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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 />

Medication<br />

Administration<br />

Component<br />

Medication administration, supervision <strong>and</strong> assistance may be provided to<br />

ALE waiver recipients as long as qualified staff is available to render <strong>the</strong><br />

service component.<br />

Medication supervision <strong>and</strong> administration can only be provided by licensed<br />

nurses. Assistance with self-administered medications can be provided<br />

ei<strong>the</strong>r by a licensed nurse or, with a documented request <strong>and</strong> in<strong>for</strong>med<br />

consent, an unlicensed staff member. The unlicensed staff member must be<br />

trained to assist residents with self-administered medications, in accordance<br />

with Chapter 58A-5.0191(5), F.A.C., <strong>and</strong> must demonstrate <strong>the</strong> ability to<br />

accurately read <strong>and</strong> interpret a prescription label. Pursuant to 400.4256,<br />

F.S., assistance with self-administration of medications includes taking <strong>the</strong><br />

medication from where it is stored <strong>and</strong> delivering to <strong>the</strong> resident; removing a<br />

prescribed amount of medication from <strong>the</strong> container <strong>and</strong> placing it in <strong>the</strong><br />

resident’s h<strong>and</strong> or ano<strong>the</strong>r container; helping <strong>the</strong> resident by lifting <strong>the</strong><br />

container to his or her mouth; applying topical medications; <strong>and</strong> keeping a<br />

record of when a resident receives assistance with self-administration of his<br />

or her medications.<br />

Occupational<br />

Therapy<br />

Component<br />

Occupational <strong>the</strong>rapy assists with <strong>the</strong> functional needs of recipients related to<br />

<strong>the</strong> per<strong>for</strong>mance of self-help skills, adaptive behavior <strong>and</strong> sensory, motor<br />

<strong>and</strong> postural development. Occupational <strong>the</strong>rapy will be provided by<br />

licensed occupational <strong>the</strong>rapists, occupational <strong>the</strong>rapy assistants, or<br />

occupational <strong>the</strong>rapy aides under <strong>the</strong> supervision <strong>and</strong> direction of a licensed<br />

occupational <strong>the</strong>rapist.<br />

Personal <strong>Care</strong><br />

Component<br />

The personal care component provides assistance with eating, bathing,<br />

dressing, personal hygiene, <strong>and</strong> o<strong>the</strong>r activities of daily living. This<br />

component may provide assistance with <strong>the</strong> preparation of meals <strong>and</strong> o<strong>the</strong>r<br />

housekeeping activities essential to <strong>the</strong> health <strong>and</strong> welfare of <strong>the</strong> recipient.<br />

July 2001 5-13

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