California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51183 - Personal Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Personal care services include (a) personal care services
						and (b) ancillary services prescribed in accordance with a plan of
						treatment.
(a) Personal care services
					 include:
(1) Assisting with ambulation,
					 including walking or moving around (i.e., wheelchair) inside the home, changing
					 locations in a room, moving from room to room to gain access for the purpose of
					 engaging in other activities. Ambulation does not include movement solely for
					 the purpose of exercise.
(2)
					 Bathing and grooming including the cleaning the body using a tub, shower or
					 sponge bath, including getting a basin of water, managing faucets, getting in
					 and out of tub, or shower, reaching head and body parts for soaping, rising,
					 and drying. Grooming includes hair combing and brushing, shampooing, oral
					 hygiene, shaving and fingernail and toenail care.
(3) Dressing includes putting on and taking
					 off, fastening and unfastening garments and undergarments, and special devices
					 such as back or leg braces, corsets, elastic stockings/garments and artificial
					 limbs or splints.
(4) Bowel,
					 bladder and menstrual care including assisting the person on and off toilet or
					 commode and emptying commode, managing clothing and wiping and cleaning body
					 after toileting, assistance with using and emptying bedpans, ostomy and/or
					 catheter receptacles and urinals, application of diapers and disposable barrier
					 pads.
(5) Repositioning, transfer
					 skin care, and range of motion exercises.
(A)
					 Includes moving from one sitting or lying position to another sitting or lying
					 position; e.g., from bed to or from a wheelchair, chair, sofa, and the like,
					 coming to a standing position and/or rubbing skin and repositing to promote
					 circulation and prevent skin breakdown. However, if decubiti have developed,
					 the need for skin and wound care is a paramedical service.
(B) Such exercises shall include the carrying
					 out of maintenance programs, i.e., the performance of the repetitive exercises
					 required to maintain function, improve gait, maintain strength, or endurance;
					 passive exercises to maintain range of motion in paralyzed extremities; and
					 assistive walking.
(6)
					 Feeding, hydration assistance including reaching for, picking up, grasping
					 utensil and cup; getting food on utensil, bringing food, utensil, cup to mouth,
					 manipulating food on plate. Cleaning face and hands as necessary following
					 meal.
(7) Assistance with self
					 administration of medications. Assistance with self-administration of
					 medications consists of reminding the beneficiary to take prescribed and/or
					 over-the-counter medications when they are to be taken and setting up
					 Medi-sets.
(8) Respiration limited
					 to nonmedical services such as assistance with self-administration of oxygen,
					 assistance in the use of a nebulizer, and cleaning oxygen equipment.
(9) Paramedical services are defined in
					 Welfare and Institutions Code Section
					 12300.1
					 as follows:
(A) Paramedical services include
					 the administration of medications, puncturing the skin or inserting a medical
					 device into a body orifice, activities requiring sterile procedures, or other
					 activities requiring judgment based on training given by a licensed health care
					 professional.
(B) Paramedical
					 services are activities which persons could perform for themselves but for
					 their functional limitations.
(C)
					 Paramedical services are activities which, due to the beneficiary's physical or
					 mental condition, are necessary to maintain the beneficiary's
					 health.