reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0604 - INDIVIDUAL SERVICE PLANS - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
The Individual Service Plans - Special Care Services
					 standards as set forth in
					 10A NCAC
					 06R.0905 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0605 - PROGRAM PLAN - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
The Program Plan - Special Care Services standards as set
					 forth in 10A NCAC 06R.0906 shall control
					 for this Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0606 - STAFF ORIENTATION AND TRAINING - SPECIAL CARE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
The Staff Orientation and Training - Special Care Services
					 standards as set forth in
					 10A NCAC
					 06R.0907 shall control for this
					 Subchapter.
Authority
					 G.S.
					 131D-6;
					 143B-153; S.L.
					 1999-334;
Eff. July 17, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0600 - SPECIAL CARE FOR PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, MENTAL HEALTH DISABILITIES, OR OTHER SPECIAL NEEDS DISEASES OR CONDITIONS IN ADULT DAY CARE CENTERS › Section 06S .0607 - REQUIREMENTS FOR SPECIAL CARE SERVICES UNIT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  addition to meeting all other special care services requirements, an adult day
				  health center or combination center with a special care services unit shall
				  assure the following:
(1) A special care
				  services unit separated by closed doors from the rest of the center shall meet
				  equipment and furnishing requirements set forth in
				  10A NCAC
				  06R.0403(a)(1),(2),(3) and
				  (b).
(2) An area designated as a special care
				  services unit shall provide space on the unit for each participant as stated in
				  Rule.0301(b)(1)(A),(B) of this Subchapter.
(3) An area designated as a special care
				  services unit within the center shall meet existing adult day health staffing
				  ratio requirements as stated in Rule.0203(b) and (c) of this
				  Subchapter.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0201 - NATURE AND PURPOSE OF STATE ADULT DAY CARE FUND

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The State
				  adult day care fund shall be used for adult day care and adult day health
				  services provided through county departments of social services for the purpose
				  of enabling people to remain in or return to their own homes.
(b) The fund shall be used to increase State
				  financial participation in the costs of this service.
(c) A county department of social services or
				  a designee of the board of county commissioners may purchase adult day care
				  services for an individual following a preadmission assessment as specified in
				  10A NCAC 06R .0501. A county department of social services or a designee of the
				  board of county commissioners may purchase adult day health services for an
				  individual following a preadmission health assessment as specified in 10A NCAC
				  06S .0204(c)(2)(A) and a determination that the individual needs one or more
				  services as set forth in 10A NCAC 06S .0402(a).
(d) If an adult day care or adult day health
				  provider elects to provide or arrange for transportation services for the
				  individual who attends the program, the county department of social services or
				  a designee of the board of county commissioners may reimburse the adult day
				  care or adult day health provider for transporting the individual to the adult
				  day care or adult day health program.
Authority
					 G.S.
					 143B-153(2a);
					 143B-153(6);
					 S.L. 1981, c. 1048;
Eff. January 1, 1982;
Temporary
					 Amendment Eff. July 27, 1994 for a period of 180 days or until the permanent
					 rule becomes effective, whichever is sooner;
Amended Eff. December
					 1, 1994; July 1, 1990;
Temporary Amendment Eff. December 8,
					 1997;
Amended Eff. March 1, 2007; April 1, 2005; April 1,
					 1999;
Readopted Eff. November 1,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0202 - DEFINITION OF SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
The definition of adult day care services is the same as
					 the definition of the service under the Social Services Block Grant (Title XX)
					 codified in
					 10A NCAC
					 71Q.0900.
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1982;
Amended Eff. July 1, 1983; January 1, 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0203 - ELIGIBILITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Eligibility for
				  adult day care services is based on Social Services Block Grant (Title XX)
				  eligibility criteria, codified in
				  10A NCAC
				  71Q.
(b) Application for the service is made to
				  the department of social services in any county providing the
				  service.
(c) Eligibility for the
				  service is determined by the county department of social services.
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1982;
Amended Eff. July 1, 1983; January 1, 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0204 - COST-SHARING

