Puzzle Pieces currently has three residential homes, where we serve nine clients with 24/7 care. With around the clock staffing, families of these clients can be assured their loved ones are receiving the trained care and loving environment they deserve. Clients learn daily living skills like keeping a home and cooking meals, which promotes independence and a sense of family. 

At this time, Puzzle Pieces is not accepting clients in our residential homes, but please feel free to contact us for more information about local residential living options.

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Payment Methods

Puzzle Pieces accepts both Michelle P. Waiver (MPW) and Supported Community Living (SCL) Waiver as well as private pay.

Michelle P. Waiver (MPW)

• Community Living Supports
• Respite
• Adult Day Training
• Personal Care
• Behavioral Supports
• Supported Employment 

Supported Community Living (SCL) Waiver​​

• Personal Assistance
• Respite
• Day Training
• Residential (staffed residence)
• Residential (Family Home Provider)
• Supported Employment 
• Behavior Supports
• Person-centered Coaching

*Puzzle Pieces is a vendor of Vocational Rehabilitation for Adult ABA Service, Pre-ETS, and Employment Opportunities. Before Supported Employment can be approved on a plan of care, the individual must first exhaust and use Vocational Rehabilitation funding. 
​At Puzzle Pieces, we understand the process to receive state funding is very lengthy and can take time. We believe it is important to offer our clients and their families the option of private pay. Below, you will find a chart of our hourly and weekly rates.​

Contracted Support (Non 1:1)​
​Will be billed regardless of attendance except in advance notice of a whole week vacation or other week off.

• Non-School Aged Clients
  • $40 per day (4 or more hours a day)
  • $195 if paying weekly FT rate
• Afterschool Clients Only
  • $15 per day (1-3 hours a day)
  • $70 per week if paying weekly FT rate
• School Age Clients
  • $40 per Full Day

1:1 Hourly Support
For those who do not have Medicaid Waiver or cannot give Puzzle Pieces the medicaid personal care units the client receives due to PDS support.

• $13-$30/hour per week as needed for hygiene, feeding, and other supports
  • $30 is the hourly rate we would be reimbursed for Medicaid Personal Care which would cover the 1:1 support
• Rate computation will take into account whether client has ADT Medicaid services to bill ($11/hr) and/or can be a case by case basis (family/client needs) to compute the hourly private pay rates
  • Program Directors/Business Director will compute the rate based on client/family needs and financial availability