/Community-based Day Programs.

1.2

An applicant must be willing to participate in a financial assessment to
determine their eligibility for the DSP.

1.3

An applicant/participant’s income and applicable assets are assessed
against financial eligibility criteria for participation in the DSP.

2.0

DEFINITIONS
For DSP policy and program definitions, refer to the DSP Glossary of
Terms.

3.0

POLICY OBJECTIVE

3.1

The Financial Eligibility Policy provides the financial eligibility criteria, the
eligibility assessment procedures, and the review and appeal procedures
related to the determination of a person’s financial eligibility for
participation in the DSP.

3.2

The objective of the Financial Eligibility Policy is to ensure the consistent
application of the initial and ongoing financial eligibility process.

4.0

ELIGIBILITY

4.1

A person in need may be eligible for financial assistance from the
Department of Community Services based on their assessed needs, a
budget deficit, and subject to the availability of Departmental resources.

4.2

A Care Coordinator will conduct a financial assessment of the income and
applicable assets available to an applicant/participant to meet the costs
associated with the provision of DSP supports and will decide whether an
applicant/participant is financially eligible for the DSP.

4.3

When an applicant is eligible for the DSP and Departmental resources or
DSP support options are not available, the applicant’s name shall be
placed on a Wait List, upon their request, as outlined in section 8.0 of the
DSP Policy.

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26

 Disability Support Program

5.0

FINANCIAL ASSESSMENT PROCESS

5.1

Mandatory Program Application

Financial Eligibility Policy

5.1.1 All applicants, including private paying persons as outlined in section 5.10
of this Policy, must complete an application for the DSP.
5.1.2 An applicant who does not complete the program application is ineligible
for the DSP.
5.1.3 An applicant must provide written consent for the Department to obtain
their financial information from a third party, and to share their financial
information with other agencies involved in their support, as necessary.
5.1.4 Applicants in receipt of Adult Protection Services, or a person with a
disability who requires emergency admission to a DSP, may complete the
program application following their admission to a DSP support option.
5.2

Application Completion

5.2.1 If anyone other than an applicant makes the referral to the DSP, a Care
Coordinator must ensure that the applicant is:
a) aware of the application; and
b) willing to participate in the eligibility assessment process.
5.2.2 An applicant/participant must provide all financial information required by
the Care Coordinator to make a determination of their financial eligibility.

5.3

Financial Assessment

5.3.1 When completing an applicant/participant’s financial assessment, the Care
Coordinator shall:
a) review the applicant/participant’s financial information;
b) assess the applicant/participant’s income and applicable assets;
and
c) consider the applicant/participant’s support needs and all
associated costs; including special needs (see DSP Basic and
Special Needs Policy).

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 Disability Support Program

Financial Eligibility Policy

5.3.2 Only the assets outlined in section 5.4 of this Policy, shall be considered
by the Care Coordinator in the financial assessment process.
5.4

Applicable Assets

5.4.1 The payment of money to an applicant/participant through a court order or
through a liability award or settlement (except those listed in sections 5.5.7
and 5.5.8 of this Policy) for the cost of care, support and accommodations,
is an applicable asset.
5.4.2 An applicant/participant who has received or will receive payment of
money through a court order or through a liability award or settlement for
future care, support and accommodations, is ineligible for assistance in
the form of money until the money is expended on the full cost of their
care, support and accommodations.
5.4.3 A participant whose cost of care, support, and accommodation is provided
for by a court order, liability award or settlement shall be charged the per
diem rate paid to a service provider for the full cost of providing their
care, support and accommodations.
5.4.4 A participant’s financial eligibility may be reassessed after the money they
received for the cost of their care, support and accommodations is
expended. At the time of reassessment, any remaining monies which were
awarded for damages other than care, support and accommodation, such
as wage loss or for pain and suffering, are considered part of the
participant’s income.
5.5

Income

5.5.1 An applicant/participant shall apply all of their income, with the exception
of the income sources outlined in section 5.5.7 of this Policy, towards the
cost of supports provided to them by the DSP.
5.5.2 An applicant/participant shall apply for any and all income for which they
are eligible, including pension income, and shall apply for the maximum
level for which they are eligible.
5.5.3 In the assessment of the applicant/participant’s finances, the Care
Coordinator shall include the following income sources as chargeable
income:
a) 100% of unearned income;
b) 100% of the applicant/participant’s net wages, minus $300 and
30% of the remainder (see section 5.5.6 of this Policy);
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 Disability Support Program

Financial Eligibility Policy

c) 100% of the applicant/participant’s monthly training allowance,
minus $300;
d) 100% of the sum set aside in trust by a court for the benefit of the
applicant/participant at the request of an applicant/participant or
with the consent of an applicant/participant; and
e) 100% of income from an estate or trust.
5.5.4 All income, other than wages, is calculated at the gross amount.
Participants who have income tax deductions being made from their
income source must complete a Revenue Canada ‘TD1’ form. Completion
of this form can ensure that the income tax will not be deducted or will be
deducted at the minimal rate.
5.5.5 Every person to whom assistance is paid in trust for the benefit of an
applicant/participant, pursuant to the Social Assistance Act, shall submit
any information a Care Coordinator may require regarding the
administration of the trust money.
5.5.6 An applicant/participant who is engaged in employment shall retain the
first $300 of their net wages, plus 30% of their remaining net monthly
wages as an employment incentive. The balance of their earnings shall be
applied to their DSP support costs.
5.5.7 An applicant/participant’s income assessment does not include payments
from the following sources:
a) goods and services tax credit (GST) paid under the Income Tax
Act (Canada);
b) Nova Scotia Affordable Living Tax Credit under the Income Tax
Act;
c) income tax refunds;
d) Working Income Tax Benefit (WITB);
e) the provincial low-income fuel assistance program, and Federal
Relief for Heating Expenses Program;
f) Registered Disability Savings Plan payments (RDSP) or any
income from an RDSP;
g) Registered Education Savings Plan payments (RESP);
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 Disability Support Program

Financial Eligibility Policy

h) payments under the Department of Health and Wellness
Caregiver Benefit Program;
i) payments under a victims compensation program paid by a
federal or provincial government;
j) payments to a victim of abuse by a church organization in
compliance with a court order or under a victims compensation
program;
k) payments by a provincial or federal government either monthly
or in a lump sum, to victims or survivors of abuse to redress or
compensate an injury or harm in respect to a government
program or service;
l) payments made by the federal government as a support
package to Canadian thalidomide survivors;
m) honorariums provided to persons serving on a board of an
agency or commission;
n) earned income of a dependent child(ren) as long as the
dependent child(ren) is attending an educational program not
designated for student loan purposes;
o) the Canada Child Tax Benefit paid under the Income Tax Act
(Canada), including all of the following:
i.

the national child benefit supplement,

ii. the child tax benefit,
iii. payments under the Nova Scotia Child Benefit Program
under the Income Tax Act, and
iv. the child disability benefit.
p) Universal Child Care Benefit paid under the Income Tax Act
(Canada);
q) adoption subsidy payments under the Children and Family
Services Act;
r) payments made in support of a foster child under the Children
and Family Services Act; and
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 Disability Support Program

Financial Eligibility Policy

s) bursaries, scholarships, and stipends received for the purpose
of assisting with the costs associated with attending an
approved educational program.
5.5.8 In determining an applicant/participant’s initial and ongoing eligibility,
financial compensation received from the following sources will not be
considered income. Any money generated from the compensation (e.g.
interest income) shall be considered income for the applicant/participant in
the month in which it is received:
a) the Memorandum of Understanding regarding Compensation for
Survivors of Institutional Abuse;
b) a payment, other than a payment for loss of income or loss of
support, pursuant to:
i.

the 1986 - 1990 Hepatitis C Settlement Agreement; or

ii. the federal/provincial/territorial assistance program of HIV
Secondarily Infected Persons; or
iii. Pre – 1986/Post – 1990 Hepatitis C Settlement
Agreement; and
c) payment as a Merchant Navy Veteran, or as a surviving spouse
of a Merchant Navy Veteran, for post-war benefits.
5.6

Initial Budget Calculations for Participants

5.6.1 Once an applicant has been determined to be eligible for the DSP (now a
DSP participant), through completed functional and financial assessments,
assistance shall be provided to them based on a budget deficit. For a
participant to receive financial assistance, the cost of services and
supports provided to them must exceed their income.
5.6.2 To determine the amount of financial assistance required by the
participant to fund or assist with the costs of services and supports
provided by the DSP, an initial budget must be developed.
5.6.3 The Care Coordinator shall prepare the applicant’s initial budget in the
following manner:
a) document the applicant’s total expenses including costs
associated with any services and supports provided to the

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 Disability Support Program

Financial Eligibility Policy

applicant by the DSP, and taking into consideration any sharing
of costs;
b) document the applicant’s income;
c) subtract the income from the expenses. The resulting balance
will either be a:
i.

budget deficit, which is the amount of financial
assistance for which the applicant may be eligible; or a

ii.

budget surplus, which means that the applicant is
ineligible for financial assistance from the Department
of Community Services.

5.6.4 A participant’s ongoing financial eligibility and special needs requirements
are based on their current circumstances and are updated and
documented at the time of the individual’s re-assessment.
5.6.5 When there are significant changes in a participant’s financial
circumstances (e.g. change in type of service or program provided, new
income, or the requirement for a new ongoing special need, etc.), the Care
Coordinator shall update the participant’s budget.

5.7

Budget Development for Eligible Participants

5.7.1 Living in a Residential Option
A participant living in a residential support option, whose basic and
support requirements are covered by a per diem rate, can be eligible for:



the approved per diem rate
special needs

5.7.2 Living with Family
A participant living with their family will be eligible for basic and special
needs as outlined in the Direct Family Support for Adults Policy and the
Basic and Special Needs Rates (Appendix A). This can include:





Personal Allowance
Boarding rate for shelter
Respite
Special needs

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Financial Eligibility Policy

5.7.3 Living Independently in Own Home/Apartment
5.7.3.1

A DSP participant who lives alone in their own home or apartment, can
be eligible for basic and special needs as outlined in the Independent
Living Support Program policy and the Basic and Special Needs Rates
(Appendix A). This can include:






5.7.3.2

Personal Allowance
Shelter allowance (rent or mortgage payment)
Special needs
Comforts Allowance (Personal Use Allowance)
Hours of support

DSP participants (two or more) who share accommodations will each
have their own budget as outlined in the Basic and Special Needs
Rates (Appendix A). This can include:






Personal Allowance
Shelter allowance (the participant’s share of the rent or mortgage
payment)
Special needs
Comfort Allowance (Personal Use Allowance)
Hours of support

5.7.3.3

Each participant will contribute their own income, if any, to their
individual budget. Expenses associated with their shelter costs will be
shared. Depending on their circumstances, the participant’s hours of
support and other support services may also be shared.

5.7.3.4

Participants who share their living accommodations with another
individual who is not a participant in the DSP and who is not their
spouse, shall have their own budget as outlined in the DSP Basic and
Special Needs Rates (Appendix A). This can include:






5.7.3.5

Personal allowance
Shelter allowance (the participant’s share of the rent or mortgage
payment)
Special needs
Comforts Allowance (Personal Use Allowance)
Hours of support

Expenses associated with shelter costs will be shared. The DSP
participant will contribute their income, if any, to their individual
budget.

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 Disability Support Program

5.7.3.6

Financial Eligibility Policy

A DSP participant who shares their living accommodations with a
spouse, who is not a DSP participant, shall have their budget
developed to reflect the following:






Personal allowance
Shelter allowance (the participant’s share of the rent or mortgage
payment)
Special needs
Comforts Allowance (Personal Use Allowance)
Hours of support

5.7.3.7

Expenses associated with shelter costs will be shared. The DSP
participant’s spouse must apply their own income to the living costs of
the couple, e.g. food, shelter, basic expenses.

5.7.3.8

The DSP participant will contribute their income, if any, to their
individual budget. The non-participant spouse is not required to
directly apply their income to the cost of supports for the participant of
the DSP.

5.7.3.9

A DSP participant who shares their living accommodations with a
spouse who does not meet the DSP eligibility criteria but who has
limited income or no income shall have their budget developed to
reflect the following:




5.8

Personal allowance
Shelter allowance (the non-participant’s share of the rent or
mortgage payment)
Special needs

Ongoing Eligibility for Financial Assistance

5.8.1 A participant continues to be eligible for ongoing financial assistance as
long as they continue to:
a) have a budget deficit; and
b) be eligible for the DSP.
5.8.2 A participant’s financial and program eligibility will be reviewed by the
Care Coordinator during the participant’s review.
5.8.3 A participant must inform the Care Coordinator when there is any change
in their income or applicable assets.

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 Disability Support Program

Financial Eligibility Policy

5.8.4 Failure to disclose information required in section 5.8.1 of this Policy shall
result in a reassessment of the participant’s financial eligibility and may
result in a change in, or termination of, financial assistance to the
participant.
5.8.5 A review of the participant’s financial eligibility may be undertaken at any
time when the Department receives information related to the participant’s
income or applicable assets which may affect the level of financial
assistance provided to the participant.
5.8.6 A participant, or any other person to whom assistance is paid in trust for
the benefit of a participant, may be the subject of legal action by the
Department, if at any time the participant or another person:
a) wilfully withholds information about a participant’s income or
applicable assets;
b) under-reports the amount of a participant’s income or applicable
assets; or
c) provides false or misleading information regarding the
participant’s income, which results in a participant obtaining a
level of financial assistance to which the participant would not
otherwise be entitled.
5.9

Ineligibility for Financial Assistance

5.9.1 An applicant/participant’s failure to provide all required documents, or their
refusal to participate in the financial assessment process, will result in
their ineligibility for the DSP.
5.9.2 An applicant/participant who has received or will receive payment of
money through a court order or through a liability award or settlement
(except for those listed in sections 5.5.7 and 5.5.8 of this Policy) for the
cost of their care, support and accommodations, is ineligible for assistance
in the form of money until the money is expended on the full cost of their
care, support and accommodations. The applicant/participant will be
considered a private payer and will be responsible for the full cost of their
care, support and accommodations, whether in their own home or in a
residential support option.
5.9.3 An applicant/participant will be ineligible for financial assistance if they are
provided for, at 100%, under the mandate(s) of:
a) Veterans Affairs Canada;

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Financial Eligibility Policy

b) Workers Compensation Board;
c) the Government of Canada; or
d) any other statute or program.
5.10

Private Pay

5.10.1 A private paying person is required by the Department of Community
Services to complete an application for eligibility for admission into a DSP
support option. The Department will not recognize arrangements
negotiated between an individual applicant and service provider.
5.10.2 An applicant who is eligible for DSP based on their functional assessment,
but who is ineligible based on their financial assessment may access a
DSP support option as a private payer.
5.10.3 A participant who becomes financially ineligible for the DSP may choose
to pay privately for their supports and remain in their program support
option DSP Policy.
5.10.4 A private paying person may apply for financial assistance for their
support costs from the Department of Community Services, based on a
reduction in their income or applicable assets.
5.10.5 A private paying person who applies for financial assistance must undergo
a support level assessment and financial assessment conducted by a
Care Coordinator.

