Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 119 - REGULATIONS GOVERNING THE LICENSING AND FUNCTIONING OF HOME HEALTH CARE SERVICES › Chapter 1 - GENERAL DEFINITIONS

Current through 2024-29, July 17, 2024
The following terms used in these regulations shall have the
				  meanings specified.
1.
Activities of Daily Living (ADL)
: means the functions or tasks for
				self-care which are performed either independently or with supervision or
				assistance. Activities of Daily Living include at least mobility, transferring,
				ambulating, grooming, bathing, dressing, eating and toileting.
2.
Acute Care Services:
are
				services provided to address severe, significant or serious illness.
3.
Administrator:
is a person
				having the authority and responsibility for the operation of the home health
				care agency and for staff performance in accordance with applicable
				requirements and policies of the agency. The administrator is a licensed
				physician, registered nurse, or an individual who has training and experience
				in health services administration, with at least one (1) year of supervisory or
				administrative experience in home health care services or related health
				programs.
4.
Advanced
				Directive:
means a document signed by the client, guardian or durable
				power of attorney, specifying the scope of treatments and/or procedures that
				are not to be carried out by others in the event that the client becomes unable
				to provide that direction. This document must be in compliance with the Federal
				1990 Patient Self Determination Act (Omnibus Budget Reconciliation Act, Section
				4206 ) and the Maine Uniform Rights of the Terminally Ill Act (Title 18-A Maine
				Revised Statutes Annotated § 5-801
et seq
.).
5.
Agency Contracting or Arranging for
				Home Health Care Services:
means an agency whose employees do not
				directly provide home health care services in the home. These agencies develop
				contractual agreements with licensed or legally exempted home health care
				agencies for the provision of home health care services. Agencies that contract
				or arrange for home health care services to be delivered, but whose employees
				do not directly provide home health cue services, shall be exempt from the
				provisions of these regulations.
6.
Applicant:
means the individual who signs the application for a
				home health care service license. The applicant must be the individual who has
				the ultimate responsibility for ensuring that a facility operates in compliance
				with these regulations.
7.
Branch Office:
means a location or site from which a home health
				care services agency provides services within a portion of the total geographic
				area served by the parent agency. The branch office is part of the home health
				care services agency and is located sufficiently close to share administration,
				supervision, and services in a manner that renders it unnecessary for the
				branch independently to meet the State Home Health Care Services Licensing
				Regulations.
8.
Bylaws:
means a set of rules adopted by the home health care
				services agency for governing the agency's operation.
9.
Certified Nursing Assistant
				(CNA):
means a person whose duties are assigned by a registered
				professional nurse and who:
a. Has
				successfully completed a training program or course with a curriculum
				prescribed by the Maine State Board of Nursing, holds a certificate of training
				from that program or course and is listed on the Maine Registry of Certified
				Nursing Assistants, or
b. Was
				certified before September 29, 1987 and is listed on the Maine Registry of
				Certified Nursing Assistants.