Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Wavier Services
Coverage and Limitations Handbook
ALE Waiver and Assistive Care Covered Services, continued
Incontinence
Supplies
W9656
Incontinence supplies are items essential to enabling health care personnel to
carry out diagnostic and therapeutic care including ostomy or colostomy
supplies, irrigation solutions, bedpans, adult diapers, bed pads and supplies
necessary to maintain healthy skin. Such items must be specified in an
approved plan of care.
Assistive Care
Services
W9657 (This is a
Medicaid state
plan service.)
Assistive care services are an array of services provided on a daily basis by
or through ALE participating ALFs.
The following components may be included in the assistive care service plan:
• Health support;
• Assistance with activities of daily living (ADLs);
• Assistance with instrumental activities of daily living (IADLs); and
• Assistance with self-administration of medication.
The criteria for provision of each component are explained in a preceding
section.
Services
Documentation
The following specific elements must be documented for all ALE waiver
services or service components rendered to waiver recipients:
• Name of provider, provider agency, and specific individual rendering
each service;
• Type of service or service component provided;
• Amount of service provided;
• Date of service; and
• Place of service.
Case management documentation must clearly describe the activities
associated with maintaining the recipient in the ALE setting. The
documentation should show that services are consistent with the plan of care
and are being delivered according to the plan.
July 2001 5-16