6.0

APPEAL PROCESS

6.1

Right to Appeal

6.1.1 An applicant/participant has the right to appeal any financial decision
made by the Department in relation to their application for or receipt of
assistance under the Social Assistance Act. The legislative authority for
this process is found in section 19.
6.1.2 All requests for an appeal are administered by the Appeals Unit of the
Department and will be addressed in accordance with the appeal process
set out in the Employment Support and Income Assistance Act and the
Assistance Appeal Regulations.
6.1.3 The decision will include a summary of the facts and an explanation of the
legislation, regulations and policy relied upon. This provides the
opportunity for all parties to review and understand the rationale behind a
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decision prior to an appeal or request for an administrative review being
filed.
6.2

Commencing an Appeal

6.2.1 The Care Coordinator will send the written decision relating to the
application for assistance or receipt of assistance to the
applicant/participant, and will notify the applicant/participant of their right to
appeal that decision within thirty (30) days from the date they receive the
decision.
6.2.2 The request for an appeal must be submitted by the applicant/participant
to any office of the Department of Community Services within thirty (30)
days from the date that the applicant/participant received the original
decision.
6.2.3 The request must be made in writing in the approved form, Appeal
Request form and must include:
a) the decision for which the appeal is requested; and
b) the reason for the appeal.
6.3

Administrative Review

6.3.1 The first step in the appeal process is an administrative review, which will
be completed within ten (10) days of receiving the appeal from an
appellant.
6.3.2 The Regional Administrator or designate must designate a Disability
Support Program Supervisor or District Manager who was not involved in
the original decision to conduct the administrative review.
6.3.3 The reviewer must examine all written material submitted to ensure that
the decision being reviewed is consistent with the legislation, regulations
and policy, and that the appellant’s request is given a fair and timely
review. There is no meeting or hearing.
6.3.4 The reviewer shall:
a) uphold, vary or reverse the original decision; and
b) immediately send the appellant the reasons in writing for
upholding, varying or reversing the original decision.

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6.3.5 The appellant must advise the Regional Administrator or designate in
writing, within ten (10) days of receiving the administrative review
decision, if the appellant wants the appeal to proceed to a hearing before
an Appeal Board.
6.3.6 If an appellant has not requested an appeal hearing within ten (10) days of
their receipt of the administrative review decision, the Appeals Unit may
close the file.
6.4

Appeal Hearings

6.4.1 When an appellant advises that they wish to proceed to a hearing, the
appeal shall be set down for hearing before an Appeal Board. The process
will be governed by the Employment Support and Income Assistance Act
and the Assistance Appeal Regulations.
6.4.2 The Appeals Unit coordinates the appeal and sends notification of the
date, time and place of the hearing by registered mail. The regional office
will provide documentation for the Appeal Board to the Appeals Unit. The
appellant shall be notified that if they do not attend the hearing or send a
representative, the appeal will be heard in their absence unless they have
contacted the Appeal Unit before the scheduled hearing date to request
an alternative date.
6.4.3 If an appellant wishes to have a hearing but cannot attend, they can either
request that the appeal hearing be rescheduled or indicate that they would
like the option of a hearing utilizing the telephone.
6.4.4 An appellant has the right to be assisted by a representative throughout
the appeal process. Prior to appeal information being sent to a
representative Departmental staff should obtain consent, preferably
written, from the appellant to discuss their case with the representative.
6.5

Procedures for Appeal Board Hearings

6.5.1 Before or at the beginning of the hearing, Departmental staff will ask the
appellant for copies of any documents that they plan to submit to the
Appeal Board during the hearing and if they will have any witnesses.
6.5.2 Instead of attending the hearing in person, the appellant may send a
representative to the appeal hearing. That representative will provide the
Appeal Board with written proof that the appellant authorizes them to
represent the appellant at the hearing.
6.5.3 If a lawyer is representing the appellant at the hearing, Departmental staff
in the Region will send a copy of the appeals report to the counsel,
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provided they are a member of the N.S. Barrister’s Association. If the
representative is an articled clerk, staff should send the appeals report to
the principal lawyer for the articled clerk as well or confirm that the clerk is
acting on their behalf.
6.5.4 Departmental staff in the Region will work with the Appeals Unit to identify
the person who will represent the Department at the Appeal Board
hearing.
6.5.5 If a lawyer is required to represent the Department, Departmental staff in
the Region will consult with the Department of Justice to engage counsel.
This person will then advise the Appeal Unit that counsel has been
retained.
6.5.6 The Appeal Board shall hear the appeal and has up to seven (7) days
after the conclusion of the hearing to render its decision. The Appeal
hearing itself will take place within thirty-eight (38) days of receipt of the
appellants written notice. Assistance Appeals Regulations, Subsections
6(2), 9(1), 13(2).
6.6

Interpreting Dates

6.6.1 Dates will be calculated according to the Interpretation Act and this means
that Saturdays, Sundays and holidays are not included in the timeline
calculations set out in paragraphs above.
6.6.2 It also means the date a decision is communicated or an application for a
review is received is not counted as the start date for the required time
line. The time line for completion begins on the next day that is not a
Saturday, Sunday or a holiday.
7.0

APPLICATION
This policy applies to all applicant/participants and any person acting on
their behalf, and all DSP staff.

8.0

ACCOUNTABILITY

8.1

The Director is responsible for ensuring that the program achieves the
objectives for which it was created, and is delivered within a fiscally
sustainable manner.

8.2

Regional Administrators are responsible for implementing this policy and
ensuring compliance within their respective areas of responsibility, and the
resources made available.
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8.3

Managers and supervisors are responsible for complying with the policy
within their respective areas of responsibility and adequately preparing
their employees to carry out their respective functions.

9.0

MONITORING

9.1

The Director is responsible for implementing appropriate mechanisms to
ensure monitoring and compliance with this policy.

9.2

Regional Administrators are responsible for regularly monitoring and
reporting on compliance with this policy.

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40

 DEPARTMENT OF COMMUNITY SERVICES
Disability Support Program
Basic and Special Needs Policy
Effective: June 2012

Updated October 2014 41

 Disability Support Program

Basic and Special Needs Policy

TABLE OF CONTENTS
1.0

POLICY STATEMENT

2.0

DEFINITIONS

3.0

POLICY OBJECTIVE

4.0

PROVISION OF SPECIAL NEEDS

5.0

POLICY DIRECTIVES

5.1
5.2
5.3
5.4
5.5
6.0
6.1
7.0

PROCESS FOR REQUESTING SPECIAL NEEDS ITEMS OR SERVICES
APPROVING SPECIAL NEEDS
RECURRING SPECIAL NEEDS
EXCLUDED ITEMS AND SERVICES
SPECIAL NEEDS NOT IDENTIFIED IN DSP POLICY
APPROVAL LEVELS
APPROVAL LEVELS FOR ALL SPECIAL NEEDS
BASIC AND SPECIAL NEEDS BY ITEM OR SERVICE

7.1
CLOTHING
7.1.1
Regular Clothing
7.1.2
Special Clothing
7.2
FUNERAL AND BURIAL
7.3
HEALTH CARE SERVICES
7.3.1
Ambulance
7.3.2
Dental
7.3.3
Dentures
7.3.4
Foot Care and Podiatry
7.3.5
Guide Dog Allowance
7.3.6
Hearing Aids and Hearing Aid Batteries
7.3.7
Maternal Nutritional Allowance
7.3.8
Meal Programs
7.3.9
Medical Equipment
7.3.10
Medical File Transfer Fee
7.3.11
Medical Insurance (Private)
7.3.12
Medical Report Completion Fee
7.3.13
Medical Supplies
7.3.14
Nursing Care
7.3.15
Optical Care
7.3.16
Orthotics
7.3.17
Over-the-Counter (Non-Prescription) Medication
7.3.18
Prescription Medication
7.3.19
Special Diets
7.4
MEDICAL REHABILITATION SERVICES
7.4.1
Counseling
7.4.2
Occupational Therapy, Physiotherapy and Speech Therapy
7.4.3
Massage Therapy
7.5
EMERGENCY RESPONSE DEVICES
7.6
SUPPORT SERVICES
7.6.1
Child Care
7.6.2
Extraordinary Funding for Staffing
7.6.3
Homeless Shelter / Residential Recovery Program / Youth Facility
7.6.4
Interpreter Services and Intervener Services
7.6.5
Personal Care
7.6.6
Respite in Direct Family Support (DFS) Program
7.6.7
Respite in Licensed Homes
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7.7
TRANSPORTATION
7.7.1
Medical Transportation Outside of the Local Community
7.7.2
Ambulance
7.7.3
Out-of-Province Travel and Accommodation
7.8
DAY ACTIVITIES, EDUCATION, EMPLOYMENT
7.8.1
Day Activities
7.8.2
Education Programs
7.8.3
Books, Supplies, and Deposits
7.8.4
Employability Related Expenses
7.8.5
Project 50 (Voluntary Work Experience)
8.0
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
8.10
8.11
8.12
8.13

LIVING ALLOWANCES – INDEPENDENT LIVING
PERSONAL & SHELTER ALLOWANCE
EMERGENCY FOOD ORDERS
EXCESS SHELTER
EXTERMINATION SERVICES
FIRE AND LIABILITY INSURANCE FOR HOMEOWNERS OR TENANTS
FURNITURE
HOMEMAKER SERVICES
HOUSE REPAIRS
MOVING ALLOWANCES
SECURITY/DAMAGE DEPOSITS
SHELTER-RELATED ARREARS
TELEPHONE
UTILITY CONNECTION FEES

9.0

COMFORT ALLOWANCE (FORMERLY PERSONAL USE ALLOWANCE)

10.0

APPLICATION

11.0

ACCOUNTABILITY

12.0

MONITORING

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1.0

POLICY STATEMENT

1.1

A participant or person acting on their behalf may request basic and
special needs in the form of items of special requirement or services as
set out in this policy.

1.2

Once an applicant becomes eligible for the DSP, they are eligible for basic
support needs, which include shelter, food and clothing.

1.3

The provision of basic and special needs is based on a person’s disability
and their related health and support needs. Special needs are assessed
on an individual basis.

1.4

This policy applies to all Disability Support Program (DSP) programs,
except the Direct Family Support Program for Children and Adult Service
Centre/Community-based Day Programs.

2.0

DEFINITIONS
For all DSP policy and program definitions, refer to the Glossary of
Terms.

3.0

POLICY OBJECTIVE

3.1

This policy outlines the items and services of basic and special needs
which may be provided in the DSP.

3.2

The objective of the Basic and Special Needs Policy is to ensure the
consistent application of the process of approval for the funding of basic
and special needs across the province.

4.0

PROVISION OF SPECIAL NEEDS

4.1

Prior to making a special needs request, a participant must first access
any coverage available through private or publicly funded programs and
entities such as:
a) District Health Authorities (DHA)
b) Department of Health and Wellness (DHW)
c) Medical Services Insurance (MSI)
d) Pharmacare

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e) Private insurance
4.2

After accessing these programs, a participant may apply for special needs
funding to assist with covering the remaining costs (e.g. co-pay amount),
up to the maximum rates as outlined in the Appendices A to D.

5.0

POLICY DIRECTIVES

5.1

Process for Requesting Special Needs Items or Services

5.1.1 A participant, or service provider acting on behalf of a participant, when
requesting a special need item or service, must provide the Care
Coordinator with the following information before the request is assessed
for approval:
a) the reason for the request;
b) a description of the special needs item or service;
c) documentation supporting the special need request, if
appropriate (for example, from a physician, nurse practitioner,
dietician, dentist, social worker, psychiatrist, etc.), (see section
5.3.3 Recurring Special Needs);
d) resources or alternatives that have been explored, if applicable;
e) the monthly and/or total cost of the special need item or service;
f) written confirmation of costs related to the special need item or
service (e.g. written estimate or invoice);
g) if the cost for the special needs item exceeds five hundred
dollars ($500), two estimates are required, except as in section
5.1.6.
5.1.2 The Care Coordinator will assess the request (see Appendix A: Basic and
Special Needs Rates, Appendix E: Funding Source Guidelines) and,
where required, will obtain the necessary approvals in accordance with
section 6.0 of this Policy.

5.1.3 Prior approval for the special need item or service is required. In some
circumstances, requests for special needs funding may be considered for
approval after purchase and use, with the provision of all required
documentation, including a receipt or invoice.

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5.1.4 A participant must purchase the most economical special need item or
service available that meets their individual health and support needs,
within the approved rates. Refer to Appendix A: Basic and Special Needs
Rates for approved rates. Where a special need item or service is not
identified in Appendix A, DSP approval levels shall apply (see section 6.1
of this Policy).
5.1.5 Where the Appendix A: Basic and Special Needs Rates does not contain
an approved rate for a particular special need item or service and the item
or service exceeds five hundred dollars ($500.00), two (2) estimates must
be submitted with the request, except in certain circumstances, in
accordance with section 5.1.6 of this Policy.
5.1.6 Exceptions to the submission of two estimates applies when there is:
a) only one source available for the special need item or service;
or
b) when costs related to obtaining a second quote are such that it
is not reasonable or economical to obtain the second estimate;
and/or
c) documented evidence of the reason for the exception.

5.2

Approving Special Needs
Funding of a special need item or service will be considered when:
a) the participant is financially eligible or would be in a budget
deficit position following payment of the special need; and
b) proof of the participant’s need for the item or service and the
possible impact of the decision to fund or not to fund the special
need has been provided.

