Personal Care:
Personal care services are medically oriented services provided in the individual's home to assist with activities of daily living to meet the physical needs of the individual.
Services included under personal care are dietary, dressing / grooming, bathing / personal hygiene, toileting / continence, mobility / transfer, and assistance with self-administration of medications.
Homemaker Care:
Homemaker care services are general household activities provided by a trained homemaker when the client is unable to manage the home and care for him/herself or others in the home or when the individual (other than the client) who is regularly responsible for these activities is temporarily absent.
Services included under homemaker care are meals, wash dishes, clean kitchen, clean bathroom, change linens / make bed, clean floors, tidy and dust, laundry, iron and mend clothing, wash inside windows / blinds, bag trash inside / put out, shop for essentials / run errands, and read / write essential correspondence.
Chore:
Chore services are household tasks necessary to maintain a safe and habitable home environment provided intermittently as needed by a trained aide.
Services included under chore services are washing walls and woodwork, cleaning closets, basements and attics, shampooing rugs, air mattresses and bedding, spraying for insects within the home with over the counter supplies, and providing rodent control within the home.
Advanced Personal Care:
Advanced personal care services are maintenance services provided to a recipient in the individual's home to assist with activities of daily living when this assistance requires devices and procedures related to altered body function.
Services included under advanced personal care are ostomy hygiene, catheter hygiene, bowel programs, aseptic dressing, non-injectible medications, passive range of motion, and assistive transfer devices.
Authorized Nurse Visits:
Nurse visits can be weekly or monthly for med set-ups, insulin syringe set-up, diabetic nail care, and monitoring skin condition. Nurse visits may also be used to evaluate Advanced Personal care Aides once monthly.
Respite Care:
Respite care services are maintenance and supervisory services provided to a client in the individual's residence to provide temporary relief to the caregiver(s) who normally provides the care.
Respite care services provide supervision, companionship, and direct client assistance to the clients.
- Supervision - The respite care worker will provide personal oversight of the client for the duration of the service period. Personal oversight includes making a reasonable effort to assure the safety of the client and to assist the client in meeting his/her own essential human needs. Sleeping is permitted when the client is asleep; provided there is no indication that the condition of the client would pose a risk if the client awoke while the respite care worker was sleeping. The worker must be in close proximity to the client during a sleeping period.
- Companionship - The worker will provide companionship during the client's waking hours and attempt to make the client as comfortable as possible.
- Direct Client Assistance - The worker will provide direct client assistance as needed to meet needs usually provided by the regular caregiver.
- Basic Respite is hourly respite that can be used for no more than 8 hours in one day.
- Basic Block Respite is a block unit of in-home respite care that is 9 to 12 consecutive hours, of which no more than four hours entail direct client care.
- Advanced Respite may be delivered up to 5 hours.
- Advanced Block Respite may be delivered to cover a 6 to 8 hour period of time. Two units may be authorized during any continuous period of time when the client is in need of 14 to 16 hours of advanced respite care.
- Advanced Respite Daily may be delivered for a continuous 17 to 24 hour period. No other in-home services may be delivered during the same 24-hour period as advanced daily respite care.
- Nurse Respite Care will be authorized for a minimum 4-hour block.
