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> <strong>Services</strong> <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 />
ALE <strong>Waiver</strong> <strong>and</strong> <strong>Assistive</strong> <strong>Care</strong> Covered <strong>Services</strong>, continued<br />
Chore <strong>Services</strong><br />
Component<br />
The chore component consists of services needed to maintain <strong>the</strong> home-like<br />
setting as a clean, sanitary, <strong>and</strong> safe environment. This component includes<br />
heavy household chores such as washing floors, windows <strong>and</strong> walls, tacking<br />
down loose rugs <strong>and</strong> tiles, <strong>and</strong> moving heavy items of furniture in order to<br />
provide safe access <strong>and</strong> egress.<br />
Companion Service<br />
Component<br />
The companion service component is provided to functionally impaired<br />
recipients <strong>and</strong> consists of non-medical care, supervision, <strong>and</strong> socialization.<br />
Companions may assist <strong>the</strong> recipient with activities such as meal preparation,<br />
laundry, <strong>and</strong> shopping, but do not per<strong>for</strong>m <strong>the</strong>se activities as discrete<br />
services. The provision of companion service does not entail h<strong>and</strong>s-on<br />
medical care. Companions may per<strong>for</strong>m light housekeeping tasks incidental<br />
to <strong>the</strong> care <strong>and</strong> supervision of <strong>the</strong> recipient.<br />
This component is provided in accordance with a <strong>the</strong>rapeutic goal in <strong>the</strong> plan<br />
of care <strong>and</strong> is not intended to be diversional.<br />
Homemaker<br />
Component<br />
The homemaker component consists of general household activities (meal<br />
preparation <strong>and</strong> routine household care) provided by a trained homemaker.<br />
Intermittent Nursing<br />
Component<br />
Intermittent nursing consists of services provided by a licensed nurse on an<br />
as-needed basis to ensure <strong>the</strong>rapeutic regimens such as changing dressings,<br />
administering medications, assessing <strong>the</strong> recipient’s state of health, <strong>and</strong> o<strong>the</strong>r<br />
activities within <strong>the</strong> scope of <strong>the</strong> nursing practice.<br />
Medicaid does not reimburse <strong>for</strong> continuous nursing services provided to<br />
ALE waiver recipients.<br />
July 2001 5-12
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