5.2.1 Prior to approving the special need request the Care Coordinator may
require additional information and documentation from a health care
practitioner or another professional who specializes in the area related to
the special need.
5.2.2 Requests for special need items or services that are included in the per
diem rate will not be granted.
5.3

Recurring Special Needs
There are two types of recurring special needs:

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a) short term, which are temporary but may be required by the
participant for more than one month and less than six
consecutive months; and
b) long term, which are ongoing and are required by the participant
for six consecutive months or more.
5.3.1 Short term special needs are reviewed at the expiry of the initial term for
which they are approved, which will vary according to the participant’s
circumstances. Documentation to support the participant’s need and
confirmation of the costs of the recurring special need are required at the
time of approval.
5.3.2 Long term special needs are reviewed at the time of the participant’s
individual assessment and support plan review; unless there is a change
in the participant’s circumstances or a change to the cost of the special
need item or service.
5.3.3 Documentation to support the participant’s need and confirmation of
the costs of the recurring special need are required at the time of first
approval. Verification of the participant’s ongoing need and the cost of the
special need item or service is required at the time of review.
5.3.4 Documentation from a health care practitioner is required when there is a
change in a participant’s medical circumstances.
5.4

Excluded Items and Services
Unless otherwise specified in this policy, a special need does not include:
a) an item or service that is provided under provincial insured
health services programs or is otherwise funded by the
government;
b) structural modifications to the home or property;
c) costs associated with compliance with court orders,
conditions, and programs that are not mandated by the DSP;
d) post-secondary courses and associated costs; and
e) purchase of vehicles or the associated costs of
modifications/repairs.

5.5

Special Needs Not Identified in DSP Policy

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When there is a request for an item of special need or service that is not
identified in DSP Policy or the Appendix A: Basic and Special Needs
Rates consultation with the DSP Specialist is required. The DSP Specialist
will make a recommendation for approval, as per DSP approval levels.
The participant’s distinctive need must be assessed when approving a
special need item or service. Special needs may be approved in
circumstances pertaining to the participant’s health or safety, or when a
breakdown in the participant’s support plan would be the likely result of not
issuing the special need.
6.0

APPROVAL LEVELS

6.1

Approval Levels for All Special Needs
DSP staff shall refer to the appendices A to D for rates and approval levels
for all special needs.

7.0

BASIC AND SPECIAL NEEDS BY ITEM OR SERVICE

7.1

Clothing

7.1.1 Regular Clothing
A participant in any residential program including Independent Living
Support (ILS) and Alternative Family Support (AFS), is eligible for a
monthly or semi-annual clothing allowance. This may be disbursed either
monthly or twice yearly as per the participant’s request.
7.1.2 Special Clothing
A participant in any DSP, including the Independent Living Support (ILS)
Program, Alternative Family Support (AFS), and the Direct Family Support
(DFS) Program, may request assistance for special clothing, including the
cost of tailoring and repairs when:
a) the participant requires special clothing (e.g., resulting from a
mastectomy, atypical size requirements, customized clothing to
prevent disrobing, footwear to address orthopedic or mobility
needs, or to accommodate an orthotic insert);
b) the participant destroys their clothing as a direct result of their
disability;
c) the participant requires training or employment related clothing
(e.g. uniforms or specialized clothing required for the program);
or when
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d) emergency situations arise or there are exceptional
circumstances such as a participant’s significant weight loss or
weight gain.

7.2

Funeral and Burial

7.2.1 When a participant dies, and neither the participant nor their family are
able to pay for the participant’s funeral and burial, the Department may
pay for funeral expenses and the cost of the burial in accordance with the
approved funeral rate schedule. (Appendix A: Basic and Special Needs
Rates
7.2.2 Where a participant is eligible to receive Canada Pension Plan (CPP)
Death Benefits, and the Department of Community Services has paid for
the participant’s funeral expenses, the Care Coordinator will ensure that
the application for these benefits is completed and the required
documents are forwarded to CPP. The CPP death benefit must be
provided to the Department and applied to the costs of the participant’s
funeral and burial as paid for by the Department.
7.3

Health Care Services

7.3.1 Ambulance
See Transportation, section 7.7.2 of this Policy.
7.3.2 Dental
Dental services required by the participant may be approved as a special
need. A participant must access any available private dental plans or other
dental program services provided by the Department of Health and
Wellness (DHW) before requesting dental services coverage from the
DSP.
Payments for dental services will be based on the amounts listed in the
most current Nova Scotia Dental Fee Guide approved by the Director. See
Appendix B: DSP Dental Rate Guidelines.
7.3.3 Dentures
Dentures required by a participant may be approved as a Special Need in
accordance with Appendix B: DSP Dental Rate Guidelines.
7.3.4 Foot Care and Podiatry
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Foot care and podiatry required by a participant may be approved as a
special need when:
a) the treatment has been prescribed by a health care practitioner;
b) it is medically necessary and no other options are available; and
c) the most economical alternatives have been explored (i.e. foot
clinics).
7.3.5 Guide Dog Allowance
A participant may be eligible for a monthly allowance for a guide dog, and
an annual allowance for routine veterinary costs, when all other available
resources have been exhausted, if the dog is:
a) provided to the participant through the support of a certified
guide dog organization or school, with documentation outlining
the provision of supports; and
b) required by the participant due to their disability.
The monthly guide dog allowance is for food and routine care costs such
as, but not limited to: grooming, teeth cleaning, toenail clipping, leashes,
and incidentals. Routine veterinary costs include checkups, vaccinations,
and flea and heartworm treatments. (Appendix A: Basic and Special
Needs Rates
Expenses for non-routine care for a guide dog are not funded. Non-routine
expenses include, but are not limited to: surgical procedures, treatment for
fractures and infections, special diets, euthanasia, and travel, room and
board to acquire a dog.
Participants who maintain their retired guide dog are not eligible to receive
this allowance.
7.3.6 Hearing Aids and Hearing Aid Batteries
A hearing aid required by a participant may be approved as a special need
when:
a) it has been prescribed by an audiologist; and
b) supervisory approval has been
economical hearing aid option.
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obtained

for

the

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Hearing aid batteries may be approved as a recurring special need.
7.3.7 Maternal Nutritional Allowance
A participant who becomes pregnant may have a maternal nutritional
allowance included in their monthly entitlement, from the date the Care
Coordinator is notified of the pregnancy or birth of the child, up to and
including twelve full months after the birth of the child.
7.3.8 Meal Programs
When a participant is receiving service from an approved community
based meal program as a part of their support plan, the fee may be
included as a recurring special need in addition to a basic food allowance.
7.3.9 Medical Equipment
Requests for wheelchairs and repairs for DSP participants under 65 years
of age are referred directly to Easter Seals Nova Scotia for assessment
and eligibility for funding.
The purchase of wheelchairs, inserts, and repairs for DSP participants age
65 and over and the purchase, rental and repair of other types of medical
equipment for all DSP participants, such as prosthetics, CPAP machines,
walkers, and crutches may be approved as a special need when:
a) the participant’s need for the requested item or service has
been verified through documentation provided by a physician or
health care practitioner; and
b) it is confirmed to be the most economical option available for
purchase.
Prior to determining the participant’s eligibility for the special need,
the Care Coordinator may refer to a second physician or health care
practitioner to provide advice in respect of the appropriateness, necessity
and effectiveness of the requested item.
Requests or inspections of mechanical lifts may be approved annually, or
as needed.
7.3.10 Medical File Transfer Fee
The cost of transferring a participant’s medical file from one physician to
another may be approved as a special need by the Care Coordinator
when it is assessed as being required for such reasons as physician
retirement.

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7.3.11 Medical Insurance (Private)
The cost of a participant’s private medical insurance may be included in
their monthly entitlement as a recurring special need when an assessment
has identified that the continuation of this coverage contributes to a cost
effective support plan. The participant must actively use the plan and no
other dependants are to be covered unless DSP assistance is provided as
a family unit.
7.3.12 Medical Report Completion Fee
When a medical report is requested by a Care Coordinator for the purpose
of assessing an existing DSP participant's medical condition(s) or is
required to determine capacity to consent pursuant to the Personal
Directives Act, (see Capacity to Consent, section 6.3 of the DSP Policy)
the cost of a physician's fee to complete a medical report may be
approved as a special need.
7.3.13 Medical Supplies
Medical supplies are considered special needs only when they are not
included in the per diem rate funding for the participant. The purchase of
medical supplies, such as, but not limited to, incontinent supplies,
colostomy supplies, and dressings may be considered a special need
when:
a) the participant’s need for the requested item has been verified
through documentation provided by a physician or health care
practitioner; and
b) it is confirmed that it is the most economical option available for
purchase.
Prior to determining the participant’s eligibility for a special need, the Care
Coordinator may refer to a second physician or health care practitioner to
provide advice in respect of the need, necessity and effectiveness of the
requested item.
7.3.14 Nursing Care
For a participant whose medical condition cannot be safely managed in
the Community Home where they live due to an inability to immediately
access standard community resources or an alternate support option, the
Care Coordinator shall seek Casework Supervisor approval to cover the
costs of nursing care for the participant as a special need only until such
time as the required community resources or an alternate support option
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becomes available. The Care Coordinator shall ensure referrals are made
to the District Health Authority for standard community resources.
7.3.15 Optical Care
Costs associated with a participant’s routine eye exams and the purchase
of corrective eye wear prescribed by an optometrist or physician will be
covered to a maximum of once every two years, subject to the maximum
rates, unless there is a medically substantiated reason for new eye wear
provided by the optometrist or physician.
Based on the distinctive need of a participant, special lenses may be
covered at additional cost, when prescribed by an optometrist or
physician.
7.3.16 Orthotics
The purchase of customized orthotic shoes and orthotic modifications and
inserts may be covered when:
a) documentation is provided by a physician or health care
practitioner confirming that the participant requires the item; and
b) it is confirmed that it is the most economical option available for
purchase.
7.3.17Over-the-Counter (Non-Prescription) Medication
Over-the-counter (non-prescription) medications may be covered as a
special need when the need is substantiated in writing and is authorized
by a physician, nurse practitioner or dietician.
Prior approval by the Care Coordinator is required for over-the-counter
(non-prescription) medication. Exceptions to prior approval may be
considered in emergency situations.
7.3.18 Prescription Medication
Funding for prescription drugs is based on the Department of Health and
Wellness (DHW), Nova Scotia Formulary list. This list provides access to
approved drugs, biological and related preparations, diabetes and ostomy
supplies.
Prescription drug coverage is administered through the Pharmacare
Program and is available to eligible participants. (Pharmacare NS
Formulary)
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Participants with access to another drug plan, from a public or private
entity, will be required to use that plan and will not be eligible for the
Pharmacare Program. A participant with a private health care plan may
be eligible for the cost of the co-payment amounts. Receipts or invoices
verifying the co-payment from the pharmacy or private health plan
organization must be provided.
If a participant is prescribed or is requesting a drug that is not a benefit on
the Nova Scotia Formulary, the participant should have their physician
request approval through the “Exception Drug” status process offered
through the Pharmacare Program. (Exception Drug)
7.3.19 Special Diets
Special diet allowances may be approved as a special need where special
diets are not included within the participant’s per diem rate. See Appendix
C: Special Diet Rate Guidelines and Appendix E: Funding Source
Guidelines for a full list of special diet rates.
A participant’s request for a special diet allowances shall be assessed by
the Care Coordinator as outlined in section 5.1.1 of this Policy.
If a participant has more than one special diet recommended, the
approved monthly amount for individual diet allowance may be added
together, up to the combined maximum amount allowable per month.
A participant’s continuing eligibility for a special diet allowance must be
reviewed at least once (1) per year, with the exception of participants with
paraplegia or quadriplegia or any participants with chronic conditions (e.g.
diabetes, colitis). These participants require initial confirmation from a
registered dietician or physician to support the need for a diet allowance.
There is no need to provide annual documentation from a health care
practitioner for special diets unless there is a change in their dietary
needs.
7.4

Medical Rehabilitation Services
A participant may require medical rehabilitation services for their health
and safety or for the success of their support plan.
Medical rehabilitation services include:




counseling;
occupational/physical/speech therapy; and
massage therapy.

When these supports are not accessible through standard community
resources or privately insured services they can be requested as a special
need, until standard community resources are available.
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These services are intended to be short-term interventions (up to six (6)
consecutive months). Documentation of the counseling/therapy request
and approval by the Casework Supervisor are required.
Exceptions may be considered when the participant requires medical
services beyond six (6) months, but not exceeding twelve (12) months, if
the participant can document that an inability to access the required
services will increase the likelihood that a more costly intervention will be
required (i.e. extraordinary staffing, or a more costly DSP support option).

Documentation for extensions beyond six (6) months must include:
a) a DSP counseling/therapy request;
b) a written report and requirement for extension/renewal from the
therapist; and
c) approval by the Casework Supervisor in accordance with DSP
approval levels.
Requests to extend these services beyond a twelve (12) month period
requires a reassessment of the participant’s support plan.
Exceptions to the requirement for accessing standard community
resources may be considered when it is more cost effective to have the
requested service provided in the participant’s support option, due to
transportation and staffing costs.
7.4.1 Counseling
When it is a part of a participant’s approved support plan or is necessary
for the health and safety of the participant, counseling activities such as,
but not limited to, behavioural, anger management, self-esteem or
sexuality programs, and individual counseling may be approved as a
special need.
Completed documentation outlining the rationale and anticipated
outcome(s) of all requested counseling is required. Supervisory approval
is required.
Counseling requests shall be approved only for services provided by
licensed practitioners and practitioners with private practice certification
(e.g. Nova Scotia Association of Social Workers, Canadian Psychology
Association).
7.4.2 Occupational Therapy, Physiotherapy and Speech Therapy
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The cost of occupational therapy, physiotherapy or speech therapy
services may be approved as a special need for a participant only when:
a) they are not available through insured services; and
b) the lack of availability creates a significant impact on the health
and safety of the participant.
These interventions may only be considered until such time as standard
community resources become available.
The request for therapy must be accompanied by written documentation
from a qualified health care practitioner.
7.4.3 Massage Therapy
A participant with significant physical disabilities/spasms may have the
cost of massage therapy services approved as a special need when it is
recommended in written documentation as a course of treatment by a
qualified health care practitioner.
7.5

Emergency Response Devices
A participant’s monthly budget may include the cost of a personal alert
emergency response system (i.e. LifeLine, Project Lifesaver) as a
recurring special need when it has been identified and included in their
approved individual support plan. The approved cost will include start-up
fees and monthly maintenance (e.g. batteries).

7.6

Support Services

7.6.1 Child Care
A participant who lives in their own home and cares for their own children
may have the cost of child care approved as a special need when they
are:
a) unable to provide care for their own children due to medical
reasons; or
b) participating in employment or training programs.
7.6.2 Extraordinary Funding for Staffing
Service providers will accommodate short-term increases in staffing needs
within their approved budgets.

