Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 240 - COMMUNITY CARE PROGRAM › Subpart B - SERVICE DEFINITIONS › Section 240.210 - In-home Service

Current through Register Vol. 48, No. 28, July 12, 2024
In-home service is defined as general non-medical support by
				  supervised homecare aides who have received specialized training in the
				  provision of in-home services. The purpose of providing in-home service is to
				  maintain, strengthen and safeguard the functioning of participants in their own
				  homes in accordance with the authorized person-centered plan of care.
a) Specific service components of in-home
				service shall include the following:
1)
				Teaching/performing of meal planning and preparation; light housekeeping tasks
				(e.g., making and changing beds, dusting, washing dishes, vacuuming, cleaning
				floors, keeping the kitchen and bathroom clean and laundering the participant's
				linens and clothing); shopping skills/tasks; and home maintenance and
				repairs.
2) Performing/assisting
				with essential shopping/errands may include handling the participant's money
				(proper accounting to the participant of money handled and provision of
				receipts are required).
These tasks shall be:
A) performed as specifically required by the
				person-centered plan of care; and
B) monitored by the homecare
				supervisor.
3) Assisting
				with self-administered medication, which shall be limited to:
A) reminding the participant to take his/her
				medications;
B) reading
				instructions for utilization;
C)
				uncapping medication containers; and
D) providing the proper liquid and utensil
				with which to take medications.
4) Assisting with following a written special
				diet plan and reinforcement of diet maintenance (can only be provided under the
				direction of a physician as required by the person-centered plan of
				care).
5) Observing participant's
				functioning and condition and reporting to the supervisor, as outlined by the
				person-centered plan of care.
6)
				Performing/assisting with personal care tasks that are not medical in nature,
				such as the examples set forth at 77 Ill. Adm. Code
				245.40(c)
				(e.g., shaving, hair shampooing, drying and combing, bathing and sponge bath,
				shower bath or tub bath, toileting, dressing, nail care, respiratory services
				(as authorized by 20 ILCS
				105/4.02(5)(F) ), brushing and
				cleaning teeth or dentures and preparation of appropriate supplies,
				positioning/transferring participant, and assisting participant with
				exercise/range of motion), as defined by the person-centered plan of
				care.
7) Escort/transportation to
				medical facilities, or for essential errands/shopping, or for essential
				participant business with or on behalf of the participant, as defined by the
				person-centered plan of care. This escort/transportation service may be
				provided directly by the homecare aide, directly by the provider, by the
				provider through contract, or by public transportation.
8) Identifying and reporting critical events,
				including critical incidents, service improvement program complaints, and
				requests for change of status in the Department's automated reporting system.
				Completing initial critical event reports will occur within 7 days after the
				date the event occurred or was identified to have occurred. Assisting CCUs in
				their efforts to safeguard participant health, safety and welfare by
				demonstrating a willingness to collaborate, discuss and resolve issues that
				likely place a participant at increased risk for experiencing future critical
				events. Supporting CCU risk mitigation efforts by demonstrating a willingness
				to communicate about necessary adjustments to a participant's care plan in
				response to a critical event.