Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 28 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ARIZONA LONG-TERM CARE SYSTEM › Article 5 - PROGRAM CONTRACTOR AND PROVIDER STANDARDS › Section R9-28-508 - Self-directed Attendant Care (SDAC)

Current through Register Vol. 30, No. 28, July 12, 2024
A. For purposes of this Article the following
				terms are defined:
"Competent member" means a person who is oriented, exhibits
				  evidence of logical thought, and can provide directions.
"Fiscal and Employer Agent" or "FEA" is a company specified
				  by the program contractor or the Administration in contract to serve as an
				  employment/payroll processing center for attendant care workers employed by the
				  member to provide SDAC services.
"Medically stable" means the member's skilled-care medical
				  needs are routine and not subject to frequent change because of health
				  issues.
"Personal care" means activities of daily life such as
				  dressing, bathing, eating and mobility.
B. In lieu of receiving other attendant care
				services a competent member who meets the requirements of A.R.S. §
									36-2951
				or the member's legal guardian may choose to employ through the FEA a person to
				provide Self-directed Attendant Care (SDAC) services. A paid caregiver
				described under R9-28-506 and a parent of a minor child shall not receive
				reimbursement for SDAC services.
C.
				The attendant care worker chosen to provide SDAC services does not need to be a
				registered provider. The attendant care worker shall have, at a minimum,
				hands-on training in First Aid, CPR, Universal Precautions, and state and
				federal laws regarding privacy of health information or training of similar
				efficacy as approved by the Administration.
D. The Administration or Program Contractor
				shall cover SDAC services only if the member resides in the member's home, and
				shall not cover SDAC services if the member is institutionalized or residing in
				an alternative residential setting. If the member has a legal guardian, the
				legal guardian shall be present when SDAC services are provided.
E. A member who chooses to receive SDAC
				services is not precluded from receiving medically necessary, cost-effective
				home health services from other agencies or providers if the services provided
				are not duplicative of the specific attendant care or skilled service already
				received through the program contractor.
F. A competent member or legal guardian may
				employ an SDAC attendant care worker to provide personal care, homemaker and
				general supervision services.
G. A
				competent member, who is medically stable, or the member's legal guardian may
				employ an attendant care worker to also provide the following skilled services:
1. Bowel care, including suppositories,
				enemas, manual evacuation, and digital stimulation;
2. Bladder catheterizations (non-indwelling)
				that do not require a sterile procedure;
3. Wound care (non-sterile);
4. Glucose monitoring;
5. Glucagon as directed by the health care
				provider;
6. Insulin by
				subcutaneous injection only if the member is not able to self-inject;
7. Permanent gastrostomy tube feeding;
				and
8. Additional services
				requested in writing with the approval of the Director and the Arizona State
				Board of Nursing.