Assistive Care Services and Assisted Living for the Elderly Waiver

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