Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 43 - NURSING FACILITY LEVEL OF CARE DETERMINATION FOR CHILDREN › Section 471-43-002 - 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. They include bathing
  or showering, dressing, getting in and out of bed or a chair, walking, using
  the toilet, and eating.
002.02
AGE APPROPRIATE.
Reflective of the developmental
  abilities of the child taking into account any cultural traditions that are
  within the boundaries of state and federal law.
002.03
BATHING.
A
  person's ability to take a full-body bath or shower. Includes how a person
  transfers in and out of tub or shower and the ability to bathe each part of the
  body.
002.04
DRESSING.
A person's ability to put on and remove
  clothing from upper and lower body. This includes the ability to put on or
  remove physician ordered prosthetic or orthotic devices.
002.05
EATING.
A
  person's ability to eat and drink. Includes intake of nourishment by other
  means, such as tube feeding or total parenteral nutrition.
002.06
PERSONAL
  HYGIENE.
A person's ability to manage personal hygiene including
  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 options to Medicaid clients who would otherwise reguire nursing
  facility (NF) services.
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 parent in the case of a minor, or a person acting under a valid
  power of attorney.
002.10
LEVEL OF CARE (LOO DETERMINATION.
Medicaid's nursing
  facility (NF) screening for medical necessity.
002.11
LIMITATION.
A person is determined to have a limitation if they have difficulty performing
  age appropriate tasks associated with an activity of daily living by himself or
  herself, or is unable to perform the activity of daily living at all.
002.12
LEVEL II
  EVALUATION.
See 471 NAC 12.
002.13
MEDICAID-ELIGIBLE.
See 471 NAC 12.
002.14
MOBILITY.
The
  ability to move from place to place indoors or outside, walking or other
  locomotion between locations on the same floor on a building.
002.15
NURSING FACILITY
  (NF).
See 471 NAC 12.
002.16
REHABILITATION.
See 471 NAC 12.
002.17
REHABILITATIVE
  SERVICES.
See 471 NAC 12.
002.18
TERMINALLY ILL OR TERMINAL
  ILLNESS.
The client is diagnosed with a medical prognosis that his
  or her life expectancy is six months or less if the illness runs its normal
  course.
002.19
TOILETING.
How a person uses the toilet room, commode,
  bedpan, or urinal. How a person cleanses self after toilet use or incontinent
  episode(s), manages ostomy or catheter, and adjusts clothes.
002.20
TRANSFERRING.
The ability to move from one place to another, including bed to chair and back,
  and into and out of a vehicle. Includes the ability to move on and off toilet
  or commode.