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Short-term extraordinary funding for staffing may be requested as a
special need where the service provider demonstrates that the staffing
costs cannot be absorbed within the approved per diem budget.
The service provider shall provide all requested documentation supporting
the need for extra staffing. The Care Coordinator must review the
documentation and make a recommendation. Casework Supervisor
approval is required.
When the need for extra staffing is expected to extend beyond a three (3)
month period, a reassessment of the participant shall be conducted to
determine whether they are living in the program support option that best
meets their needs.
If the participant’s reassessment determines that their needs can be best
met by a program support option that is not currently available, the
participant’s name shall be added to the waitlist, with their consent (see
DSP Policy, section 8.0).
In the interim, while the participant is waiting for a new DSP support
option, a request for funding for extra staffing may be made by the Care
Coordinator and Casework Supervisor. DSP approval levels shall apply.
7.6.3 Homeless Shelter / Residential Recovery Program / Youth Facility
A participant may request approval for the daily/nightly costs of a
homeless shelter or youth facility in emergency and transitional situations,
if the shelter or facility is funded through per diems.
A participant may have the daily cost of an approved residential recovery
program for drug and alcohol addiction approved as a special need when
it is a part of their approved support plan, and when the program is funded
through per diems.
Special needs requests for a homeless shelter, youth facility or residential
recovery program require Casework Supervisor approval.
7.6.4 Interpreter Services and Intervener Services
Interpreter and/or Intervener services may be approved as a special need
for participants who are deaf, blind or deaf-blind, when those services are
not available without cost through a non-profit agency or family and
community resources.
7.6.5 Personal Care
A participant may be eligible for funding for assistance with personal care
tasks as a special need if it is not provided through the District Health
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Authority or any other insured services. This assistance is not available if it
is covered by an approved per diem rate or approved hours of support.
7.6.6 Respite in Direct Family Support (DFS) Program
Costs associated with providing at home respite relief to the parent, family,
or guardian of a DFS Program participant, for a specific period of time,
shall be funded as a special need based on the assessed needs of the
participant (See DSP Direct Family Support Policy). See maximum respite
approvals in Appendix A: Basic and Special Needs Rates.
7.6.7 Respite in Licensed Homes
Costs associated with providing respite care in a licensed home in the
DSP may be approved as a special need to a participant who meets the
DSP criteria (Set out in the DSP Policy, section 12.0).
7.7

Transportation
A participant may be approved for a transportation allowance when it is
required for medical reasons or for them to engage in a day program,
employment, training, upgrading, volunteer activities, job searches, or
other social inclusion activities as part of their approved support plan.
A participant will receive the actual cost of transportation up to the
maximum allowable amount per month as per the Appendix A: Basic and
Special Needs Rates for the most economical and efficient means of
transportation that can meet their needs.
A participant who is unable to use public transit due to their disability or
mental health status, in areas served by public transit, may request the
use of taxis for transportation as a special need as per the Appendix A:
Basic and Special Needs Rates.
The Casework Supervisor must approve any costs which exceed the
standard monthly maximum rate for travel.

7.7.1 Medical Transportation Outside of the Local Community
The cost of a participant’s medical transportation outside their community
to attend required medical appointments and procedures shall be
approved as a special need when the service or procedure is not available
in the local community, or in emergency situations when recommended
and documented by a physician or health care practitioner.
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Out-of-community travel shall not be approved in order for the participant
to obtain quicker access to routine procedures which can be addressed
through standard community resources.
Food, shelter and staffing costs associated with medical travel outside the
local community may be considered for approval when necessary.
The most economical and efficient means of transportation that can meet
the participant’s needs shall be considered for approval. The approval of
transportation costs shall be made in accordance with DSP approval
levels.
7.7.2 Ambulance
A participant may be eligible to access ambulance services as a special
need when it is for emergency use or for a necessary transfer. Prior
approval by the Care Coordinator is required in non-emergency situations.
7.7.3 Out-of-Province Travel and Accommodation
Where a medical specialist has referred a participant for out-of-province
treatment that is not available in Nova Scotia, the participant shall be
referred to the Out-of-Province Travel and Accommodation Assistance
program offered by the Department of Health & Wellness.

7.8

Day Activities, Education, Employment

7.8.1 Day Activities
A participant of the Independent Living Support Program who wishes to
pursue day activities to enhance their independence, self-reliance
and social inclusion may apply for funding to access low cost leisure,
lifestyle or social programs. The participant may be eligible if they do not
attend a day program and are not employed (a participant with Project 50
is eligible), but would benefit from additional socialization and structure
that these activities could provide.
7.8.2 Education Programs
The DSP shall refer participant’s requests for skill building courses to
existing training and employment programs wherever possible. A
participant may be approved for skills training course such as a General
Educational Development (GED), as part of their approved support plan.
Funding for post-secondary courses is not provided by the DSP.

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A participant who wishes to attend a post-secondary education program
should have referrals made to the Labour Market Agreement for Persons
with Disabilities (LMAPWD) on their behalf.
7.8.3 Books, Supplies, and Deposits
The cost of books, supplies and deposits (such as seat confirmations)
required for a participant to participate in an approved educational
program which is not eligible for student loan assistance, (such as, but not
limited to, academic upgrading, high school, short term course) may be
eligible as a special need.
7.8.4 Employability Related Expenses
A participant may be approved for special needs funding to cover
employability expenses that are directly related to and necessary to
facilitate their paid employment or participation in an employment plan
when a participant is:
a) employed on a full-time or part-time basis; or
b) participating in employment as part of their approved support
plan, with Casework Supervisor approval.
Fees that are directly related to a return to employment, such as but not
limited to drivers licenses, criminal record check/pardon applications,
drivers abstract, medicals, may be considered as a special need.
7.8.5 Project 50 (Voluntary Work Experience)
A participant may be approved for a Project 50 where involvement in a
meaningful community work experience is an identified need in their
approved support plan. An agreement must be completed by the
participant, sponsor and Care Coordinator.
The sponsor of a Project 50 should be a non-profit or charitable
organization and the work should occur in a location other than the
participant’s current residence. Exceptions may be considered when the
participant has no other feasible work placement and the work placement
provides the participant with a meaningful and beneficial experience.
These exceptions require the approval of the Casework Supervisor.
Project 50 work experience and allowance will only be approved when:
a) a participant does not attend a day program on a full time basis,
and who does not have part time or full time paid employment;
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b) a Project 50 monthly review form is completed by the participant
and the work supervisor and submitted to the Care Coordinator
monthly for payment; and
c) the program is reviewed as part of the participant’s support plan or
as part of their individual review/reassessment.
A participant’s transportation expenses to and from their work placement
may be approved if the participant is not already receiving a travel
allowance in their budget.

8.0

LIVING ALLOWANCES – Independent Living

8.1

Personal & Shelter Allowance
A participant who rents, boards or owns their own home may be approved
for the Personal Allowance (food, clothing and miscellaneous), and
Shelter rates as outlined in the Appendix A: Basic and Special Needs
Rates.

8.2

Emergency Food Orders
Emergency food orders may be approved as a special need by a Care
Coordinator, with prior approval from a Casework Supervisor.

8.3

Excess Shelter
A participant must secure shelter within the approved DSP rates. Excess
shelter rates may be approved as a special need when:
a) a participant requires barrier free access (i.e. housing that has
been adapted for individuals with mobility disabilities or visual
impairments); or
b) the cost of relocating the participant exceeds the total annual
rental increase; or
c) a participant’s approved support plan has identified elements
related to their shelter that promote independence and result in
lowered long-term DSP support costs (e.g. reducing
transportation expenses, extra staffing, security of the location,
etc.); or
d) a participant cannot secure housing in a safe location where
they can safely access the community; or in a location which
allows them to pursue the goals identified in their support plan.

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A request for excess shelter requires approval of the Casework
Supervisor. Appendix A: Basic and Special Needs Rates.
8.4

Extermination Services
Extermination services may be approved as a special need when it has
been determined that there is a need for the service and written
confirmation has been received that a participant’s landlord is not
responsible for the cost of this service.

8.5

Fire and Liability Insurance for Homeowners or Tenants
A participant who owns and occupies their own home or is a tenant in an
apartment may be approved for assistance with the cost of obtaining fire,
liability and content insurance. A participant shall provide proof of
insurance upon request.

8.6

Furniture
A participant may be eligible for funding for the start-up and replacement
costs of basic household items and furniture, in accordance with approved
rates, where no other alternative is available. See Appendix D:
Independent Living Furniture, Set-Up, and Replacement Rate Guidelines.

8.7

Homemaker Services
A participant may access homemaker services or household cleaning
services as a special need, as part of their approved support plan. This
assistance is not available if it is provided by a district health authority, a
standard community resource, or is provided through the participant’s
approved hours of support.

8.8

House Repairs
All requests for house repairs will be referred to the Department of
Community Services Housing Services for assessment prior to
determining their approval as a special need. Approval is dependent on
the availability of Departmental resources, and if it is cost-effective to
complete the repairs instead of the participant moving. Final approval is
subject to DSP approval levels (section 6.0).
If assistance from Housing Services is not available, house repairs may be
considered as a special need for a participant who owns and occupies
their own home. Assistance will only be provided when repairs are
essential to the health and safety of the participant, and where alternative
funding is not available. Participants must provide documentation of health

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or safety hazard(s) to the Care Coordinator. Final approval is subject to
DSP approval levels.
8.9

Moving Allowances
When the participant is relocating to a new approved living arrangement
as per their support plan, moving costs related to transporting their
belongings may be approved as a special need.

8.10

Security/Damage Deposits
A participant may be approved for the cost of a security/damage deposit,
for up to one half of the approved monthly rent, as a special need.
The participant must confirm their rental arrangements by providing written
documentation (i.e. a copy of the lease agreement) or an official receipt for
the deposit payment.

8.11

Shelter-Related Arrears
In some circumstances and with approval from a Casework Supervisor, a
participant who lives in their own home may be eligible for a special need
payment for:
a) mortgage/rental arrears;
b) property tax arrears; and
c) utility arrears.

8.12 Telephone
Basic telephone service costs may be approved as a recurring special
need for a participant. Long distance telephone costs will not be approved.
The cost of specialized telephone services and equipment, such as but
not limited to call display, call block and voice mail, may be approved as a
special need when it is part of an approved support plan.
8.13

Utility Connection Fees
A participant may be approved for the actual costs related to the
connection of utilities, such as electricity and telephone when the costs
are incurred as a part of their approved support plan.

9.0

COMFORT ALLOWANCE (formerly Personal Use Allowance)

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Participants receive a monthly comfort allowance as a special need to
purchase items for their personal comfort and enjoyment.
When the comfort allowance is paid in trust and managed by a service
provider, the service provider must document the balance of each
participant’s comfort allowance on the monthly invoice/account provided to
the Department. Upon the participant’s death, any remaining balance in
service provider managed accounts shall be returned to the Department.
10.0

APPLICATION
This policy applies to applicants/participants and any person acting on
their behalf, and all DSP staff.

11.0

ACCOUNTABILITY

11.1

The Director is responsible for ensuring that the program achieves the
objectives for which it was created, and is delivered within a fiscally
sustainable manner.

11.2

Regional Administrators are responsible for putting this policy in place and
ensuring compliance within their respective areas of responsibility, and the
resources made available.

11.3

Managers and supervisors are responsible for complying with the policy
within their respective areas of responsibility and adequately preparing
their employees to carry out their respective functions.

12.0

MONITORING

12.1

The Director is responsible for implementing appropriate mechanisms to
ensure monitoring and compliance with this policy.

12.2

Regional Administrators are responsible for regularly monitoring and
reporting on compliance with this policy.

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Acquired Brain Injury
Damage to a person’s brain that occurs from events after birth rather than as part
of a genetic or congenital disorder. As the brain controls every part of human life:
physical, intellectual, behavioral, social and emotional, every person with an
acquired brain injury will require support specific to their needs. When the brain
is damaged, parts of a person's life may be adversely affected resulting in the
person requiring supports that may be emotional, social, educational or
vocational in nature.
Activities of Daily Living
A person’s basic, routine personal care activities that are essential to their selfcare. This includes activities such as bathing and dressing, toileting and
grooming, and eating.
Acute Care
Short-term medical treatment, usually in a hospital, for patients experiencing an
acute illness or injury or recovering from surgery.
Adult Protection
A program which provides access to services for vulnerable adults (16 years and
older) who are victims of abuse and/or neglect. The program is administered
under the mandate of the Department of Health and Wellness, pursuant to the
Adult Protection Act.
Aging in Place
A participant growing older in the place they call home, until their care and
support needs, being provided for by their DSP support option, family or support
network, reaches a threshold beyond which the participant can no longer safely
remain in their home.
Appellant
A Disability Support Program (DSP) applicant/participant who is formally
appealing a level of support decision before a DSP Review Committee, or any
decision relating to their application for assistance or assistance received, to the
Appeal Board established pursuant to the Employment Support and Income
Assistance Act.
Applicable Asset
Money received by an applicant/participant through a court order or through a
liability award or settlement, for the cost of their care, support and
accommodations.
Applicant
A person with a disability, who applies for financial assistance and supports from
the DSP.
When it has been determined that an applicant lacks the capacity to make their
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own decisions, they must have a person acting on their behalf who is legally
authorized to make decisions on their behalf (substitute decision maker).
Applicant/participant with Complex Needs
An applicant/participant who has significant support needs which require
collaboration of inter-departmental and other resources to address, and which, it
is determined through assessment, cannot be met by one of the levels of support
provided in a residential or community based program under the mandate of the
Department of Community Services, or by continuing care facilities under the
mandate of the Department of Health and Wellness or a District Health Authority.
Approved Budget
A participant’s financial status which forms the basis for DSP financial assistance
and has received the appropriate supervisory approval.
Approved Staffing Complement
The full number of staff working at a residential support option, as determined
through the rate review process. This also refers to extra staffing that may be
approved on a short term basis, through the special needs process.
Assessment
A process of collecting information using a consistent methodology in order to
determine an applicant/participant’s eligibility for supports from the DSP.
Assessment identifies the applicant/participant’s needs, and assists DSP staff in
making informed decisions around what supports can best meet their needs. This
is the foundation for basing decisions related to the provision of supports and
services.
See Functional Assessment
Assessed Needs
An applicant/participant’s need for supports as identified through a functional
assessment.
Assistance
The provision of money, goods, services and support options to a DSP
participant.
Basic Needs
Items of basic requirement: food, clothing, shelter, fuel, utilities, household
supplies and personal requirement.
Behaviour
The manner in which an individual responds or reacts to a specific set of
conditions or circumstances.