Current through Register Vol. 39, No. 2, July 15, 2024
Cost-Sharing Requirements for day care services for adults
					 provided under the state adult day care fund shall be determined in accordance
					 with policies governing service cost-sharing, codified in
					 10A NCAC
					 71R, which is incorporated by reference,
					 including subsequent amendments and editions. Copies of these Rules may be
					 obtained from the Office of Administrative Hearings, Post Office Drawer 27447,
					 Raleigh, NC 27611-7447, (919) 733-2678, at a cost of two dollars and fifty
					 cents ($2.50) for up to ten pages and fifteen cents ($.15) for each additional
					 page at the time of the adoption of this Rule.
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1982;
Amended Eff. March 1, 1994; July 1, 1983; January 1,
					 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0205 - PROGRAM POLICIES AND STANDARDS

Current through Register Vol. 39, No. 2, July 15, 2024
The service is provided in accordance with the policies,
					 procedures and standards set out in
					 10A NCAC
					 06R and 06P or the service is provided in
					 combination with an adult day health service in accordance with the standards
					 and procedures for combination programs codified in
					 10A NCAC
					 06S.
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1982;
Amended Eff. November 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter T - STATE ADULT DAY CARE FUNDING › Section .0200 - STATE ADULT DAY CARE FUND › Section 06T .0206 - ALLOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
Funds are allocated to county departments of social
					 services in accordance with procedures approved by the Secretary of Human
					 Resources.
Authority
					 G.S.
					 143B-153;
Eff. January 1,
					 1982;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0101 - NATURE AND PURPOSE OF STATE IN-HOME SERVICES FUND

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The State In-Home Services Fund is used
				  for four services provided through county departments of social services for
				  the purpose of enabling people to remain in or return to their own homes. These
				  services are: day care services for adults, in-home aide services, housing and
				  home improvement services, and preparation and delivery of meals.
(b) The fund is used for increasing state
				  financial participation in the costs of these services.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. December 1, 1991; July 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0102 - DEFINITIONS OF SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Definitions of the four services are the same as the
					 definitions of these services under the Social Services Block Grant (Title XX),
					 codified in
					 10A NCAC
					 06U.0900.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. December 1, 1991; July 1, 1983; January 1,
					 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0103 - ELIGIBILITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Eligibility for
				  the four services is based on Social Services Block Grant (Title XX)
				  eligibility criteria codified in
				  10A NCAC
				  71Q.
(b) Application for the services is made to
				  the department of social services in any county providing the
				  services.
(c) Eligibility for the
				  services is determined by the county department of social services.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. December 1, 1991; July 1, 1983; January 1,
					 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0104 - COST-SHARING

Current through Register Vol. 39, No. 2, July 15, 2024
Cost-sharing requirements for the following services
					 provided under the State In-Home Services Fund shall be determined in
					 accordance with policies governing service cost-sharing, codified in
					 10A NCAC
					 71R, which is incorporated by reference,
					 including subsequent amendments and editions: day care services for adults,
					 in-home aide services, preparation and delivery of meals and housing and home
					 improvement (renovations or repair and furnishing or appliance purchases only).
					 Copies of these Rules may be obtained from the Office of Administrative
					 Hearings, Post Office Drawer 27447, Raleigh, NC 27611-7447, (919) 733-2678, at
					 a cost of two dollars and fifty cents ($2.50) for up to ten pages and fifteen
					 cents ($.15) for each additional page at the time of adoption of this
					 Rule.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. March 1, 1994; December 1, 1991; July 1, 1990;
					 July 1, 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0105 - PROGRAM POLICIES AND STANDARDS

Current through Register Vol. 39, No. 2, July 15, 2024
The four services are provided in accordance with the
					 policies, procedures and standards set out for each of them in
					 10A NCAC
					 06R or 06S as applicable, 06X, 06V, 06P, and
					 06W.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. December 1, 1991; November 1. 1984; January 1,
					 1983;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter U - STATE IN-HOME SERVICES FUND › Section .0100 - STATE IN-HOME SERVICES FUND › Section 06U .0106 - ALLOCATION

