Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Adult Companion Services Non-medical care, supervision end
socielioesion, provided to a functionnaly impaired adult.
fmmpanions may assist or supervise the individual with such tasks
as meal preparation. laundry and shmppimg, but do met perfor these
mctucities as discrete seevices. The provision of comepanion
estvicee de-a mot entail hand--on nursing mare Providers may also
perform light hmusekeeping ts s which sre incidental to the care
end supervision of the individul. This service is provided in
accordance with a therapeutic goal in the plan ef care. and is not
pucely diver-ional in nature
Cese e.anspeneni Services which sill .assit individ-ale ohm
maceims waiver services in gaining access to needed waiver and
other Sate plan services. as well ma nesded medical. social,
eduictmonal and othei seiices., regrdless of the funding source
for the services to which acces is gained.
Chore services nervinos needed to maintain the home in . a mle,
sanitary and safe environment This sarvice includes heavy
household chores auch as washing floors, windows and walls. tacking
down loose rues and tiles. omovng heavy ites of furmiture in order
cm provide safe access and egress These services will be provided
only in cases where neither the individual. nor anyone else in the
household, is capable of performing or financially providing for
them, and where no other relative, caregiver. landlerd.
_cm.unit/vclunteer agency. or third party payor is capable vf or
responsihle for their provision In.The cas of rectal property.
the respensibility of the landlord, pursuant to the lease
agreement, will be examined prior to any authorieation mf servica
anvitnomenol accessibility adaptations: Those physical
adaptations ho the home. roguired by the individualsy plan of care.
which are necessaty to ensure the health welfare and safety of the
individual. orcwhich enable the individual to fuoctioc with greater
independence in the hone, and without which, the individual would
require-inottutionclieation Such adaptations my include the
installation of ramps and grab-bar., widening of doorways,
mdificstin cf baitroom facilities. or installation cf specialized
electric and plumbing sys-ms which are n.cessary me accoesodate
the medicoS eguipoent and supplies which are necessary for the
elfero of the individual. d acluded are those adaptations or
improvements ct the home which are of general utility, and are mom
of direct medical or remedial benefit to the individual. such as
carpetingI roof repair. cntral air conditioning. etc Adapteisons
thici add to the metal aguare footage of the hone are excluded from
this benefit All services shall bh provided in mcccrdce uth
applicable Stato or local building codes
Fa ily Trainung Training and counselicg services for the families
of individuals served on this aiver. For purposea of this
service, family is defined as the parsons wh. live with or
provide care toaperson served on the waiver, and may include
parents pouse, children, relatives, foster family. or in- laws.
Family does not inclode undividuols who are employed to rare for
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