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 .0203 - DESCRIPTION OF IN-HOME AIDE SERVICE LEVELS FOR ADULTS

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 adults:
(1) Level I - Home Management. In-Home Aide
				  Services at this level are intended to provide support to individuals and their
				  families who require assistance with basic home management tasks, such as
				  housekeeping, cooking, shopping, and bill paying. Clients to be served include
				  those who are self-directing, medically stable, and who have at least one
				  instrumental activity of daily living (IADL) impairment. Personal care tasks
				  may not be performed at this level.
(2) Level II - Home Management and Personal
				  Care. In-Home Aide Services at this level are intended to provide support to
				  individuals and their families who require assistance with basic activities of
				  daily living and home management tasks. Both the home management and assistance
				  with personal care tasks can be provided to the client when his capacities are
				  diminishing or when the client is striving to maintain or improve his own
				  functioning. Clients to be served include those who are medically stable and
				  partially dependent in carrying out one or two activities of daily living (ADL)
				  due to physical or mental impairments, or both; or who have maintenance needs
				  or rehabilitative potential, or both. In addition to their personal care needs,
				  clients may also require assistance with IADL activities to improve IADL
				  functioning or to learn independent living skills; or they may have two to four
				  IADL needs requiring additional support to maintain or achieve overall
				  functioning.
(3) Level II - Home
				  Management Only. In-Home Aide Services at this level are intended to provide
				  support to individuals 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
				  individual's own skills rather than on doing these tasks for him. Clients 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.
(4) Level III - Home Management. In-Home Aide
				  Services at this level are intended to provide intensive education and support
				  to individuals 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 client and his family in teaching and
				  demonstrating skills and tasks and reinforcing improved client and family
				  accomplishments. It also involves direct care and support in crisis situations.
				  Clients to be served generally have moderate to severe limitations in cognitive
				  or psycho-social functioning, but have potential for partial or total
				  independence in IADL or home management functioning, or both. Some clients may
				  have more than four IADL impairments.
(5) Level III - Personal Care. In-Home Aide
				  Services at this level are intended to provide substantial ADL support to
				  individuals 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. Clients to be served
				  include those who are medically stable with significant ADL impairments (three
				  or more) resulting from a chronic condition; or who are medically stable with
				  significant ADL impairments, but have rehabilitative potential; or who are
				  medically unstable due to recent illness, complications of a chronic condition,
				  or a deteriorating condition with variable ADL and IADL needs.
(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 individuals 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 individual and 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. Clients to be served
				  include those who have serious limitations in cognitive or psycho-social
				  functioning, or both, but who have the potential for major or complete
				  independence in IADL functioning and who have little or no ADL
				  impairment.
Authority
					 G.S.
					 143B-153;
December 1,
					 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.