Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
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<strong>Assistive</strong> <strong>Care</strong> Service <strong>and</strong> <strong>Assisted</strong> <strong>Living</strong> <strong>for</strong> <strong>the</strong> <strong>Elderly</strong> Wavier <strong>Services</strong><br />
Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />
Covered Service, continued<br />
Assistance with<br />
Instrumental Acts of<br />
Daily <strong>Living</strong><br />
(IADLs)<br />
Component<br />
Assistance with instrumental activities of daily living (IADLs) is defined as<br />
providing intensive assistance with one or more of <strong>the</strong> following activities:<br />
individual assistance with shopping <strong>for</strong> personal items, making telephone calls,<br />
<strong>and</strong> managing money<br />
Assistance with<br />
Self-Administration<br />
of Medication<br />
Component<br />
Assistance with self-administration of medication is defined assistance with or<br />
supervision of self-administration of medication at least daily in accordance<br />
with licensure requirements applicable to <strong>the</strong> facility type.<br />
Implementation of<br />
<strong>Assistive</strong> <strong>Care</strong><br />
<strong>Services</strong><br />
<strong>Assistive</strong> care services <strong>for</strong> an eligible recipient may be provided <strong>and</strong> billed<br />
from <strong>the</strong> first day of need <strong>for</strong> services as long as service planning is under way<br />
<strong>and</strong> completed as required.<br />
Assessments <strong>for</strong> ALF <strong>and</strong> AFCH Residents<br />
Initial Health<br />
Assessment<br />
If <strong>the</strong> need <strong>and</strong> eligibility <strong>for</strong> ACS commence with admission to <strong>the</strong> ALF <strong>and</strong><br />
AFCH, <strong>the</strong> initial assessment requirement is <strong>the</strong> same as <strong>for</strong> <strong>the</strong> facility type.<br />
• ALF Residents<br />
• AFCH Residents<br />
Chapter 58A-5.0181 (2), F.A.C.<br />
Chapter 58A-14.0061, F.A.C.<br />
If <strong>the</strong> need <strong>and</strong> eligibility <strong>for</strong> ACS commence after admission to <strong>the</strong> ALF <strong>and</strong><br />
AFCH, an assessment following <strong>the</strong> same procedure as <strong>for</strong> re-assessment<br />
must be completed prior to billing <strong>for</strong> ACS.<br />
However, if <strong>the</strong> admission does not document <strong>the</strong> need <strong>for</strong> at least two of <strong>the</strong><br />
four ACS components, additional documentation must be obtained from <strong>the</strong><br />
health care provider. The optional Certification of Medical Necessity <strong>for</strong>m<br />
may be used <strong>for</strong> this purpose.<br />
Note: See Part I, Appendix C <strong>for</strong> a copy of <strong>the</strong> <strong>for</strong>m <strong>and</strong> instructions.<br />
July 2001 2-6