Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 44 - NURSING FACILITY LEVEL OF CARE DETERMINATION FOR ADULTS › Section 471-44-002 - DEFINITIONS

Current through June 17, 2024
The definitions set out in Neb. Rev. Stat. §
									68-907 and the following
	 definitions apply:
002.01
ACTIVITIES OF DAILY LIVING (ADL).
Activities related
  to personal care, including but not limited to bathing or showering,
  continence, dressing, grooming, transferring to and from a bed or chair,
  mobility, toileting, and eating.
002.02
BATHING.
A
  person's ability to take a full-body bath or shower, including but not limited
  to transferring in and out of tub or shower and bathing each part of the
  body.
002.03
CONTINENCE.
A person's ability to control their body
  to empty the bladder or bowel on time or change incontinence pads or briefs,
  cleansing, or disposing of soiled articles.
002.04
DRESSING.
A
  person's ability to put on and remove clothing from upper and lower body,
  including but not limited to the ability to put on or remove physician ordered
  prosthetic or orthotic devices.
002.05
EATING.
A
  person's ability to eat and drink, including but not limited to intake of
  nourishments by other means, such as tube feeding or total parenteral
  nutrition.
002.06
GROOMING.
A person's ability to manage personal
  hygiene, including but not limited to combing hair, brushing teeth, and washing
  and drying self.
002.07
HOME AND COMMUNITY-BASED WAIVER SERVICES FOR AGED PERSONS OR ADULTS
  OR CHILDREN WITH DISABILITIES.
An array of community-based
  services available to individuals who are eligible for nursing facility (NF)
  services under Medicaid but choose to receive services at home. The purpose of
  the waiver services is to offer alternative service delivery options to
  Medicaid recipients who would otherwise receive services in a nursing facility
  (NF) or other institutional setting.
002.08
HOSPICE.
Hospice or hospice services shall meet the definition in 471 Nebraska
  Administrative Code (NAC) 36.
002.09
LEGAL
  REPRESENTATIVE.
Any person who has been vested by law with the
  power to act on behalf of an individual. The term includes a guardian appointed
  by a court of competent jurisdiction in the case of an incompetent individual
  or minor, or a person acting under a valid power of attorney.
002.10
LEVEL OF CARE (LOC)
  DETERMINATION.
Medicaid's evaluation to determine whether an
  individual requires the supports typically provided by a nursing facility (NF)
  or other institutional setting.
002.11
LIMITATION.
When a person has difficulty performing tasks associated with an activity of
  daily living (ADL) by themselves, or is unable to perform the tasks at
  all.
002.12
LEVEL II
  EVALUATION.
See 471 NAC 12.
002.13
MEDICAID-ELIGIBLE.
See 471 NAC 12.
002.14
MOBILITY.
A
  person's ability to move from place to place indoors or outside, by walking or
  other locomotion.
002.15
NURSING FACILITY (NF).
See 471 NAC 12.
002.16
PROGRAM OF ALL-INCLUSIVE
  CARE FOR THE ELDERLY (PACE).
A program that provides
  comprehensive, coordinated health care and long-term services and supports for
  voluntarily enrolled individuals. Program of All-inclusive Care for the Elderly
  (PACE) provides another alternative along the continuum of available long-term
  care services and supports to enable participants to continue to live in their
  homes and communities.
002.17
TOILETING.
A person's ability to use the toilet,
  commode, bedpan, or urinal, including but not limited to how a person cleanses
  self after toilet use, manages ostomy or catheter, and adjusts
  clothes.
002.18
TRANSFERRING.
A person's ability to move from one
  place to another, including but not limited to bed to chair and back, into and
  out of a vehicle, and on and off toilet or commode.