Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter II - Specific Policies By Service
Section 144-101-II-19 - Home and Community Benefits for the Elderly and Adults with Disabilities
Appendix 144-101-II-I - TASK TIME ALLOWANCES
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ADL = Activities of Daily Living |
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Activity |
Definitions |
Time Estimates |
Considerations |
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Bed Mobility |
How a person moves to and from lying position, turns side to side and positions body while in bed |
5 - 10 minutes |
Positioning supports, cognition, pain, disability level |
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Transfer |
How a person moves between surfaces to/from: bed, chair, wheelchair, standing position (exclude to/from bath/toilet) |
5 - 10 minutes Up to 15 minutes |
Use of slide board, gait belt, swivel aid, supervision needed, positioning after transfer, cognition Mechanical lift transfer |
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Locomotion |
How a person moves between locations in his/her room and other areas on same floor. If in wheelchair, self-sufficiency once in chair |
5 - 15 minutes Document time and number of times done in Authorized Plan of Care |
Disability level, type of aids used, cognition, pain |
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Dressing & Undressing |
How a person puts on, fastens and takes off all items of street clothing, including donning and removing prosthesis |
20 - 45 minutes |
Supervision, disability, cognition, pain, type of clothing, type of prosthesis |
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Eating |
How a person eats and drinks, regardless of skill |
5 minutes Set up, cut food and place utensils 30 minutesIndividual is fed 30 minutes Supervision of an individual feeding himself or herself |
Chewing issues, swallowing issues, cognitive impairments, mobility issues |
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Toilet Use |
How a person uses the toilet room (or commode, bedpan, urinal); transfers on/off toilet, cleanses, changes pad, manages ostomy or catheter and adjusts clothes |
5 -15 minutes/use |
Bowel, bladder program, ostomy regimen, catheter regimen, cognition |
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Personal Hygiene |
How a person maintains personal hygiene (exclude baths and showers) |
20 min/day Washing face, hands, perineum, combing hair, shaving and brushing teeth 20 min/week Shampoo (only if done separately) 15 min up to 3 times/week Nail Care 20 min/week |
Disability level, pain, cognition, adaptive equipment |
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Walking |
a. How a person walks for exercise only b. How a person walks around own room c. How a person walks within home d. How a person walks outside |
Document time and number of times in Authorized Plan of Care, and level of assistance needed |
Disability, cognition, pain, mode of ambulation (cane), prosthesis needed for walking |
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Bathing |
How a person takes full-body bath/shower, sponge bath (exclude washing of back, hair), and transfers in/out of tub/shower |
15 - 30 minutes |
If shower used and shampoo done then consider as part of activity, cognition |
IADL = Instrumental Activities of Daily Living
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Activity |
Definitions |
Time Estimates |
Considerations |
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Light Meal, Lunch & Snacks |
Preparation and clean up |
5 - 20 minutes |
Member participation; type of food preparation; number of meals in Authorized Plan of Care and reparation preparation for more than one meal |
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Main Meal Preparation |
Preparation and cleanup of main meal |
20 - 40 minutes |
Is Meals on Wheels, Home Delivered Meals, or another meal-based service being used? Preparation time for more than one meal and member participation |
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Light Housework/ Routine Housework |
Dusting, picking up living space Kitchen housework- put the groceries away, general cleaning Making/changing beds Total floor care all rooms and bathrooms Garbage/trash disposal Non-routine tasks, outside chores, seasonal |
30 min - 1. 5 hr. /week |
Size of environment, member needs and participation, others in household |
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Grocery Shopping |
Preparation of list and purchasing of goods |
45 min - 2 hours/week |
Other errands included: bills, banking and pharmacy. Distance from home |
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Laundry: In-Home |
Sort laundry, wash, dry, fold and put away |
30 minutes/load, 2 loads/week |
Other activities which can be done if laundry is done in the house or apartment |
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Laundry: Out of Home |
Sort laundry, wash, dry, fold and put away |
2 hours/week |
Task time allowances are used for the authorization of covered services under this Section. Refer to Section 19.04.
These allowances reflect the time normally allowed to accomplish the listed tasks. The Authorized Entity will use these allowances when authorizing a member's Authorized Plan of Care for covered services. If these times are not sufficient when considered in light of a member's extraordinary unique circumstances as identified by the Authorized Entity, the Authorized Entity may make an appropriate adjustment as long as the authorized hours do not exceed the allowable cap.
