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-19 - Home and Community Benefits for the Elderly and Adults with Disabilities › Appendix 144-101-II-I - TASK TIME ALLOWANCES

Current through 2024-29, July 17, 2024
ADL = Activities of Daily Living
Activity
Definitions
Time Estimates
Considerations
Bed Mobility
How a 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 a 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 a person moves between locations in his/her
								  room and other areas on same floor. If in wheelchair, self-sufficiency once in
								  chair
5 - 15 minutes
Document time and number of times done in
								  Authorized Plan of Care
Disability level, type of aids used, cognition,
								  pain
Dressing & Undressing
How a person puts on, fastens and takes off all
								  items of street clothing, including donning and removing prosthesis
20 - 45 minutes
Supervision, disability, cognition, pain, type of
								  clothing, type of prosthesis
Eating
How a person eats and drinks, regardless of
								  skill
5 minutes Set up, cut food and place
								  utensils
30 minutesIndividual is fed
30 minutes Supervision of an individual feeding
								  himself or herself
Chewing issues, swallowing issues, cognitive
								  impairments, mobility issues
Toilet Use
How a 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 a person maintains personal hygiene (exclude
								  baths and showers)
20 min/day Washing face, hands, perineum, combing
								  hair, shaving and brushing teeth
20 min/week Shampoo (only if done separately) 15
								  min up to 3 times/week Nail Care 20 min/week
Disability level, pain, cognition, adaptive
								  equipment
Walking
a. How a person walks for exercise only
b. How a person walks around own room
c. How a person walks within home
d. How a person walks outside
Document time and number of times in Authorized
								  Plan of Care, and level of assistance needed
Disability, cognition, pain, mode of ambulation
								  (cane), prosthesis needed for walking
Bathing
How a 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
IADL = Instrumental Activities of Daily
						Living
Activity
Definitions
Time Estimates
Considerations
Light Meal, Lunch & Snacks
Preparation and clean up
5 - 20 minutes
Member participation; type of food preparation;
								  number of meals in Authorized Plan of Care and reparation preparation for more
								  than one meal
Main Meal Preparation
Preparation and cleanup of main meal
20 - 40 minutes
Is Meals on Wheels, Home Delivered Meals, or
								  another meal-based service being used? Preparation time for more than one meal
								  and member participation
Light Housework/ Routine Housework
Dusting, picking up living space Kitchen
								  housework- put the groceries away, general cleaning Making/changing beds Total
								  floor care all rooms and bathrooms Garbage/trash disposal Non-routine tasks,
								  outside chores, seasonal
30 min - 1. 5 hr. /week
Size of environment, member needs and
								  participation, others in household
Grocery Shopping
Preparation of list and purchasing of
								  goods
45 min - 2 hours/week
Other errands included: bills, banking and
								  pharmacy. Distance from home
Laundry: In-Home
Sort laundry, wash, dry, fold and put away
30 minutes/load, 2 loads/week
Other activities which can be done if laundry is
								  done in the house or apartment
Laundry: Out of Home
Sort laundry, wash, dry, fold and put away
2 hours/week
Task time allowances are used for the authorization of
						covered services under this Section. Refer to Section 19.04.
These allowances reflect the time normally allowed to
						accomplish the listed tasks. The Authorized Entity will use these allowances
						when authorizing a member's Authorized Plan of Care for covered services. If
						these times are not sufficient when considered in light of a member's
						extraordinary 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 allowable cap.