Current through Register Vol. 39, No. 2, July 15, 2024
Funds will be allocated to county departments of social
					 services on the basis of each county's rate of expenditure for the prior state
					 fiscal year.
Authority
					 G.S.
					 143B-153;
Eff. July 23,
					 1979;
Amended Eff. October 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0100 - SERVICE DESCRIPTION › Section 06V .0101 - REIMBURSABLE COST ITEMS

Current through Register Vol. 39, No. 2, July 15, 2024
Under state and federal funds administered by the division,
					 the provision of preparation and delivery of meals includes the cost of:
(1) raw food necessary to provide the meal
				  service;
(2) preparation of
				  nutritious meals;
(3) delivery of
				  nutritious meals;
(4) facility,
				  equipment and supplies for preparing, serving and delivering.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 July 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0200 - DEFINITIONS › Section 06V .0201 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
As used in 71Q.0913 and this Subchapter the following terms
					 have the meanings specified:
(1)
				  "Nutritious Meals" means that the total intake for a 24 hour period must meet
				  the nutritional needs appropriate for age, sex and disability. One meal should
				  meet a minimum of one-third of the recommended dietary allowance for the
				  individual.
(2) "Blind" means
				  visually impaired persons whose eye condition is described as follows:
(a) persons with best corrected central
				  visual acuity of 20/70 or less in the better eye; or
(b) persons with one or both of the following
				  conditions:
(i) the presence of chronic,
				  progressive eye pathology;
(ii)
				  visual acuity better than 20/70 which nevertheless results in a vocational or
				  functional handicap.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0300 - METHODS OF SERVICE PROVISION › Section 06V .0301 - GENERAL POLICY

Current through Register Vol. 39, No. 2, July 15, 2024
Preparation and delivery of meals may be provided directly,
					 purchased under contract (i.e. purchase of service contract or vendor
					 agreement), or through cash payments to individuals capable of selecting and
					 purchasing nutritious meals for themselves, or any combination of these
					 methods.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 July 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0400 - MAXIMUM PURCHASE AND DELIVERY RATES: FEES: AND VOLUNTARY CONTRIBUTIONS › Section 06V .0401 - MAXIMUM PURCHASE AND DELIVERY RATES

Current through Register Vol. 39, No. 2, July 15, 2024
Maximum rates have been set by the North Carolina Social
					 Services Commission for purchase of preparation and delivery of meals under a
					 vendor agreement. Information regarding the maximum rates is contained in
					 policy material issued by the division and is available in accordance with
					 10A NCAC
					 71Q.0503.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 July 1, 1984; March 1, 1980; February 28, 1979;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0500 - ADDITIONAL REQUIREMENTS › Section 06V .0501 - HEALTH AND SAFETY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
Any building used in the provision of the meal service must
					 meet applicable local and state sanitation requirements and building
					 codes.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1977;
Readopted Eff. October 31, 1977;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter V - STATE IN-HOME SERVICES FUND: PREPARATION AND DELIVERY OF MEALS › Section .0500 - ADDITIONAL REQUIREMENTS › Section 06V .0502 - PROFESSIONAL CONSULTATION REQUIRED

Current through Register Vol. 39, No. 2, July 15, 2024
Under any of the approved methods of providing the
					 preparation and delivery of meals service, the following requirements must be
					 met to insure the provision of nutritionally sound meals to recipients of the
					 service:
(1) If prescribed in writing
				  by a physician, a therapeutic diet must be provided following the pattern of an
				  approved diet manual (available from a registered dietitian or nutritionist
				  with the division of health services).
(2) When the meal service is provided through
				  a purchase of service contract or directly by the county department of social
				  services, a registered dietitian or nutritionist must assist in the initial
				  menu planning. At a minimum quarterly consultations with qualified
				  professionals are required to assure appropriate menu planning and preparation
				  of food for nutritious meals. In addition to a registered dietitian or
				  nutritionist, other qualified professional personnel include but are not
				  limited to the following: public health nurse, home economics teacher and
				  extension service home economist.
Authority
					 G.S.
					 143B-153;
Eff. March 1,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 July 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0101-.0102

