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 />
Physical Therapy<br />
Component<br />
The physical <strong>the</strong>rapy component is directed toward <strong>the</strong> development,<br />
improvement, or restoration of neuromuscular or sensory motor function,<br />
relief of pain, or control of postural deviation to attain maximum<br />
per<strong>for</strong>mance. Physical <strong>the</strong>rapy must be provided by licensed physical<br />
<strong>the</strong>rapists, physical <strong>the</strong>rapy assistants, or physical <strong>the</strong>rapy aides under <strong>the</strong><br />
supervision <strong>and</strong> direction of a licensed physical <strong>the</strong>rapist.<br />
Specialized Medical<br />
Equipment <strong>and</strong><br />
Supplies<br />
Component<br />
The specialized medical equipment <strong>and</strong> supplies component includes devices,<br />
controls, or appliances that are of direct medical or remedial benefit to <strong>the</strong><br />
recipient. Such items must be specified in <strong>the</strong> plan of care <strong>and</strong> enable a<br />
recipient to increase his or her ability to per<strong>for</strong>m activities of daily living, or to<br />
perceive, control, or communicate with <strong>the</strong> environment in which he or she<br />
lives.<br />
This component must include consultation with <strong>the</strong> recipient’s physician <strong>and</strong><br />
denials from all o<strong>the</strong>r payment sources.<br />
Speech Therapy<br />
Component<br />
Speech <strong>the</strong>rapy is provided when medical diagnosis indicates a need <strong>for</strong><br />
treatment of speech <strong>and</strong> language disorders that result in a communication<br />
disability. This component is limited to <strong>the</strong> evaluation <strong>and</strong> treatment of<br />
speech disorders, such as aphasia, which result from stroke <strong>and</strong> cerebral<br />
trauma, dementia, or o<strong>the</strong>r degenerative neurologic diseases affecting oral<br />
motor functions. Speech <strong>the</strong>rapy services must be provided by licensed<br />
speech-language pathologists or a certified speech-language pathology<br />
assistant under <strong>the</strong> supervision of a licensed speech-language pathologist.<br />
Therapeutic Social<br />
<strong>and</strong> Recreational<br />
<strong>Services</strong><br />
Component<br />
The <strong>the</strong>rapeutic social <strong>and</strong> recreational services component allows <strong>the</strong> ALF<br />
to provide activities to improve <strong>the</strong> mobility, motor skills, or alertness of ALE<br />
waiver recipients. These activities may also serve to divert <strong>the</strong> attention <strong>and</strong><br />
enhance <strong>the</strong> quality of life of waiver recipients with dementia.<br />
July 2001 5-14