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Behavioural Support
A component of care provided to persons with disabilities who have challenging
behavioural issues, and skill development needs. A participant’s behavioural
support programs results from a thorough assessment, and is one part of their
complete support plan.
Budget Deficit
When an applicant/participant’s financial needs, calculated pursuant to legislation
and Departmental Policy, exceed their income.
Capacity
In relation to “informed consent”, capacity is the ability to understand information
relevant to making a decision and the ability to appreciate the reasonably
foreseeable consequences of a decision (or lack of a decision).
See Informed Consent.
Care Coordinator
A Department of Community Services, DSP employee responsible for financial
and functional assessments, case planning and case management.
Case Management
A participant focused process that includes assessment, case planning, care
coordination, and monitoring and evaluation of the DSP participant’s case plan. It
is a continuous and collaborative process where the participant and their
family/personal support, as appropriate, works in tandem with the service
provider to meet the participant’s identified goals and outcomes. Case
management addresses the well-being of the DSP participant, while promoting
quality of care and support, as well as ensuring and managing cost effective
outcomes.
Casework Supervisor/Senior Caseworker
A Department of Community Services, DSP employee responsible for overseeing
the work and decisions made by a Care Coordinator, and other assigned duties.
This may be called a Senior Caseworker in some offices.
Certificate of Leave
A certificate issued by a psychiatrist, in the form prescribed by the Involuntary
Psychiatric Treatment Regulations, which allows an involuntary patient to live
outside the psychiatric facility for a leave of up to six months, subject to specific
written conditions contained in the certificate.
A certificate of leave is not issued without the consent of the involuntary patient's
substitute decision-maker. A patient for whom a certificate of leave is issued must
attend appointments with the psychiatrist, or with any other health professional
referred to in the certificate, at the times and places scheduled, and must comply
with the medical treatment described in the certificate.
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Chronic Care
Long-term medical care, usually lasting more than 90 days, especially for
individuals with chronic physical or mental impairment.
Collaborative Approach
An approach based on a consensus building philosophy which respects and
highlights the abilities and contributions of each participant in order to accomplish
a specific goal.
Comfort Allowance (formerly Personal Use Allowance)
A monthly allowance issued to participants in DSP Programs which they can use
to purchase items for their own personal enjoyment and comfort. The amount of
this allowance is established by the Department of Community Services.
Community Treatment Orders
An order made by a psychiatrist, in the form prescribed by the Involuntary
Psychiatric Treatment Regulations, that allows a person who has been detained
in a psychiatric facility, or who has been the subject of a community treatment
order, to reside in the community and be provided with treatment and supports,
subject to specific conditions.
A community treatment order is not issued without the consent of the involuntary
patient's substitute decision maker. A patient for whom a community treatment
order is issued must attend appointments with the psychiatrist, or with any other
health professional referred to in the order, at the times and places scheduled,
and must comply with the medical treatment described in the order.
Community Based Option
A DSP which supports persons with disabilities residing in the community, either
living independently and supported by the Independent Living Support Program,
or in a family home supported by the Direct Family Support Program or the
Alternative Family Support Program.
Range of Supports
The range of at-home, residential and day program supports for persons with
disabilities who may be eligible for the DSP.
Day Program
Structured community-based programs for adults with disabilities, which provide
pre-vocational/vocational programs or training, supported employment, and
employment opportunities for persons with disabilities. Some day programs may
also offer recreational and leisure activities.
Department
The Department of Community Services (DCS) is one of the Departments of the
Province of Nova Scotia. DCS delivers a wide range of social services to Nova
Scotians in need, including the Disability Support Program (DSP). The
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Department works with other levels of government and many community-based
and non-profit organizations to provide a network of social services.
Department of Health and Wellness (DHW)/District Health Authorities (DHA)
Services and programs provided by the nine district health authorities and the
IWK Health Centre which fall under the jurisdiction of the Nova Scotia
Department of Health and Wellness and the Nova Scotia District Health
Authorities.
Director
The provincial Director of the Disability Support Program.
Disability
A persistent restriction or impairment that results in a reduced ability to perform
an activity within the range considered typical for someone of the same age or
gender. It describes a functional limitation and is ongoing in nature. For DSP
eligibility an applicant must be assessed with an:
 Intellectual Developmental Disability (IDD)
 Long Term Mental Illness (LTMI)
 Physical Disability (PD), or
 Dual Diagnosis of IDD, LTMI or PD
Eligibility
The determination of whether an applicant/participant meets the DSP criteria to
receive DSP assistance.
Extraordinary Funding for Staffing
Exceptional funding for short-term staffing that may be necessary in addition to
the staffing complement approved for a DSP Support Option. The process for
applying for this short-term funding is detailed in the Basic and Special Needs
Policy.
Emergency Setting
A temporary DSP support option, which is established in response to a crisis
necessitating the immediate placement of a participant. When a vacancy in a
permanent residential support option becomes available, emergency support and
funding are no longer required or available.
Financial Assessment
A process of collecting information using a consistent methodology in order to
determine an applicant/participant’s financial eligibility for supports and services
from the DSP.
Functional Assessment/Support Level Assessment
The determination of an applicant/participant’s support needs in the area of
activities of daily living and instrumental activities of daily living, as well as their
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level of physical, social, leisure/recreational and/or vocational functioning, as
assessed by a Care Coordinator.
The information gathered for purposes of the assessment comes from a variety
of sources including the applicant/participant, their family and supports, direct
observation and collateral contacts.
The assessment yields a clear and complete profile of an applicant/participant’s
strengths, and assists in identifying the applicant/participant’s goals and support
needs. The information gathered supports the development of a comprehensive
individual support plan.
Goods and Services Tax/Harmonized Sales Tax (GST/HST) Credit
The GST/HST credit is a tax-free quarterly payment that helps individuals and
families with low and modest incomes offset all or part of the GST or HST that
they pay.
Guardian/Guardianship
A person who is approved by the court to take legal responsibility for the personal
affairs of another person (guardianship of the person) or for the financial affairs
and property of another person (guardian of the estate). A parent is automatically
“guardian of the person” for their child unless something happens to change that.
Health Care
Any examination, procedure, service or treatment that is done for a therapeutic,
preventative, palliative, diagnostic or other health - related purpose, and includes
a course of health care or a care plan.
Health Care Practitioner
Includes health care providers such as physicians (including general practitioners
and specialists), nurse practitioners, dentists, pharmacists, dietitians,
psychologists, registered nurses, physiotherapists, occupational therapists,
audiologists, speech pathologists, optometrists, and social workers.
Home for Special Care
A residential support option licensed pursuant to the Homes for Special Care Act.
House Arrest
An informal expression, generally used to describe a court-ordered confinement
to a dwelling place. In connection with a conditional sentence, it means that the
offender is required to remain in his or her home for all, or certain designated
hours of the day, for a set period of time.
Independent/Independence
The degree to which applicant/participants are able to manage, on their own,
their activities of daily living, as well as instrumental activities of daily living.
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Glossary of Terms

Individual Program Plan (IPP)
See Individual Support Plan.
Individual Support Plan (ISP)
The ISP is a written document that details the supports, activities, and resources
the participant requires to achieve their desired outcomes as identified through a
person-focused process of information gathering and planning.
The participant is central in the planning process and their needs, goals and
personal preferences, as well as their health and safety, are the key
considerations in the development of all ISP’s. Members of the participant’s
support network may also contribute to the ISP.
The Care Coordinator is responsible for the person’s initial assessment and the
development of a high level support plan. The residential Service Provider is
responsible for developing the detailed support plan, including goal setting,
implementation, daily management and reporting. The Care Coordinator works
collaboratively with the Service Provider and provides input to the support
planning process, approves associated special needs costs, and monitors the
effectiveness of the ISP.
Informal Support/Intervention
An ongoing intervention or regular support provided to a participant by a Service
Provider on a day-to-day basis.
Informed Consent
A process related to educating persons about the nature, benefits, risks and
alternatives which pertain to personal care and health care decisions. A person’s
decision to consent to, or refuse, services or treatment must be informed.
Instrumental Activities of Daily Living (IADL)
Functions of daily living which include budgeting and money management,
medication management, maintaining a household, preparing meals,
laundry and housekeeping, telephone use, making and keeping appointments,
using transportation, accessing the community, finding and maintaining
employment, and participating in leisure and recreational activities.
Intellectual Developmental Disability
A disorder that includes an intellectual deficit which creates difficulties in
functioning in two or more activities of daily living and/or instrumental activities of
daily living within the range considered typical for a person of the same age and
gender, which occurs prior to the age of 18 years. .
Level of Support
The amount and type of support an applicant/participant requires to strengthen
their individual abilities and build capacity to become an active member in the
community to the greatest extent possible.
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Long-Term Mental Illness
A diagnosis of chronic and persistent mental illness which affects a person’s
thinking, feeling or behaviour and creates significant difficulties in functioning in
two or more aspects of activities of daily living or instrumental activities of daily
living within the range considered typical for someone of the same age or gender.
Medical Equipment
Includes prosthetic appliances and other types of equipment (i.e. walkers,
crutches) recommended by a health care practitioner.
Medical Services Insurance (MSI)
Medical Services Insurance (MSI) is available to eligible residents of Nova Scotia
and provides coverage for medically required hospital, medical, dental and
optometric services, with some restrictions. The Medical Services Insurance
Programs are administered by Medavie Blue Cross on behalf of the Nova Scotia
Government. The Department of Health provides policy direction for the
programs. The Hospital Insurance Program is administered directly by the
Department of Health. The cost of providing these services to Nova Scotians is
met through the general revenues of the province.
Minister of Community Services
The Minister of Community Services or a Representative of the Minister’s
choosing.
Nova Scotia (NS) Formulary
A document which lists drugs and supplies that are benefits under the Nova
Scotia Senior’s Pharmacare Program, Family Pharmacare Program, Diabetes
Assistance Program, Community Services Pharmacare Programs and Drug
Assistance for Cancer Patients.
Palliative Care
Active and compassionate care provided to an individual who is terminally ill.
There are three stages in the palliative process:
1. “Early” and “Intermediate” Stage Palliative Care – Individuals in the
early and intermediate stage of the palliative process normally would be
considered “stable”, where deterioration is proceeding at a slower pace,
and minimal or occasional assistance is required due to terminal illness.
2. “End Stage” Palliative Care – Terminally ill individuals are in the end
stage of the palliative process and are dealing with end of life (dying)
issues. Time frame for the end stage may be measured in terms of days or
weeks of dying. Time frames are difficult to determine however, and in
some cases this end stage may be longer than a few weeks or as short as
one or two days. There are typically day-to-day changes with deterioration
proceeding at a dramatic pace.
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3. “End of Life - Life Expectancy of Less Than Six Months” - The typical
prognosis for a participant in this grouping would be a life expectancy of
less than 6 months.
Participant
A person with a disability who has undergone financial and functional
assessments, is determined eligible for the DSP, and receives supports and
services offered through the DSP.
When it has been determined that a participant lacks the capacity to make their
own decisions, they must have a person acting on their behalf who is legally
authorized to make decisions on their behalf (substitute decision maker).
Per Diem
Daily rate of funding provided to residential service providers for the purpose of
providing supports to DSP participants.
Person Authorized to act on their Behalf
Any person authorized by the applicant/participant, or by law, to act on their
behalf and includes:


a guardian; and



a person with a power of attorney, court order, personal directive.

Person in Need
A person who requires financial assistance to provide for them in a home for
special care or a community based option.
Personal Allowance
A monthly allowance provided for participants living in a community based option
(such as Direct Family Support or Independent Living Support). The participants’
basic requirements (food and shelter) are not covered by an approved per diem.
This allowance is provided to cover basic needs such as food, clothing and other
miscellaneous requirements such as laundry and cleaning supplies. The amount
of this allowance is established by the Department of Community Services.
Personal Care
Activities such as eating, bathing and dressing, toileting and grooming with which
DSP participants may require support.
Personal Development
Includes activities that improve awareness and identity, develop talents and
potential, facilitate employability, enhance quality of life and contribute to the
realization of dreams and aspirations.

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Personal Directives Act (PDA)
The PDA is a law that allows Nova Scotians to create a personal directive in
which they can express their wishes and values relating to personal care
decisions, and name a delegate to make decisions for them if they should
become incapable of making personal care decisions in the future. The PDA also
provides a hierarchy of statutory decision makers for decisions relating to health
care, placement in a continuing care home, or home care services for individuals
who are incapacitated and have not named someone to make those types of
decisions for them in a personal directive.
Personal Use Allowance
See Comforts Allowance
Personal Support Network
A network made up of individuals such as doctor(s), therapist(s), members of the
community, family, and friends that are involved in and/or support the individual
with different parts of their life.
Physical Disability
A long-term, chronic and persistent physical limitation that creates significant
difficulties in functioning in two or more aspects of activities of daily living or
instrumental activities of daily living within the range considered typical for
someone of the same age or gender. The physical disability substantially limits
functional independence and results in the person requiring ongoing support and
skill development.
Project 50
A program in which a participant volunteers for up to 25 hours a month and
receives an allowance.
Rate Review
The process by which operational and capital funding is assessed by the
Department to determine per diem rates for DSP residential service providers.
Reassessment
Reassessment confirms a participant’s unmet needs and level of support or care
requirements. Reassessments are performed in response to changes in a
participant’s circumstances and may identify changes in their support needs and
program resource requirements.
Registered Disability Savings Plan (RDSP)
A tax-deferred savings tool that assists in planning for the long-term financial
security for people with disabilities. The beneficiary named under an RDSP must
be eligible to receive the disability tax credit.