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 1977;
Readopted Eff. October 31, 1977;
Amended Eff.
					 December 1, 1992; July 1, 1990; July 1, 1984; December 31, 1980;
Repealed Eff. July 1, 2007.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0103 - REPEALED - SERVICE DELIVERY

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 143B-153;
Eff. December 1,
					 1992;
Repealed Eff. July 1, 2007.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0104 - NATURE AND PURPOSE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Housing and
				  Home Improvement is a supportive service which can make a difference in the
				  lives of individuals and families who wish to live independently in safe
				  affordable homes within their communities of choice. This service can enable
				  them to obtain, retain, or return to independent housing, and resolve health
				  and safety issues affecting their home or areas adjacent to their home. For the
				  purpose of this Subchapter, the service has three elements:
(1) Housing services that support independent
				  living by providing information on:
(A) fair
				  housing;
(B)
				  foreclosures;
(C) grants or loans
				  for home repair;
(D) home
				  buying;
(E) homelessness
				  prevention;
(F) independent housing
				  options and locations;
(G) landlord
				  tenant relations;
(H) mortgage
				  delinquency and default resolution counseling;
(I) predatory lending;
(J) reasonable accommodations;
(K) reverse mortgage counseling;
				  and
(L) tenant's rights and
				  responsibilities;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0105 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
As used in this Subchapter, the following terms shall have
					 the meanings specified:
(1)
				  "Activities of Daily Living (ADL)" means personal care activities including
				  bathing or showering, dressing, eating, getting in or out of bed or chair, and
				  toileting.
(2) "Instrumental
				  Activities of Daily Living (IADL)" means independent living activities
				  including doing household chores, managing personal money, preparing meals,
				  shopping for groceries and personal items, and using the telephone or
				  transportation.
(3) "Home" means a
				  housing unit for individuals or families. The home may be owned, rented, or
				  accessed through a lifetime right. It may stand alone and be stick built,
				  manufactured or modular, or may be an apartment or condominium within a larger
				  structure that is secured by lock and key.
(4) "Independent housing" means a home which
				  provides a private living arrangement and is not part of a licensed
				  facility.
(5) "Service provider"
				  means a county department of social services or any public or private agency or
				  individual from whom a county department of social services purchases services
				  to provide housing and home improvement services.
(6) "Waiting for service" means that an
				  individual has requested housing and home improvement service that exists in
				  the county but is not receiving it and is potentially eligible for the service,
				  and could be served if the service were expanded.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0106 - SERVICE POPULATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
For the purposes of this Subchapter:
(1) Eligible population. Individuals and
				  families are eligible for housing and home improvement services if they:
(a) have no one able and willing to perform
				  the service for them; and
(b)
				  reside within a county where housing and home improvement services are
				  funded.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0107 - APPLICATION FOR SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
For services pursuant to this Subchapter, an application
					 shall be signed and dated for housing and home improvement services and shall
					 be made by:
(1) an adult on his or her
				  own behalf;
(2) an adult on behalf
				  of his or her minor child; or
(3)
				  an adult acting on behalf of a disabled adult as defined in
				  G.S.
				  108A-101(d).
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0108 - SERVICE PROVIDER RESPONSIBILITIES

Current through Register Vol. 39, No. 2, July 15, 2024
For purposes of this Subchapter, the housing and home
					 improvement service provider shall:
(1) provide orientation, training, or
				  supervision for volunteers assisting with housing and home improvement
				  services;
(2) refer individuals to
				  federal, state, and local agencies for additional housing and home improvement
				  services;
(3) maintain records
				  documenting financial and service activities for each individual or family
				  receiving services;
(4) request
				  reimbursement from Division of Aging and Adult Services for actual project
				  costs: administrative, labor, and materials, not to exceed one-thousand
				  five-hundred dollars ($1,500) per home per program year;
(5) provide opportunities for service
				  recipients to voluntarily contribute towards the cost of services
				  received;
(6) maintain
				  confidentiality of all records; and
(7) maintain a listing of individuals or
				  families waiting for housing and home improvement services.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0109 - PROHIBITED ACTIVITIES

