North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter X - STATE IN-HOME SERVICES FUND: IN-HOME AIDE SERVICES › Section .0200 - PROGRAM REQUIREMENTS › Section 06X .0204 - DESCRIPTION OF IN-HOME AIDE LEVELS FOR CHILDREN/FAMILIES

Current through Register Vol. 39, No. 2, July 15, 2024
As used in this Subchapter, the following descriptions of
					 In-Home Aide Service levels shall apply for children and their families:
(1) Level I - Home Management. In-Home Aide
				  Services at this level are intended to provide support to children and their
				  families who require assistance with basic home management tasks, such as
				  housekeeping, cooking, shopping, and bill paying.
(2) Level II - Home Management and Personal
				  Care. In-Home Aide Services at this level are intended to provide support to
				  children and their families who require assistance with basic personal care and
				  home management tasks. Both the home management and assistance with personal
				  care tasks can be provided to families when their capacities are diminishing or
				  when the family is striving to maintain or improve family
				  functioning.
(3) Level II - Home
				  Management Only. In-Home Aide Services at this level are intended to provide
				  support to children and their families who require assistance with home
				  management tasks and do not require assistance with personal care. Provision of
				  home management tasks focuses more on strengthening and developing the family's
				  own skills rather than on doing these tasks for them. Children and their
				  families to be served include those who need assistance to remain in their own
				  homes; or who need assistance to maintain, strengthen, and safeguard their
				  functioning because of physical or emotional illness or handicap or to preserve
				  and strengthen family functioning; or who need assistance to obtain education,
				  training, and employment to improve their economic self-sufficiency.
(4) Level III - Home Management. In-Home Aide
				  Services at this level are intended to provide intensive education and support
				  to children and their families in carrying out home management tasks and
				  improving family functioning skills. Provision of the service primarily focuses
				  on individualized work with a family in teaching and demonstrating skills and
				  tasks and reinforcing improved family accomplishments. It also involves direct
				  assistance and support in crisis situations.
(5) Level III - Personal Care. In-Home Aide
				  Services at this level are intended to provide substantial support to children
				  and their families who require assistance with health or personal care tasks,
				  or both. Provision of these tasks involves extensive "hands on" care and
				  potential assistance with a wide range of health related conditions.
(6) Level IV - Home Management. In-Home Aide
				  Services at this level are intended to provide a wide range of educational and
				  supportive services to children and their families who are in crisis or who
				  require long term assistance with complex home management tasks and family
				  functioning skills. Provision of the service involves quick and creative
				  response to family crisis situations identified by the case manager; it also
				  focuses on appropriate learning sessions with small groups of persons from
				  different families who have similar needs.
Authority
					 G.S.
					 143B-153;
Eff. December 1,
					 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.