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 Disability Support Program

Glossary of Terms

Registered Education Savings Plan (RESP)
A savings tool that assists in planning for payments for a child’s post-secondary
education.
Residential Support Option
Homes licensed under the Homes for Special Care Act, including Community
Homes, Adult Residential Centres and Regional Rehabilitation Centres.
Respite
Respite provides the primary caregiver breaks from continuous caregiving
responsibilities.
Review
A second or subsequent assessment of an applicant/participant and their
circumstances, completed to establish ongoing DSP eligibility, performed on an
annual basis or as often as required.
Semi-Independent
A semi-independent participant is an individual who requires a minimal level of
support and skill development in preparation for independence and/or
enhancement of their independence.
Service Provider
An organization or person that is contracted to provide support services to
participants in the Department of Community Services, DSP.
Service Provider Agreement
An agreement between the Department of Community Services and a Service
Provider that outlines the responsibilities, expectations, and financial
arrangements for supports for participants in the DSP.
Disability Support Program (DSP) Specialist
A Department of Community Services, DSP employee, responsible for the
regional delivery of DSP Programs.
Shelter Allowances
A monthly allowance provided to a participant who is renting, boarding or owns
his/her own home in programs such as Direct Family Support and Independent
Living Support. This allowance is provided to cover costs for shelter up to the
maximum rate as set by the Department.
Short-Term
A period of time that does not exceed six (6) consecutive months.
Special Needs
Items and services of special requirement that are set out in the DSP Policy and
are not basic needs (as defined) and are not covered by the per diem of the
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Glossary of Terms

program.
Spouse
A partner in a marriage or a common-law relationship (12 or more continuous
months).
Supervision
The presence of support staff members for the purposes of ensuring the safety
and well-being of participants.
Stable Medical Condition
An individual’s medical condition, which is not meant to be a diagnosis, but a
general guide to the individual’s status as determined by several factors. An
individual with a stable medical condition may have health conditions that can be
managed and stabilized with monitoring or minimal intervention, and may require
short term specialized/skilled nursing for acute episodes only.
Standard Community Resources
Resources provided by the Department of Health and Wellness Continuing Care
Program or the District Health Authorities such as mental health outreach
services or home care nursing services. These resources are typically available
to all residents of Nova Scotia.
Substitute Decision Maker (SDM)
There are three categories of substitute decision makers for a person determined
to be incapable of making their own decisions in Nova Scotia: (1) a delegate
(identified in a personal directive or power of attorney document created by the
person prior to their incapacity) pursuant to the Personal Directives Act (PDA)
and Powers of Attorney Act; (2) a court appointed Guardian (or the Office of the
Public Trustee) and (4) a statutory substitute decision maker. Each category has
a defined realm of authority.
(1) Delegate – power of attorney and/or personal directive
A person of 19 years or older who is of sound mind may make a power of
attorney and a personal directive to allow someone other than them to make
certain decisions for them. That person is their delegate, who will have the
authority to make those decisions. Usually a power of attorney document relates
to the property (land and personal) and a personal directive relates to personal
care* decisions. But both types of decisions may be included in one document. It
is important to read the power of attorney document and personal directive
document to see what decision making powers have been given to the delegate.
*as defined in the Personal Directives Act, personal care includes, but is not
limited to, health care, nutrition, hydration, shelter, residence, clothing, hygiene,
safety, comfort, recreation, social activities, support services and any other
personal matter that is prescribed in the Personal Directives Regulations. Health
care is defined in those Regulations to mean any examination, procedure,
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service or treatment that is done for a therapeutic, preventative, palliative,
diagnostic or other health-related purpose, and includes a course of health care
or a care plan.
(2) Guardian
A person appointed by the Nova Scotia Supreme Court as a guardian for
someone else, and in some cases the Public Trustee by virtue of the Public
Trustee Act, without the need for a court appointment. The court order permits
the guardian to make decisions consistent with the authority granted by the court
(e.g. decisions about property and about personal needs). The Public Trustee
may be a court appointed guardian too, and has the power to become guardian
in certain situations for children and adults, pursuant to the Public Trustee Act
and other statutes.
(3) Statutory Substitute Decision Maker
Pursuant to the Personal Directives Act, decisions relating to personal care,
accepting an offer of placement in a continuing care home or home-care services
* will be made by the nearest relative who:
 is 19 years of age or older (or is a minor spouse); and
 has capacity; and
has had contact with the person within the preceding 12 months;

and
 is willing to act; and
 features first on the following list:
a) The spouse;
b) And adult child of the patient;
c) A parent;
d) A person who stands in loco parentis;
e) An adult brother or sister of the patient;
f) A grandparent of the patient;
g) An adult grandchild of the patient;
h) An adult aunt of uncle of the patient;
i) An adult niece or nephew of the patient;
j) Any other adult next-of-kin;
k) The Public Trustee
The Public Trustee’s office will take referrals related to health care decisions for
persons who are not capable of making their own decisions and do not have
anyone else who is available and willing to act as their statutory decision maker.
The Hospitals Act and the Involuntary Psychiatric Treatment Act contain a similar
list of substitute decision makers for persons needing treatment that cannot
consent to it themselves due to a lack of capacity.
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*as defined in the Personal Directives Act, ‘home-care services’ includes healthcare services and support services provided to a person in their own home or
while resident in a continuing-care home where the need for services is
assessed. The assessment must be done by a person licensed or registered
under provincial statute to provide health care, or a person who is authorized by
the Ministers of Health or Community Services to perform need assessments.
Unearned Income
Includes income maintenance payments such as Old Age Security, Guaranteed
Income Supplement, Canada Pension, Workers' Compensation, War Veteran's
Allowance, Employment Insurance, income from alimony and maintenance
payments, and any other non-exempt income not directly resulting from
employment.
Working Income Tax Benefit (WITB)
A refundable tax credit for low-income individuals and families who have earned
income from employment or business. The WITB consists of a basic amount and
a disability supplement.

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79

 APPENDIX A - Basic and Special Needs Rates
Basic and Special Needs Rates

ITEM / SERVICE
Policy # = blue

RATE & APPROVAL LEVEL

Basic Requirements: For participants living in residential settings whose basic
requirements (food, shelter and clothing) are not covered by an approved per diem.
Personal Allowance* (8.1)
$255 per month.

Shelter Allowance* (8.1)

Clothing – Regular (7.1.1)
When clothing funds are received
in trust, service providers are
required to maintain records of
distribution to participants and
make them available to DCS
upon request.

ITEM / SERVICE
Policy # = blue

This allowance is provided to cover basic needs such
as food, clothing and other miscellaneous
requirements such as laundry and cleaning supplies.
Boarding - $223 per month.
Rent/Own Home – up to $535 per month for
individuals. Families of two are eligible for up to $570
per month and families of three or more are eligible
for $620 per month.
$30 per month, approved by Care Coordinator.
Applies to participants in residential programs
including Alternative Family Support. For the
Independent Living Support Program $18 per month
is included and issued under Personal Allowance and
$12 per month is issued under Clothing Regular.

RATE & APPROVAL LEVEL

Special Needs
Clothing
Clothing – Special (7.1.2)

Actual cost of the most economical option, approved
by Casework Supervisor (applies to participants in all
DSP Programs).

Comforts Allowance (Personal Use Allowance)
Comfort Allowance (Personal Use
Allowance) (9.0)

$115 per month, approved by Care Coordinator.

Funeral and Burial
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 APPENDIX A - Basic and Special Needs Rates

Professional Services and
Merchandise (7.2)
Items Eligible for Cash
Disbursements: (7.2)
 cemetery charges
 burial permits, etc.
 grave liner (wooden)
 cemetery equipment &
set up
 radio notices
 newspaper notices
 clothing for the deceased
 honorariums (clergy,
music, etc.)
 grave lot
 mileage over 25 kms

Up to a maximum total of $2700 + taxes.
Set rate, approved by Care Coordinator.
Up to a maximum total of $1100 + taxes.
Set rate, approved by Care Coordinator.

Any exceptions requested in
addition to the approved funeral
cost, such as but not limited to:
oversized casket, special
embalming preparations, out of
province transfer.

Approved by Casework Supervisor.

May be paid on a per kilometer basis at a rate of
$0.60 per kilometer (60 cents/ km)

Medical
Ambulance (also see
Transportation) (7.7.2)
Dental (7.3.2 & 7.3.3)

Emergency Response Devices
(7.5)
Attending Medical Appointments
or Tests Outside of the Local
Community (7.7.1)
Food/Shelter (7.7.1)
Transportation (7.7.1)
Staffing (7.7.1)
Foot Care / Podiatry (7.3.4)
Guide Dog Allowance (7.3.5)

October 2014

Actual cost at the DHW rate, approved by Care
Coordinator.
Dental care approved in accordance with the
approved DSP Dental Rate Guidelines. Set rates,
approved by Care Coordinator. See Appendix B:
DSP Dental Rate Guidelines.
Actual cost of the most economical option, approved
by Care Coordinator.
Most economical for all support costs including food,
shelter and transportation.
Costs in excess of $150, approved by Casework
Supervisor.

Actual cost, approved by Care Coordinator.
Maximum allowance of $90 per month, approved by
Care Coordinator.
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 APPENDIX A - Basic and Special Needs Rates

Hearing Aids/ Hearing Aid
Batteries (7.3.6)
Medical Report Completion Fee
(7.3.12)
Medical Equipment (7.3.9)

Medical File Transfer (7.3.10)

Medical Insurance (7.3.11)

Routine veterinary care actual cost to a maximum of
$300 annually.
Actual cost of the most economical option as per
DSP approval levels.
$25 up to actual for the completion of the medical
assessment (Applies to DSP participants only),
approved by Care Coordinator.
Assistance with purchase/rental of approved
equipment at the actual cost of the most economical
option, as per DSP approval levels. For wheelchair
purchases and repairs, referrals should be made to
Easter Seals Nova Scotia.
Electronic and/or paper file transfer, $25 up to actual
cost, approved by Care Coordinator.
Recurring need in monthly budget when it is part of a
cost effective support plan, approved by Care
Coordinator.

Health Care Services
Medical Supplies (7.3.13)

Nursing Care (7.3.14)

Optical Care (7.3.15)
Glasses
Eye Exams (7.3.15)

Orthotics (7.3.16)
Over the Counter/Non-Prescription
Medication (7.3.17)

Prescription Medication (7.3.18)

Actual cost of the most economical option, up to
$200 per month, approved by Care Coordinator.
Amounts exceeding $200 per month, approved by
Casework Supervisor.
Most economical option for services not covered or
available under Home Care Nova Scotia or other
insured services. Casework Supervisor approval
and as per DSP approval levels.
Glasses and eye exams provided once every 2
years.
Most economical option to meet need - up to $500
every 2 years, includes eye exams, approved by
Care Coordinator.
Customized orthotic shoes and orthotic modifications
to regular shoes, as per DSP approval levels.
Actual costs up to $200 per month (including blisterpacking, when required), approved by Care
Coordinator. Amounts exceeding $200 per month,
approved by Casework Supervisor.
Prescription drug coverage is administered through
the Pharmacare Program.
Co-pays associated with private or senior health
benefit plans may be eligible for coverage; (including
blister-packing, when required), approved by Care
Coordinator.

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 APPENDIX A - Basic and Special Needs Rates
Special Diets (7.3.19)

Maternal Nutritional Allowance
(7.3.7)

Meal Programs (7.3.8)

Refer to Appendix C: Special Diet Rate Guidelines.
Care Coordinator may approve a maximum total of
$150 per month, when more than one diet allowance
is required/approved.
Participants with paraplegia or quadriplegia or any
participants with chronic conditions (e.g. diabetes,
colitis) do not need to provide annual documentation
from a health care practitioner for special diets
unless there is a change in their dietary needs.
$51 per month may be included in a participant’s
monthly entitlement from the date the Care
Coordinator is notified of the pregnancy or birth of a
child, up to and including twelve full months after the
birth of the child. Approved by Care Coordinator.
As part of an individual support plan. Actual cost of
approved meal program, approved by Casework
Supervisor.

Medical Care (Rehabilitation and Treatment Services)
Counseling (7.4.1)
Occupational Therapy,
Physiotherapy and Speech
Therapy (7.4.2)

Short-term interventions (up to 6 months) where
publicly funded or privately insured services are not
accessible, approved by Casework Supervisor.
Exceptions may be considered where medical
services are required beyond six (6) months, as per
DSP approval levels.

Massage Therapy (7.4.3)

Once a month or more, if recommended by a health
care practitioner for a specific physical disability.
Casework Supervisor approval required and as per
DSP approval levels.

Shelter / Utility / Food *
* for those who live in their own apartment/home and whose costs are not funded by an
approved per diem
Emergency Food Orders (8.2)
$25 per participant, approved by Care Coordinator.
Utility connection charges (8.13)
Electrical connection is included in
Shelter under Basics
Excess Shelter (8.3)
Extermination Services (8.4)
Fire/Liability Insurance (8.5)
October 2014

Actual costs, approved by Care Coordinator.

Up to $200 per month, approved by Casework
Supervisor.
Actual cost of the most economical option as per
DSP approval levels.
Actual cost calculated at 1/12 for each month, or full
annual premium. Two quotes required, approved by
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 APPENDIX A - Basic and Special Needs Rates
Furniture (8.6)

Homemaker Services* (8.7)

House Repairs (8.8)
Security/Damage Deposits (8.10)
Telephone* (8.12)
*Applicable to Independent Living
Programs
Shelter-Related Arrears (8.11)
Moving Expenses – Within Region
(8.9)

Care Coordinator.
See Appendix D – Independent Living Furniture,
Set-up, and Replacement Rate Guidelines. Up to
$500 + HST, approved by Care Coordinator. $500 1000 + HST, approved by Casework Supervisor.
Most economical option when not available through
Home Care Nova Scotia. Does not include costs
normally funded by an approved per diem rate, units
of service or hours of support. Approved by
Casework Supervisor and as per DSP approval
levels.
As part of an approved individual support plan. As
per DSP approval levels.
Maximum one half (1/2) of the approved rent,
approved by Care Coordinator.
Telephone installation, equipment and services as
part of an approved support plan, approved by Care
Coordinator.
Assessed individually. Approved by Casework
Supervisor.
As part of an approved individual support plan.
$200 approved by Care Coordinator.

Homeless Shelters and Recovery Programs
Homeless Shelters (7.6.3)

Actual cost, approved by Casework Supervisor.

Residential Recovery Program
(7.6.3)

Actual cost, approved by Casework Supervisor.

Youth Facility (7.6.3)

Actual cost, approved by Casework Supervisor.

Support Services
Child Care (7.6.1)

Extra Staffing (Extraordinary
Funding for Staffing) (7.6.2)
Interpreter Services (7.6.4)

Personal Care (7.6.5)
October 2014

As part of an approved individual support plan. Actual
cost up to a maximum of $400 per month, approved
by Care Coordinator.
Short term requests. Approved by Casework
Supervisor and as per DSP approval levels.
Most economical option when these services cannot
be accessed through a community organization.
Approved by Care Coordinator.
Most economical option for services not covered
under Home Care Nova Scotia or other insured
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 APPENDIX A - Basic and Special Needs Rates

Respite in Licensed Homes (7.6.7)

Respite (In-Home) (7.6.6)

services. May not include costs normally covered by
an approved per diem rate, units of service, or hours
of support. Approved by Casework Supervisor and as
per DSP approval levels.
Applies to participants living with family(s). Sixty (60)
days annually (per fiscal year) allowed per
participant, approved by Care Coordinator.
Applies to participants in the Direct Family Support
Program. Up to $800 per month approved by
Casework Supervisor, Up to $2200 (maximum) per
month approved by District Manager. Applies to AFS
program for AFS family respite. Up to 30 days of
annual respite funding, per resident, based on the
AFS per diem.

Transportation
Ambulance (7.7.2)
Regular Transportation (7.7)

Transportation for Medical
Attention (Not an Ambulance) (7.7
& 7.7.1)

Actual cost at the current DHW rate. Approved by
Care Coordinator.
Up to $150 per month based on most efficient and
economical means approved by Care Coordinator.
Requests beyond $150 per month, approved by
Casework Supervisor.
Max total of $150 per month based on most efficient
and economical options.
For medical travel transportation requests which
exceed the $150 per month maximum, approved by
Casework Supervisor.