Current through Register Vol. 39, No. 2, July 15, 2024
For purposes of this Subchapter, housing and home
					 improvement service funding shall not be used for:
(1) rent;
(2) utility bills;
(3) food;
(4) medicine;
(5) security and utility deposits;
(6) taxes;
(7) home improvements negatively affecting
				  the structural integrity of the housing unit;
(8) home improvements which are an obligation
				  of the landlord;
(9) work done to
				  the property of a landlord without written approval; and
(10) duplication of any home improvement
				  service to the same housing unit for three consecutive years following receipt
				  of initial service.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter W - STATE IN-HOME SERVICES FUND: HOUSING AND HOME IMPROVEMENT SERVICES › Section .0100 - PROGRAM REQUIREMENTS › Section 06W .0110 - REQUEST FOR WAIVER

Current through Register Vol. 39, No. 2, July 15, 2024
The Division of Aging and Adult Services (DAAS) may waive
					 any rule in this Subchapter that is not statutorily required if a county
					 department of social services makes a written request to the regional area
					 agency on aging. The area agency on aging will forward the request to DAAS.
					 Factors DAAS shall use in determining whether to grant the waiver are:
(1) additional cost requirements;
(2) need for the waiver;
(3) degree of benefit to the service
				  recipient;
(4) whether the agency
				  had control over the circumstances that required the requested waiver;
				  and
(5) previous requests for
				  waivers submitted from the agency.
Authority
					 G.S.
					 143B-153;
Eff. July 1,
					 2007;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.
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 .0100 - COORDINATION › Section 06X .0101 - IN HOME AIDE SERVICES FOR OLDER ADULTS

Current through Register Vol. 39, No. 2, July 15, 2024
The rules in
					 10A NCAC
					 06A and Rule.0214 of this Subchapter shall
					 apply for the provision of In-Home Aide Services for Older Adults with any
					 allocation received by county departments of social services from the Division
					 of Social Services.
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.
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 .0201 - IN HOME AIDE SERVICES: ADULTS, CHILDREN AND THEIR FAMILIES

Current through Register Vol. 39, No. 2, July 15, 2024
As described in this Subchapter, Rules.0202 through.0214,
					 shall apply for the provision of In-Home Aide Services for Adults and Children
					 and Their Families with any allocation received by county departments of social
					 services from the Division of Social Services as part of the state's
					 Comprehensive Annual Services Plan.
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.
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 .0205 - SERVICE DELIVERY

