Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter II - Specific Policies By Service › Section 144-101-II-96 - Private Duty Nursing and Personal Care Services › Appendix 144-101-II-#1 - TASK TIME ALLOWANCES

Current through 2024-29, July 17, 2024
ADL = Activities of Daily Living
APPENDIX #1 TASK TIME ALLOWANCES
Activity
Definitions
Time Estimates
Considerations
Bed Mobility
How person moves to and from lying position,
								  turns side to side and positions body while in bed.
5 - 10 minutes
Positioning supports, cognition, pain, disability
								  level
Transfer
How person moves between surfaces - to/from: bed,
								  chair, wheelchair, standing position (EXCLUDE to/from bath/toilet).
5 - 10 minutes up to 15 minutes
Use of slide board, gait belt, swivel aid,
								  supervision needed, positioning after transfer, cognition Mechanical lift
								  transfer
Locomotion
How person moves between locations in his/her
								  room and other areas on same floor. If in wheel- chair, self-sufficiency once
								  in chair.
5 - 15 minutes
(Document time and number of times done in
								  POC)
Disability level, type of aids used, cognition,
								  pain
Dressing & Undressing
How person puts on, fastens and takes off all
								  items of street clothing, including donning/removing prosthesis.
20 - 45 minutes
Supervision, disability, cognition, pain, type of
								  clothing, type of prosthesis
Eating
How person eats and drinks (regardless of
								  skill)
5 minutes
30 minutes
30 minutes
Set up, cut food and place utensils Individual is
								  fed Supervision of activity due to swallowing, chewing, cognition issues
Toilet Use
How person uses the toilet room (or commode,
								  bedpan, urinal); transfers on/off toilet, cleanses, changes pad, manages ostomy
								  or catheter and adjusts clothes.
5 -15 minutes/use
Bowel, bladder program, ostomy regimen, catheter
								  regimen, cognition
Personal Hygiene
How person maintains personal hygiene. (EXCLUDE
								  baths and showers)
Washing face, hands, perineum, combing hair,
								  shaving and brushing teeth
Shampoo (only if done separately)
Nail Care
20 min/day
15 min up to 3 times/week
20 min/week
Disability level, pain, cognition, adaptive
								  equipment.
Walking
a. How person walks for exercise only
b. How person walks around own room
c. How person walks within home
d. How person walks outside
Document time and number of times in POC, and
								  level of assistance needed.
Disability, cognition, pain, mode of ambulation
								  (cane), prosthesis needed for walking
Bathing
How person takes full-body bath/shower, sponge
								  bath (EXCLUDE washing of back, hair), and transfers in/out of tub/shower
15 - 30 minutes
If shower used and shampoo done then consider as
								  part of activity, cognition
Task time allowances are used for the authorization of
						covered services under this Section. Refer to Section 96.04(C).
These allowances reflect the time normally allowed to
						accomplish the listed tasks. The Authorized Entity and PDN provider will use
						these allowances when authorizing a Member's authorized plan of care. If these
						times are not sufficient when considered in light of a Member's unique
						circumstances as identified by the Authorized Entity, the Authorized Entity may
						make an appropriate adjustment as long as the authorized hours do not exceed
						the limits established for the Member's level of care.