North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 71 - ADULT AND FAMILY SUPPORT › Subchapter R - SOCIAL SERVICES BLOCK GRANT › Section .0900 - SERVICE DEFINITIONS › Section 71R .0911 - IN HOME AIDE SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
In-home aide services are provided to enable individuals
					 and families to remain in or return to their own homes and communities. To this
					 end, at least one level of this service must be available in each geographic
					 area.
(1) Primary Service. In-Home Aide
				  Services are those paraprofessional services which assist individuals and
				  children and their families with essential home management tasks, personal care
				  tasks, or supervision, or all of the tasks in this Paragraph, to enable
				  individuals and children and their families to remain, and function
				  effectively, in their own homes as long as possible.
(2) Component. In-Home Aide Services may be
				  used for the purpose of providing respite for a primary caregiver or for
				  parents. For this purpose, In-Home Aide Services may be provided to individuals
				  in their own homes or in the home of their primary caregiver and to children
				  and their families in their own homes. Respite Care may consist of any level of
				  home management or personal care tasks.
(3) Resource Items. None.
(4) Target Population. Individuals who are
				  unable to carry out tasks essential to the activities of daily living or the
				  instrumental activities of daily living, or both, who have no responsible
				  person available to perform these tasks, and who need the service in order to
				  remain in their own homes. Children and their families who need help remaining
				  in their own homes, or who need help in maintaining, strengthening, and
				  safeguarding their functioning because of economic dependency, physical or
				  emotional illness or handicap or to preserve and strengthen family functioning.
				  Also included are children and functionally impaired individuals whose primary
				  caregivers or parents need relief from everyday caregiving responsibilities in
				  order for the children and impaired individuals to remain at home. Within the
				  target population eligible clients must be served in the following order of
				  priority:
(a) adults and children for whom the
				  need for protective services has been substantiated and the service is needed
				  as part of a protective services plan;
(b) adults who are at risk of abuse, neglect
				  or exploitation and children who are at risk of abuse, neglect, or
				  dependency;
(c) adults with
				  extensive ADL or IADL impairment who are at risk of placement in substitute
				  care and children who are at risk of placement in substitute care;
(d) children who need the service as part of
				  a plan of preventive services designed to strengthen the family and preserve
				  the home for the child, or as a part of permanency planning to enable a child
				  to return home from substitute care; and adults with three or more ADL or IADL
				  impairments;
(e) adults with one or
				  two ADL or IADL impairments.