Current through Register Vol. 39, No. 2, July 15, 2024
In-Home Aide Services must be provided in accordance with
					 the standards established in Rules.0203,.0204,.0206, and.0210 of this Section
					 for task levels, competency requirements, supervision, and quality assurance
					 requirements regardless of whether the aide performing the tasks is a paid
					 employee or a volunteer under the supervision of an established
					 agency.
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.
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 .0207 - IN HOME AIDE SERVICE PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Each individual must have an In-Home Aide Service Plan which is based on the
				  initial assessment and regular reassessments.
(b) The In-Home Aide Service Plan must
				  include:
(1) Measurable client outcome
				  goals;
(2) In-Home Aide Service
				  level or levels to be provided;
(3)
				  Specific tasks to be performed;
(4)
				  Frequency of service provision;
(5)
				  Anticipated duration of the service; conditions for continuing or discontinuing
				  service;
(6) Signature of agency's
				  professional staff developing the service plan;
(7) A physician's signature, if required by a
				  specific funding source.
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 .0208 - COMPETENCY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An aide
				  performing any tasks in Level III-Personal Care must be listed on the Nurse
				  Aide Registry with the N.C. Board of Nursing within four months of being
				  employed as specified in
				  21 NCAC
				  36 .0400. Copies of the rules in
				  21 NCAC
				  36.0400 may be obtained at no cost by writing
				  the Nurse Aide Registry, N.C. Board of Nursing, P.O. Box 1998, Raleigh, N.C.
				  27602.
(b) In the event that a
				  spouse, parent, child or sibling is paid to provide care, the service provider
				  agency can make a determination that the family member is capable of providing
				  the care needed without requiring any formal training. The family member must
				  demonstrate competence to perform the tasks needed by the client to an
				  appropriate professional. When the family member provides Personal Care at
				  Level III, he must be listed on the Nurse Aide Registry with the N.C. Board of
				  Nursing within four months of being employed to perform these tasks.
(c) The following competency requirements for
				  aides hired on or after July 1, 1993 shall apply:
(1) Aides who provide In-Home Aide Services
				  must meet the competency requirements for the level of service they are
				  regularly required to perform.
(2)
				  Meeting competency requirements includes a correct demonstration of tasks to an
				  appropriate professional.
(3) The
				  agency employing the in-home aides must maintain documentation of each aide's
				  competence; this includes verification of knowledge of all content areas and
				  ability to correctly perform all tasks at the level of service regularly
				  provided. If the aide is required to perform selective tasks at a higher level,
				  documentation of competence in the specific tasks is also required. An aide
				  must be competent to complete all tasks at the current level of service
				  provision before being assigned tasks at a higher level.
(4) Each service provider agency is
				  responsible for ensuring that competency testing is appropriately
				  administered.
(5) Each service
				  provider agency is responsible for ensuring that its aides have sufficient
				  training to pass a competency test for the level of service the aides will
				  regularly provide.
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 .0209 - TIME FRAMES FOR COMPLETING COMPETENCY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) By
				  December 1, 1991, regardless of the level of service to which the aide is
				  assigned, demonstrated competence for the specific tasks assigned to that aide
				  must be documented before allowing the aide to perform the tasks
				  independently.
(b) For aides
				  performing Level III-Personal Care, requirements in Rule.0208(a) of this
				  Section shall apply.
(c) The
				  following time frames for completing competency requirements for each level of
				  In-Home Aide Services shall apply only to aides hired on or after July 1, 1993
				  with the exception of Subparagraph (c)(3)(b) of this Rule:
(1) Level I. Competency requirements consist
				  of demonstration of the knowledge and skills required to carry out the
				  functions described in Rules.0203(1) and.0204(1) of this Section. Competency
				  requirements for Level I must be met within one year of employment as a Level I
				  aide.
(2) Level II. Competency
				  requirements consist of demonstration of the knowledge and skills required to
				  carry out the functions described in Rules.0203(2) or (3) and.0204(2) or (3) of
				  this Section. Competency requirements for Level II must be met within one year
				  of employment as a Level II aide.
(3) Level III. This level is tracked for
				  either Home Management or Personal Care and shall consist of the following
				  competency requirements:
(A) Home Management
				  Track. Competency requirements consist of demonstration of the knowledge and
				  skills required to carry out the functions described in Rules.0203(4) and
				  .0204(4) of this Section. Competency requirements for Level III Home Management
				  must be met within one year of employment at this level.
(B) Personal Care Track. Competency
				  requirements consist of demonstration of the knowledge and skills required to
				  carry out the functions described in Rules.0203(5) and.0204(5) of this Section
				  and registration as a Nurse Aide I with the NC Board of Nursing within four
				  months of being employed at this level.
(4) Level IV. Competency requirements consist
				  of demonstration of the knowledge and skills required to carry out the
				  functions described in Rules.0203(6) and.0204(6) of this Section. Competency
				  requirements for Level IV must be met within one year of employment as a Level
				  IV aide.
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 .0210 - AIDE SUPERVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) It is the
				  responsibility of the agency providing the In-Home Aide Service to assure that
				  supervision is given to all aides.
(b) Regardless of the level of tasks
				  performed, supervisory home visits must be made at least twice during the first
				  month of the aide's employment.
(c)
				  Following the first month of the aide's employment, supervisory home visits
				  must be made as follows:
(1) Level I - at
				  least quarterly;
(2) Level II - at
				  least quarterly;
(3) Level III - at
				  least quarterly;
(4) Level IV - at
				  least every 60 days.
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 .0211 - SELECTION OF AIDES

