Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.34 - DEVELOPMENTAL DISABILITIES PROGRAM
Subchapter 37.34.9 - 0208 Medicaid Home and Community-Based Services Program
Rule 37.34.942 - 0208 MEDICAID HOME AND COMMUNITY-BASED SERVICES PROGRAM: HOMEMAKER

(1) Homemaker services are general household activities performed when the person regularly responsible for these activities is unable to manage the home or care for self or others in the home or is engaged in providing habilitation and support services to the waiver recipient. Homemaker tasks are strictly for the waiver recipient and for no other members of the household.

(2) Homemaker services may include meal preparation, cleaning, simple household repairs, laundry, shopping for food and supplies, and other routine household care.

(3) Homemaker services do not include the provision of personal care services as described in ARM 37.34.957.

(4) Homemaker services are not available to persons in residential settings in which primary care is funded 24/7 by the DDP.

(5) Homemaker services must be bundled with other services when delivered as a component of self-directed (SD) services and supports and is therefore not available as a discrete service to waiver recipients receiving SD services and supports.

(6) A homemaker must have successfully completed a background check to provide this service when only the waiver recipient is in attendance when the service is provided. In such circumstance, the homemaker will not be reimbursed for services provided when a successful background check has not been completed.