Vocation / Employment / Day Activity
(Rehabilitation and Social Development)
Day Activities
(7.8.1)

As part of an approved individual support. Actual
costs up to $40.00/month, approved by Care
Coordinator and as per DSP approval levels.

Education Programs (7.8.2)

As part of an approved individual support plan, max
total of $500 per course, approved by Care
Coordinator.
As part of an approved individual support plan, max
total of $700 per twelve month period, includes seat
confirmations, approved by Care Coordinator.

Books/Supplies/Deposits (7.8.3)

Employability Related Expenses
October 2014

Max total of $100 per twelve month period for
participants attending Senior High School.
Max total of $500 per twelve month period, approved
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 APPENDIX A - Basic and Special Needs Rates
(7.8.4)

by Care Coordinator.

Project 50 (7.8.5)

See also Special Clothing, section 7.1.2 for
employment related clothing.
The incentive allowed is prorated on a basis of $2 per
hour service to a maximum of $50 per month,
approved by Care Coordinator.
Project 50 placement exceptions approved by
Casework Supervisor.

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86

 Appendix B – DSP Dental Rate Guidelines
DISABILITY SUPPORT PROGRAM (DSP)
DENTAL RATE GUIDELINES – UPDATED JANUARY 2014


DSP policy allows for coverage of dental procedures up to 100% of the current fee guides
for the Nova Scotia Dental Association and the Denturist Society of Nova Scotia.



The Denturist Society of Nova Scotia fee guide is effective January 1, 2014.



The Nova Scotia Dental Association fee guide is effective January 1, 2014.



The following is a list of dental procedures that are covered. If a dentist is claiming for a
procedure that is not on the list, please provide details via e-mail to ‘DSP@gov.ns.ca’ for
further review.

DENTAL SERVICES FEE SCHEDULE
GP (General Practitioner)
Procedure
Code

01101
01102
01103
01201
01202
01204
01205
01501
01502
01601
02102
02111
02112
02113
02114
02115
02116
02117

SP (Specialist)

Description
DIAGNOSTIC PROCEDURES
Complete Exam
- primary dentition
- mixed dentition
- permanent dentition
New Patient Exam
Exam & Diagnosis
Specific Exam
Emergency Oral Exam
Examination and Diagnosis
- periodontal
- limited (previous patient)
Surgical Consultation
Radiographs – Complete Series
Radiographs – Single Film
Radiographs – Two Films
Radiographs – Three Films
Radiographs – Four Films
Radiographs – Five Films
Radiographs – Six Films
Radiographs – Seven Films

IC (Fee is an ‘Individual Consideration’)
Fee (GP) @
100%

Fee (SP) @
100%

43.00
56.00
76.00
29.00
28.00
47.00
47.00

81.00
116.00
158.00
66.00
64.00
61.00
61.00

44.00
32.00

169.00
110.00
103.00
130.00
35.00
37.00
39.00
43.00
52.00
56.00
64.00

94.00
15.00
20.00
26.00
31.00
36.00
41.00
47.00

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87

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
02118
02131
02132
02133
02134
02141
02142
02143
02144
02601
02801
04403
11101
11102
11107
11111
11112
11113
11114
11115
11116
11117
11119
12101
12102
13601
14611
14622

20111
20119

Description
Radiographs – Eight Films
Occlusal Radiograph - Single Film
Occlusal Radiograph – Two Films
Occlusal Radiograph – Three Films
Occlusal Radiograph – Four Films
Bitewing X-Ray - Single
Bitewing X-Ray – Two Films
Bitewing X-Rays – Three Films
Bitewing X-Ray – Four Films
Panoramic Radiograph - Single Film
Radiographs, CT scans, PET scans, MRI scans,
interpretation - one unit
Direct Fluorescence Visualization
PREVENTIVE PROCEDURES
Polishing – one unit
Polishing – two units
Polishing – ½ unit
Scaling - one unit
Scaling - two units
Scaling - three units
Scaling - four units
Scaling – five units
Scaling – six units
Scaling - half unit
Scaling – each unit over six
Fluoride Treatment – Topical
Fluoride Treatment - Supervised
Topical Application - one unit
Maxillary appliance
Appliances, Adjustment, Repair - two units
RESTORATIVE PROCEDURES
Caries/Trauma/Pain Control
- first tooth
- each additional tooth (same quadrant)
Caries/Trauma/Pain Control (plus retention band)

Fee (GP) @
100%
52.00
28.00
37.00
45.00
54.00
15.00
20.00
26.00
31.00
61.00
53.00 +
materials
28.00

Fee (SP) @
100%
70.00
37.00
48.00
63.00
77.00
35.00
37.00
42.00
48.00
78.00
84.00 +
materials
64.00

27.00
54.00
14.00
39.00
78.00
117.00
156.00
195.00
234.00
20.00
39.00
16.00
10.00
31.00 +
materials
258.00 + Lab
108.00 + Lab

43.00
86.00
21.00
86.00
172.00
258.00
344.00
430.00
516.00
43.00
86.00
41.00
31.00
68.00 +
materials
783.00 + Lab
201.00 + Lab

89.00
89.00

95.00
95.00

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88

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
20121
20129
20131
20139

21211
21212
21213
21214
21215

21221
21222
21223
21224
21225

21231
21232
21233
21234
21235

21241
21242
21243
21244
21245
21301
21302
21401
21402
21403
21404

Description
- first tooth
- each additional tooth (same quadrant)
Smoothing of Fractured Surfaces
- first tooth
- each additional tooth (same quadrant)
Restorations, Amalgam Permanent Bicuspids &
Anteriors
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces or maximum surfaces per tooth
Restorations, Amalgam, Non-Bonded Permanent
Molars
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces or maximum surfaces per tooth
Restorations, Amalgam, Bonded Permanent
Bicuspids & Anteriors
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces or maximum surfaces per tooth
Restorations, Amalgam, Bonded Permanent
Molars
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces
Restorations, Amalgam Cores – Non-bonded in
conjunction with Crown
Amalgam Cores – Bonded in conjunction with
Crown
Retentive Pins per Restoration
- one pin
- two pins
- three pins
- four pins

Fee (GP) @
100%
100.00
100.00

Fee (SP) @
100%
111.00
111.00

37.00
37.00

42.00
42.00

94.00
123.00
151.00
179.00
212.00

93.00
122.00
149.00
182.00
213.00

109.00
137.00
165.00
194.00
246.00

109.00
146.00
169.00
212.00
279.00

109.00
137.00
165.00
194.00
227.00

112.00
135.00
163.00
198.00
238.00

125.00
158.00
191.00
223.00
283.00

127.00
158.00
196.00
237.00
293.00

147.00

146.00

162.00

160.00

22.00
34.00
47.00
59.00

38.00
66.00
81.00
106.00

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89

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
21405
22311
22312
23111
23112
23113
23114
23115

23311
23312
23313
23314
23315
23321
23322
23323
23324
23325
25731
25754

32221
32222
32311
32312
32313
32314
33111
33112
33113

Description
- five pins or more
Restorations Prefabricated Metal – Posterior
Restorations Prefabricated Metal – Posterior
Open Face
Restorations, Permanent Anteriors, Bonded
- one surface
- two surfaces (Continuous)
- three surfaces (Continuous)
- four surfaces (Continuous)
- five surfaces or maximum surfaces per tooth
Restorations, Tooth Coloured, Permanent
Bicuspids
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces or maximum surfaces per tooth
Restorations, Tooth Coloured, Permanent Molars
- one surface
- two surfaces
- three surfaces
- four surfaces
- five surfaces
Posts, Prefabricated Retentive - one post
Posts with Non-Bonded Core for Crown
Restorations + pins, where applicable
ENDODONTICS
Pulpotomy Permanent Anterior and Premolars
(excluding final restoration)
Pulpotomy Permanent Molars
Pulpectomy, Permanent Teeth, Retained Primary
- one canal
- two canals
- three canals
- four canals or more
Root Canals, Permanent Anteriors – One Canal
- one canal
- difficult access
- exceptional anatomy
Root Canals, Permanent Anteriors – Two Canals

Fee (GP) @
100%
71.00
142.00

Fee (SP) @
100%
122.00
191.00
230.00

111.00
140.00
170.00
200.00
263.00

118.00
144.00
211.00
277.00
359.00

131.00
167.00
202.00
238.00
313.00

135.00
182.00
251.00
285.00
351.00

137.00
174.00
211.00
248.00
326.00
145.00 +
materials
240.00 +
materials

145.00
182.00
237.00
285.00
385.00
190.00+
materials
423.00 +
materials

100.00

177.00

120.00

177.00

136.00
179.00
221.00
291.00

197.00
245.00
359.00
359.00

403.00
483.00
483.00

592.00
604.00
638.00

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90

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
33121
33122
33123
33601
33602

34111
34112

34141
34142
39201
39202
39212
41301
43421
43422
43423

51101
51102
51301
51302
52111
52112

52301
52302

Description
- two canals
- difficult access
- exceptional anatomy
Root Canals, Apexification, Apexogenesis
- one canal
- two canals
Periapical - Apicoectomy, Apical Currettage,
Maxillary Anterior
- one root
- two roots
Periapical - Apicoectomy, Apical Currettage,
Mandibular Anterior
- one root
- two roots
Endodontic procedures, Misc. Open & Drain
Anterior and Bicuspids
Molars
Opening through Artificial Crown (in addition to
procedures) Molars
PERIODONTICS
Desensitization - one unit
Root Planning - Periodontal
- one unit
- two units
- three units
PROSTHODONTICS - REMOVABLE
Complete Dentures, Standard
- Maxillary
- Mandibular
Dentures, Surgical, Std. (Immediate)
- Maxillary
- Mandibular
Partial Dentures, Acrylic Base (Immediate)
- Maxillary
- Mandibular
Partial Dentures Acrylic with Metal
Wrought/Casts Clasps and/or Rests
- Maxillary
- Mandibular

Fee (GP) @
100%
572.00
686.00
686.00

Fee (SP) @
100%
727.00
757.00
788.00

151.00
200.00

224.00
321.00

227.00
325.00

465.00
601.00

226.00
324.00

484.00
591.00

75.00
75.00

102.00
102.00

142.00

137.00

37.00

99.00

39.00
78.00
117.00

90.00
180.00
270.00

741.00 +Lab
894.00 +Lab

1495.00+Lab
1719.00+Lab

889.00 +Lab
971.00 +Lab

1645.00+Lab
1989.00+Lab

530.00 +Lab
530.00 +Lab

IC
IC

530.00 +Lab
530.00 +Lab

771.00+Lab
771.00+Lab

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91

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code

53201
53202
54201

Description

Fee (GP) @
100%

DENTURES, PARTIAL, CAST WITH ACRYLIC BASE
Partial Dentures - Cast Frame / Connector
- Maxillary
894.00 + Lab
- Mandibular
894.00 + Lab
DENTURES, ADJUSTMENTS
Denture adjustments, partial or complete denture,
minor - one unit

Fee (SP) @
100%

IC
IC

73.00 + Lab

93.00 + Lab

55101
55102

Repairs, Complete Denture - No Impression
Req’d
- Maxillary
- Mandibular

56.00 +Lab
56.00 +Lab

87.00+Lab
87.00+Lab

55201
55202

Repairs, Complete Denture - Impression
Required
- Maxillary
- Mandibular

101.00 +Lab
101.00 +Lab

174.00+Lab
174.00+Lab

55301
55302

Repairs, Partial Denture - No Impression
Required
- Maxillary
- Mandibular

56.00 +Lab
56.00 +Lab

87.00+Lab
87.00+Lab

139.00 +Lab
139.00 +Lab

174.00+Lab
174.00+Lab

31.00 + Lab

94.00 + Lab

56211
56212

Reline, Complete Denture
- Maxillary
- Mandibular

243.00
243.00

304.00
304.00

56221
56222

Reline, Partial Denture
- Maxillary
- Mandibular

206.00
213.00

304.00
304.00

56231

Reline, Complete Denture (Processed)
- Maxillary

326.00 +Lab

526.00+Lab

DENTURES, REPAIRS, RELINING AND REBASING

55401
55402
55501

Repairs, Partial Denture - Impression Required
- Maxillary
- Mandibular
Dentures/Implant Retained Prosthesis,
Prophylaxis and polishing - one unit

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92

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
56232

56241
56242
56311
56312
56321
56322
56511
56512
56521
56522

71101
71109
71201
71209

72111
72119

72211
72219
72221

72311
72319

Description
- Mandibular

Reline, Partial Denture (Processed)
- Maxillary
- Mandibular
Rebase, Complete Denture
- Maxillary
- Mandibular
Rebase, Partial Denture
- Maxillary
- Mandibular
Complete Denture
- Maxillary
- Mandibular
Partial Denture
- Maxillary
- Mandibular
ORAL AND MAXILLOFACIAL SURGERY
Surgical Removal of Erupted teeth
- single tooth, uncomplicated
- each additional tooth same
quadrant/appointment
- single tooth, complicated requiring surgical flap
- each additional tooth same
quadrant/appointment
Removal, Impacted Teeth (Requires preapproval)
- single tooth
- each additional tooth, same quadrant
Removal, Impacted Teeth Involving Tissue
and/or Bone (Requires pre-approval)
- single tooth
- each additional tooth, same quadrant
Removals, impaction requiring incision of
overlying soft tissue, elevation of a flap, removal
of bone and sectioning of the tooth for removal –
single tooth
Removal, Residual Roots, Erupted
- first tooth
- each additional tooth, same quadrant

Fee (GP) @
100%
335.00 +Lab

Fee (SP) @
100%
526.00+Lab

295.00 +Lab
326.00 +Lab

349.00+Lab
349.00+Lab

323.00 +Lab
375.00 +Lab

523.00+Lab
523.00+Lab

296.00 +Lab
312.00 +Lab

349.00+Lab
349.00+Lab

125.00
125.00

155.00
155.00

125.00
125.00

155.00
155.00

113.00
76.00

111.00
73.00

223.00
149.00

260.00
260.00

223.00
149.00

260.00
260.00

269.00
179.00
372.00

383.00
383.00
428.00

88.00
59.00

107.00
107.00

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93

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code
72321
72329

72331
72339

73121
73211

92431
92432

Description
Removal, Residual Roots, Soft Tissue Coverage
- first tooth
- each additional tooth, same quadrant
Removal, Residual Roots, Bone Tissue
Coverage
- first tooth
- each additional tooth, same quadrant
Alveoloplasty, not in conjunction with Extractions
(Requires pre-approval)
Per Sextant
Gingivoplasty and/or Stomatoplasty, Oral Surgery
Per Sextant
ADJUNCTIVE GENERAL SERVICES
Nitrous Oxide with Oral Sedation (Requires preapproval)
One unit of time
Two units of time