Current through Register Vol. 39, No. 2, July 15, 2024
Agencies providing in-home aide services must have a
					 written policy regarding who may serve as in-home aides. The written policy
					 shall include, at a minimum, the following information about who may serve as
					 in-home aides:
(1) aides shall be 18
				  years of age or older or emancipated minors; and
(2) aides shall be persons who have
				  demonstrated competency to perform the tasks needed by the client;
				  and
(3) whether or not the agency
				  allows the hiring of relatives to serve as a client's in-home aide. If the
				  agency allows a relative to be a client's in-home aide, the policy must also
				  contain the following requirements:
(a) that
				  the relative of the client for this purpose is either a parent, spouse, child,
				  or sibling of the client, including step relations of the client for any of
				  those; and
(b) that the relative
				  must have given up employment or the opportunity for employment in order to
				  perform the tasks needed by the client; and
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 .0212 - CLIENT RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
Records must be kept for each In-Home Aide Services client
					 and must include:
(1) Documentation of
				  request or authorization for services;
(2) A copy of the completed initial
				  assessment;
(3) Copies of all
				  completed reassessments;
(4) Copies
				  of the initial and any revised In-Home Aide Service Plans;
(5) Documentation of significant client
				  information;
(6) Documentation of
				  client eligibility;
(7)
				  Documentation of quarterly reviews;
(8) Documentation notifying client of service
				  reduction, denial or termination.
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.
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 .0213 - QUALITY ASSURANCE REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  All agencies providing In-Home Aide Services must be either licensed by the
				  Department of Health and Human Services as a home care agency, or be certified
				  or accredited through one of the following accreditation organizations, or
				  other entities recognized by the Department of Health and Human Services or the
				  North Carolina Medical Care Commission pursuant to G.S. 131E, Article 6, Part
				  C:
(1) North Carolina Accreditation
				  Commission for In-Home Aide Services;
(2) National Home Caring Council;
(3) Joint Commission on Accreditation of
				  HealthCare Organizations (Home Care accreditation);
(4) National League for Nursing.
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 .0214 - METHODS OF SERVICE PROVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  One or more of the methods of service provision enumerated in this Paragraph
				  shall be used to provide In-Home Aide Services.
(1) Direct Provision. County departments of
				  social services may employ in-home aide services providers as members of their
				  staff to perform tasks in accordance with
				  10A NCAC
				  71Q.0911 and the rules of this Subchapter.
				  In-home aide services providers are subject to the provisions of the State
				  Personnel Act and to applicable personnel policies of the county in which they
				  are employed. Responsibility for the selection, training, assignment to the
				  clients, supervision and discharge of in-home aide services providers rests
				  with the county department of social services.
(2) Cash Payment. In-Home Aide Services may
				  be provided through a cash payment made to an eligible client as reimbursement
				  for services he has received and for which he has paid. County departments of
				  social services may make cash advances to eligible clients but may not claim
				  reimbursement from any federal or state funds until a receipt is provided by
				  the client documenting that the service has been delivered and paid for. The
				  cash payment method of provision is utilized only in accordance with the
				  following arrangement:
(A) The client, or a
				  person designated by the client, is capable and willing to be responsible for
				  hiring, firing and supervising the In-Home Aide Services provider and for
				  carrying out other applicable employer-related responsibilities.
(B) The tasks performed by the provider do
				  not require supervision by a registered nurse or another professional with
				  skills appropriate to the tasks being performed for the client.
(C) The client, or a person designated by the
				  client, provides certification that the provider meets the competency
				  requirements for the level of tasks provided.
(3) Purchase of Service Contract. In-Home
				  Aide Services may be purchased from another agency under a purchase of service
				  contract in accordance with rules set forth in
				  10A NCAC
				  67B.