Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 240 - COMMUNITY CARE PROGRAM
Subpart B - SERVICE DEFINITIONS
Section 240.210 - In-home Service
Universal Citation: 89 IL Admin Code ยง 240.210
Current through Register Vol. 48, No. 12, March 22, 2024
In-home service is defined as general non-medical support by supervised homecare aides who have received specialized training in the provision of in-home services. The purpose of providing in-home service is to maintain, strengthen and safeguard the functioning of participants in their own homes in accordance with the authorized person-centered plan of care.
a) Specific service components of in-home service shall include the following:
1)
Teaching/performing of meal planning and preparation; light housekeeping tasks
(e.g., making and changing beds, dusting, washing dishes, vacuuming, cleaning
floors, keeping the kitchen and bathroom clean and laundering the participant's
linens and clothing); shopping skills/tasks; and home maintenance and
repairs.
2) Performing/assisting
with essential shopping/errands may include handling the participant's money
(proper accounting to the participant of money handled and provision of
receipts are required).
These tasks shall be:
A) performed as specifically required by the
person-centered plan of care; and
B) monitored by the homecare
supervisor.
3) Assisting
with self-administered medication, which shall be limited to:
A) reminding the participant to take his/her
medications;
B) reading
instructions for utilization;
C)
uncapping medication containers; and
D) providing the proper liquid and utensil
with which to take medications.
4) Assisting with following a written special
diet plan and reinforcement of diet maintenance (can only be provided under the
direction of a physician as required by the person-centered plan of
care).
5) Observing participant's
functioning and condition and reporting to the supervisor, as outlined by the
person-centered plan of care.
6)
Performing/assisting with personal care tasks that are not medical in nature,
such as the examples set forth at 77 Ill. Adm. Code
245.40(c)
(e.g., shaving, hair shampooing, drying and combing, bathing and sponge bath,
shower bath or tub bath, toileting, dressing, nail care, respiratory services
(as authorized by 20 ILCS
105/4.02(5)(F) ), brushing and
cleaning teeth or dentures and preparation of appropriate supplies,
positioning/transferring participant, and assisting participant with
exercise/range of motion), as defined by the person-centered plan of
care.
7) Escort/transportation to
medical facilities, or for essential errands/shopping, or for essential
participant business with or on behalf of the participant, as defined by the
person-centered plan of care. This escort/transportation service may be
provided directly by the homecare aide, directly by the provider, by the
provider through contract, or by public transportation.
8) Identifying and reporting critical events,
including critical incidents, service improvement program complaints, and
requests for change of status in the Department's automated reporting system.
Completing initial critical event reports will occur within 7 days after the
date the event occurred or was identified to have occurred. Assisting CCUs in
their efforts to safeguard participant health, safety and welfare by
demonstrating a willingness to collaborate, discuss and resolve issues that
likely place a participant at increased risk for experiencing future critical
events. Supporting CCU risk mitigation efforts by demonstrating a willingness
to communicate about necessary adjustments to a participant's care plan in
response to a critical event.
b) Unit of Service
1) One unit of in-home service is one hour of
direct service provided to the participant in the participant's home, while
providing transportation/escort, or while running errands and/or shopping on
behalf of the participant.
2) For
services that the provider was unable to provide due to either the
participant's absence without prior provider notification or refusal to admit
the worker into the home to provide service (see Section
240.350
), one unit of documented in-home service per occurrence will be reimbursed to
the provider at a maximum of 2 units per participant per State fiscal
year.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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