Fee (GP) @
100%

Fee (SP) @
100%

160.00
107.00

206.00
206.00

327.00
218.00

317.00
284.00

198.00

221.00

84.00

225.00

IC
IC

76.00
152.00

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94

 Appendix B – DSP Dental Rate Guidelines
DENTURIST SERVICES FEE SCHEDULE *
Procedure
Code

10010
10020
10030

31310
31320
31330

31311
31321
32110
32120
32130
32316
32326
32336
32318
32328
32338
33117
33127
36110

Description

Fee @
100%

Lab Fee @
100%
(where
applicable)

DIAGNOSTIC PROCEDURES
General Oral Exam
108.00
New Patient Exam. Limited Exam
70.00
Previous Patient Exam, Limited
70.00
Exam
COMPLETE DENTURES
Complete Standard, Maxillary
580.00
285.00
Denture
Complete Standard, Mandibular
667.00
$328.00
Denture
Complete Standard, Maxillary &
1,247.00
614.00
Mandibular Denture
COMPLETE DENTURES – IMMEDIATE/SURGICAL
Complete Maxillary
620.00
305.00
Complete Mandibular
731.00
360.00
RELINE, LAB PROCESSED/FUNCTIONAL IMPRESSION
Maxillary
188.00
93.00
Mandibular
208.00
103.00
Maxillary & Mandibular, Combined
397.00
195.00
CHAIRSIDE/TEMPORARY ACRYLIC
Complete Maxillary
137.00
68.00
Complete Mandibular
149.00
74.00
Complete Maxillary & Mandibular
287.00
141.00
RELINE, CHAIRSIDE/PERMANENT SOFT LINING
Complete Maxillary
186.00
92.00
Complete Mandibular
198.00
97.00
Complete Maxillary & Mandibular
385.00
189.00
DENTURE, REBASE, PROCESSED
Maxillary
226.00
111.00
Mandibular
246.00
121.00
DENTURE REPAIRS
Complete Maxillary Repair – No
62.00
31.00
Impression

Total

108.00
70.00
70.00

865.00
995.00
1,861.00

925.00
1,091.00
281.00
311.00
592.00
205.00
223.00
428.00
278.00
295.00
574.00
337.00
367.00
93 +
materials

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95

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code

Description

36120

Complete Mandibular Repair – No
62.00
31.00
Impression
Complete Maxillary Repair - with
90.00
45.00
Impression
Complete Mandibular Repair - with
90.00
45.00
impression
TISSUE CONDITIONING, COMPLETE DENTURE
Maxillary
71.00
Mandibular
71.00
PARTIAL DENTURES ACRYLIC BASE – WITH CLASPS
Partial Maxillary
580.00
285.00
Partial Mandibular
667.00
328.00
Partial Maxillary & Mandibular
1,247.00
614.00

36210
36220

37110
37120
41610
41620
41630

Fee @
100%

Lab Fee @
100%
(where
applicable)

Total

93 +
materials
135+
materials
135+
materials
71.00
71.00
865.00
995.00
1,861.00

PARTIAL DENTURES ACRYLIC BASE - IMMEDIATE WITH CLASPS

41611
41621

Partial Maxillary
Partial Mandibular

608.00
717.00

299.00
353.00

907.00
1,070.00

PARTIAL DENTRURES ACRYLIC BASE – IMMEDIATE WITHOUT CLASPS

41613
41623
41612
41622
41632
42116
42126
42318
42328
42338
42316
42326
42336

Partial Maxillary
548.00
270.00
Partial Mandibular
657.00
323.00
PARTIAL DENTURES ACRYLIC BASE – WITHOUT CLASPS
Partial Maxillary
509.00
251.00
Partial Mandibular
594.00
292.00
Partial Maxillary & Mandibular
1,102.00
543.00
RELINES, PROCESSED
Partial Maxillary
197.00
97.00
Partial Mandibular
210.00
104.00
RELINE, CHAIRSIDE/PERMANENT SOFT LINING
Partial Maxillary
193.00
95.00
Partial Mandibular
208.00
103.00
Partial Maxillary & Mandibular
401.00
198.00
RELINE, CHAIRSIDE/TEMPORARY ACRYLIC
Partial Maxillary
143.00
71.00
Partial Mandibular
161.00
80.00
Partial Maxillary & Mandibular
305.00
150.00

818.00
980.00
760.00
886.00
1,645.00
294.00
314.00
288.00
311.00
599.00
214.00
241.00
455.00

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96

 Appendix B – DSP Dental Rate Guidelines
Procedure
Code

Description

46110

REBASE, PROCESSED
Partial Maxillary
Partial Mandibular
REPAIRS
Partial Maxillary – No Impression

46120

Partial Mandibular – No Impression

46210

Partial Maxillary – with Impression

46220

Partial Mandibular – with Impression

43116
43126

47110
47120
71310
71311
71313
71314
71315
73008

Fee @
100%

Lab Fee @
100%
(where
applicable)

238.00
257.00

117.00
127.00

62.00

31.00

62.00

31.00

90.00

45.00

90.00

45.00

TISSUE CONDITIONING, PARTIAL DENTURE**
Partial Maxillary
71.00
Partial Mandibular
71.00
ADDITIONAL REPAIR MATERIAL
Repair Model
Opposing Model
43.00
Additional Tooth
Multiple Fracture
Addition - flange
REINFORCEMENTS
Soft-lining – new denture

Total

355.00
384.00
93 +
materials
93 +
materials
135 +
materials
135 +
materials
71.00
71.00

17.00
21.00
29.00
34.00
39.00

17.00
64.00
29.00
34.00
39.00

273.00

273.00

* Applicants may be eligible for assistance to cover the cost of dentures when recommended by a
physician or a dentist. Dentures shall be obtained by the most economical means. If dentures are
provided by a denturist, then the denturist must be licensed in the Province of Nova Scotia to do
so.
**Tissue conditioning is limited to two services per arch in conjunction with new dentures, relines or
rebases. If dentures have been done, tissue reconditioning can only be provided to the standard
dentures.

October 2014
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97

 Appendix C – Special Diet Rate Guidelines
Special Diet Rate Guidelines
(Combined maximum allowable amount of $150.00/month)
Conditions Requiring
Criteria
Approved Monthly
Special Diets
Amounts
Cardiovascular
Low Sodium, Low Salt
$27.00
Disease
Celiac Disease
Gluten Free Diets
$30.00
Chronic Constipation /
High Fiber or High Residue
$27.00
High Fiber
Requirements
Crohn’s Disease/
$66.00
Ulcerative Colitis
Chronic Fatigue/
Combination of High Fiber/
$54.00
Fibromyalgia
Modified Fat
Cystic Fibrosis
$133 plus cost for
supplement or
additional amount
specified by
nutritionist
Diabetes
1000 k calories and under
No additional Funds
1001-1200 k calories
No Additional Funds
1201-1500 k calories
$5.00
1501-1800 k calories
$18.00
1801-2000 k calories
$26.00
2001-2200 k calories
$34.00
2201-2400 k calories
$42.00
2401-2600 k calories
$51.00
2601-2800 k calories
$60.00
2801-3000 k calories
$68.00
above 3000 k calories
$8.00 for each
additional 200 k
calories
Dialysis
$27.00 plus
supplement of Nepro
or Supplena
purchased at VGH
up to $150.00 per
month
Failure to Thrive
An individual assessment by No amount specified,
a dietician is recommended
up to $150.00 per
month
October 2014

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98

 Appendix C – Special Diet Rate Guidelines
Food Allergy – Milk/
Diary or Lactose
Intolerance

Food Allergy – Wheat

Gastric / Ulcer or Bland
Diets
High Calorie / High
Protein Diets

HIV / AIDS

Hyperlipidemia
Infant Formulas
** Allowance will be gradually
reduced as the child begins eating
solid foods

Nutritional
Supplements

Paraplegic Diet
Reducing Diets

October 2014

Less than 2 years of age
(see “Infant Formula”)
Based on required referral
letter from a dietician and
funding is calculated
individually.
Based on required referral
letter from a dietician and
funding is calculated
individually.
Treatment is based on
eliminating foods which
cause distress.
Prescribed for illnesses such
as, but not limited to, cancer
or post surgery where there
has been significant weight
loss.
High Protein / High Calorie
Diet
3000 k calories
3250 k calories
3500 k calories
Low fat
** Soy Formula (includes
Isomil and Prosobee)
** Lactose Free Formula
** Hypo-allergenic formula—
Pregestimil (powder)
** Hypo-allergenic formula—
Alimentum (ready to feed)
** Hypo-allergenic formula –
Nutramigen
Such as, but not limited to,
Ensure, Boost, Essential,
Advera, Pediasure and
Jevity
For purposes of weight loss
or prescribed following
gastroplasty

Up to $150.00 per
month with
Supervisory approval

Up to $150.00 per
month with
Supervisor approval
No additional funding

$66.00

$66.00
$88.00
$101.00
$27.00
$35.00
$28.00
$144.00
$144.00
$121.00
Actual costs up to
$150.00 per month

$36.50
No additional funds

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99

 Appendix D – Household Set-Up and Replacement Rate
Guidelines for Living Independently
Household Items & Furnishings
Maximum of $1000.00 + HST (does not include set-up costs below). Care Coordinator
approval up to $500.00, Casework Supervisor approval required over $500. The
following is a list of suggested items and associated costs and are guidelines only.
Participant’s needs are to be considered on an individual basis.
Suggested Furnishings:
$200.00
 Bed & Mattress


Couch & Chair

$150.00



End Tables

$30.00



Drapes or Blinds

$50.00



Table & Chairs

$125.00

 Bureau/Storage
Suggested Kitchen Items:
Pots and pans, dishes, broom, kitchen
utensils, waste basket, kettle, toaster,
dish cloths and towels, etc.
Suggested Bath & Bedding Items:

$60.00

 Towels & Face Cloths
 Shower Curtain
 Comforter
 Sheets & Blankets & Pillows
Appliances:

$100.00

$135.00



Refrigerator *

$200.00



Washer *

$200.00



Stove *

$150.00



Microwave

$75.00



Vacuum Cleaner

$75.00

 Television
Initial Set-up Costs

(*replacement)

$75.00

The following is a list of suggested items and associated costs and are guidelines only.
Participant’s needs are to be considered on an individual basis.
Basic Grocery/Household supplies
Actual costs up to $75.00 approved by Care
Coordinator
Suggested Emergency Items:
Actual costs up to $75.00 approved by Care
First aid kit, flashlight, radio
Coordinator
Utility Connection Charges:
Actual costs approved by Care Coordinator
Telephone, power

October 2014

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100

 APPENDIX E – FUNDING SOURCE GUIDELINES
Funding Source Guidelines
(Special Needs vs. Per Diem)
The following can be used as a guide; however consultation with the
Casework Supervisor may be required when a service provider
advises that the item or services has not been included in their per
diem.
Item of Special Need/Service

GH
RCF
DR
S/O

RRC

ARC

PD
PD
SN

SN
SN
SN

SN
SN
SN

SN

SN

SN
N/A
SN
N/A
SN
SN
PD
SN
SN
PD
SN
SN
PD
PD
PD
ES
PD

SN
N/A
SN
N/A
SN
SN
PD
SN
SN
PD
SN
SN
SN
PD
PD
ES
PD

AFS

ILS

DFS

SN
SN
SN

Basics
SN
SN

Basics
SN
SN

SN

SN

SN

SN

SN
N/A
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
Pharma
SN/PD
ES
SN

SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
Pharma
SN
ES
SN

SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
Pharma
SN
ES
SN

SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
Pharma
SN
ES
SN

Clothing
Regular
Special

Comforts Allowance
(Personal Use Allowance)
Funeral and Burial
Medical
Dental
Emergency Response Devices
Foot Care / Podiatry
Guide Dog Allowance
Hearing Aid
Hearing Aid Batteries
Incontinent Supplies
Medical Equipment
Medical Insurance
Medical Supplies
Optical Care
Orthotics
Non-Prescription Meds
Prescription Meds
Special Diets
Wheelchair Repairs

Medical Care (Rehabilitation
and Treatment Services)

October 2014

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101

 APPENDIX E – FUNDING SOURCE GUIDELINES

Item of Special Need/Service

GH
RCF
DR
S/O

RRC

ARC

AFS

ILS

DFS

SN
N/A
PD
PD
N/A

SN
N/A
PD
PD
N/A

SN
N/A
SN
SN
N/A

SN
SN
SN
SN
SN

SN
SN
SN
SN
N/A

SN
SN
SN
SN
SN

N/A
N/A
N/A
N/A
N/A

N/A
N/A
N/A
N/A
N/A

N/A
N/A
N/A
N/A
N/A

N/A
N/A
N/A
N/A
N/A

SN
SN
SN
SN
SN

N/A
N/A
N/A
N/A
N/A

SN

SN

SN

SN

SN

SN

N/A
N/A
SN
N/A
N/A
N/A
N/A

N/A
N/A
SN
N/A
N/A
N/A
N/A

N/A
N/A
SN
N/A
N/A
N/A
N/A

PD
N/A
SN
N/A
N/A
N/A
N/A

SN
SN
SN
SN
SN
SN
SN

N/A
N/A
N/A
N/A
N/A
N/A
N/A

SN
SN

SN
SN

SN
SN

SN
SN

SN
SN

SN
SN

SN
SN
Education / Employment /Day Programs
Education / Employment / P50
SN
SN
Transitional Day Programs
N/A
N/A

SN

SN

SN

SN

SN
N/A

SN
N/A

SN
N/A

SN
SN

Support Services
Extra Staffing
Homemaker Services
Nursing Care
Personal Care
Residential Respite

Shelter / Utility / Food
Electricity Hook-Up
Emergency Food
Excess Shelter
Extermination Services
Fire/ Liability Insurance
Food/ Shelter Expenses
to Attend Non-Routine Specialist
Appointments Outside the
Community
Furnishings
House Repairs
Moving Expenses Within Region
Security / Damage Deposit
Shelter-Related Arrears
Telephone
Telephone Hook Up

Transportation
Ambulance
Regular Transportation
Transportation for Medical
Attention (not an Ambulance)

PD = Per Diem
October 2014

ES = Easter Seals

SN = Special Needs

Pharma = Pharmacare

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102