Current through September 17, 2024
This section contains material which governs:
(1) The authorization and provision of
homemaker; and
(2) The evaluation
and approval of homemaker providers
004.01
HOMEMAKER DEFINITION FOR
ADULTS. Homemaker services is not provided based on the demand of
the recipient. The instruction provided by the homemaker must maintain or
strengthen the recipient's capacity to function in the most independent living
situation possible.
004.02
HOMEMAKER TASKS. Recipients approved for homemaker
services receive assistance with the following tasks:
(A) Organization of household activities and
time management;
(B) Management,
maintenance, arrangement, cleaning, and care of home appliances, equipment,
eating utensils, furniture, and supplies;
(C) Obtaining, storing, planning, preparing,
and serving nutritious food for self or family;
(D) Management, supervision, training, and
proper care of infants, children, or incapacitated family members;
(E) Obtaining and properly caring for
clothing, household supplies, and sundry needs of self or family;
(F) Maintenance of sanitation within the
home;
(G) Maintenance of personal
hygiene and health practices for self and family members, if
applicable;
(H) Obtaining any
necessary medical care and treatment;
(I) Management and proper use of income and
resources; and
(J) Maintaining
proper relationships and communication with family members.
004.03
RECIPIENTS
SERVED. Eligible recipients include:
(A) Current Supplemental Security Income
State Supplemental recipients; or
(B) Low income aged or disabled
persons.
004.04
HOMEMAKER NEED. Eligible recipients must:
(A) Have an identified service need;
and
(B) Be unable to maintain safe
and adequate homemaking practices within their own living facilities. This
inability may be caused by:
(i) A change in
living situation within the past 12 months;
(ii) Recent death of or other separation from
the usual homemaker;
(iii)
Adjustment to a recent medical condition; or
(iv) A household crisis.
004.05
LIVING
ARRANGEMENT. Applicants and recipients living in a congregate
facility are not eligible for homemaker service if the facility:
(A) Is responsible to provide either
homemaker service; and
(B) Includes
the cost of homemaker service in its rate.
004.06
LIMITS FOR ADULT
PROTECTIVE SERVICES WITHOUT REGARD TO INCOME RECIPIENTS. Based
upon the service needs assessment, the homemaker services can be authorized for
recipients eligible without regard to income for a maximum of 31 days in
situations of abuse or neglect for an individual age 18 or older.
004.07
MAXIMUM RATES AND
ALLOWABLE UNITS. The following guidelines of rate and allowable
units are applicable to homemaker services:
(A)
RATES. homemaker
rate of pay matches the federal minimum wage. Periodic increases or decreases
may be made to the homemaker service rate in a percentage amount corresponding
with legislative appropriations or budget directives from the Nebraska
Legislature which result in general Medicaid service provider increases or
decreases.
(B)
FREQUENCY. The frequency of service is by the
hour.
(C)
MAXIMUM
ALLOWABLE UNITS. The maximum allowable units 65 hours per month
for homemaker services.
(D)
TIME LIMIT. Maximum of six months. Services beyond six
months must receive approval from the Department.
004.08
HOMEMAKER PROVIDER
REQUIREMENTS. Homemakers participating as providers must:
(A) Have experience in performing homemaker
tasks;
(B) Be free of communicable
disease, have the physical capability to provide service, and be willing to
provide a physician's verification statement if requested;
(C) Exhibit good grooming and personal
hygiene practices;
(D) Demonstrate
acceptance of, respect for, and a positive attitude toward other people,
especially those who are aged or disabled;
(E) Exhibit emotional maturity in assuming
responsibility, maintaining schedules, and adapting to new situations;
and
(F) Possess the necessary
skills to demonstrate, complete and instruct individuals to adopt proper
activities to overcome identified deficiencies; and
