Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 480 - HOME AND COMMUNITY-BASED SERVICES › Chapter 2 - PROGRAM REVIEW AND ADMINISTRATION › Section 480-2-002 - DEFINITIONS

Current through June 17, 2024
002.01
ACTIVITIES OF DAILY LIVING
  (ADL).
Refer to Title 471 Nebraska Administrative Code (NAC)
  .
002.02
ADULT.
For the purposes of Medicaid and Home and
  Community-Based Services, an adult is an individual age 18 or older.
002.03
AGED.
For the
  purposes of Medicaid and Home and Community-Based Services, an aged individual
  is age 65 or older.
002.04
AGENCY PROVIDER.
Providers who have one or more
  employees or will be subcontracting any one or part of the service for which
  they are requesting approval.
002.05
ASSESSMENT.
A
  process which includes receiving referrals, gathering information,
  interviewing, and jointly determining participant strengths, needs and desired
  outcomes.
002.06
AUTHORIZED REPRESENTATIVE.
A person appointed by the
  participant to sign documentation or apply for benefits on their
  behalf.
002.07
CAREGIVER.
A provider, either formal or informal who
  assists, and assumes responsibility for the care of the participant.
002.08
CHILD.
For
  the purposes of Medicaid and Home and Community-Based Services, a child is an
  individual age 17 or younger.
002.09
COMMON CARRIER
Any person who or which undertakes to transport passengers or
  household goods for the general public in intrastate commerce by motor vehicle
  for hire, whether over regular or irregular routes, upon the highways of this
  state.
002.10
DEPARTMENT.
The Department of Health and Human
  Services as established by the Health and Human Services Act. For the purposes
  of these regulations, a reference to the Department also includes a reference
  to the designee of the Department.
002.11
DEPARTMENT
  STAFF.
Employees of the Department or its designees.
002.12
ESCORT.
A
  person who accompanies or personally assists a participant who is unable to
  travel or wait alone. This may include assistance to and from a vehicle or
  place of destination, supervision, or support.
002.13
EXEMPT TRANSPORTATION
  PROVIDER.
Transportation carriers exempted from Nebraska Public
  Service Commission certification as defined in Neb. Rev. Stat. §§
									75-303
  to
  75-303.03.
002.14
HEALTH MAINTENANCE
  ACTIVITIES.
Noncomplex interventions which can be safely performed
  according to exact direction, which do not require alteration of the standard
  procedure, and for which the results and participant responses are
  predictable.
002.15
HOME AND COMMUNITY-BASED SERVICES.
Services not
  otherwise furnished under the State's Medicaid plan which are furnished under a
  waiver granted under the provisions of 42 CFR Subpart G.
002.16
INDIVIDUAL
  PROVIDER.
Providers who have no employees. Individual providers
  are independent contractors and not employees of the Department or the State of
  Nebraska. For the purpose of Federal Insurance Contribution Act (FICA)
  withholding, the provider is considered an employee of the
  participant.
002.17
INDIVIDUAL TRANSPORTATION PROVIDER.
An individual
  carrier who meets the requirements of Neb. Rev. Stat. §
									75-303(11),(12),or
  (13), has an approved service provider
  agreement with the Department and is chosen by the participant.
002.18
INFORMAL
  SUPPORTS.
Unpaid supports that are provided voluntarily to the
  individual in lieu of Waiver services and supports. Informal supports are
  typically provided by friends, family members, or other persons in the
  community and can include services such as cleaning or transportation. Informal
  supports may include support provided by or to another person which results in
  a benefit that is shared by the participant.
002.19
INSTITUTIONAL
  SETTING.
An institutional setting is a medical facility where a
  person may reside on a short- or long-term basis, including a hospital, nursing
  facility, institution for developmental disabilities, or an institution for
  mental diseases. For the purposes of Home and Community-Based Services, any
  institution will be presumed to be an institutional setting if it has the
  following attributes: located in a publicly or privately operated facility that
  provides inpatient institutional treatment; located in a building on the
  grounds of, or adjacent to, a public institution; or the location has the
  effect of isolating individuals receiving Home and Community-Based Services
  from the broader community of individuals not receiving Home and
  Community-Based Services.
002.20
INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADL).
Tasks
  that are performed in the regular course of independent living. The tasks
  include the following but are not limited to:
(A) Performing essential household
  chores;
(B) Traveling around and
  participating in the community;
(C)
  Shopping for food, clothing and other essential items;
(D) Meal planning and preparation;
(E) Managing finances; and
(F) Communicating by phone or other
  media.