Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 474 - SOCIAL SERVICES FOR FAMILIES, CHILDREN AND YOUTH
Chapter 1 - GENERAL PROGRAM REQUIREMENTS.
Section 474-1-015 - DEFINED SERVICES

Universal Citation: 474 NE Admin Rules and Regs ch 1 ยง 015

Current through September 17, 2024

This section discusses the allowable homemaker services for eligible recipients.

015.01 HOMEMAKER SERVICES. Services are not provided based upon on the demand of the applicant or recipient. The services provided by the homemaker must maintain or strengthen the family's capacity to function as independently as possible.

015.01(A) HOMEMAKER GOALS. The goals of Homemaker Services for Families are:
(i) Achieving or maintaining economic self-support to prevent, reduce or eliminate dependency;

(ii) Achieving or maintaining self-sufficiency, including reduction or prevention of dependency; and

(iii) Preventing or remedying neglect, abuse or exploitation of children unable to protect their own interests.

015.02 ALLOWED HOMEMAKER SERVICES FOR FAMILIES. The services allow in-home assistance and instruction provided by a homemaker to maintain and strengthen families and alleviate stresses in the home.

015.02(A) SERVICES DUE TO ILLNESS OR HOSPITALIZATION. In-home or out-ofhome supervision and care of children may be provided for up to 24 hour per day due to temporary absence of the parent or usual caretaker due to hospitalization or the parent or usual caretaker's need for assistance during recovery from illness.

015.02(B) OUT-OF-HOME INSTRUCTION. Out of home instruction may be provided by homemaker service providers or service workers in foster care or child protective services cases to:
(i) Maintain and strengthen families and alleviate stresses in the home; or

(ii) Prepare the natural family for the return of the child to the home.

015.02(C) HOMEMAKER TASKS. The homemaker service provider shall identify areas of inadequate family functioning and need for training or assistance in:
(i) Management, supervision, training and proper care of children or incapacitated family members;

(ii) Organization of household activities and time management;

(iii) Management, maintenance, arrangement, cleaning and care of home appliances, equipment, eating utensils, furniture and supplies;

(iv) Obtaining, storing, planning, preparing, and serving nutritious food for the recipient and the family, including accommodating special diets;

(v) Obtaining and properly caring for clothing, household supplies, and sundry needs of self or family, including laundry tasks;

(vi) Maintenance of sanitation within the home;

(vii) Maintenance of personal hygiene and health practices for self or family members;

(viii) Obtaining any necessary medical care and treatment;

(ix) Management and proper use of income and resources; and

(x) Maintaining proper relationships and communication with family members.

015.03 AUTHORIZING ELIGIBLE RECIPIENTS. Services may be authorized only for the following parents or caretakers:

(1) Current Aid to Dependent Children program recipients;

(2) Low income Families; or

(3) Families eligible without regard to income.

015.03(A) NEED FOR SERVICE. Eligible families must also have an identified homemaker service need.

015.04 MAXIMUM RATE AND UNIT AUTHORIZATION. The Department establishes the maximum rate and the authorized units with the provider based upon the recipient's needs.

015.05 AUTHORIZATION LIMITS. When authorizing homemaker services, the Department provides instruction to the homemaker including the assistance to be performed by the homemaker and the time frames in which the recipient is to learn to perform each authorized homemaking task.

015.06 HOMEMAKER PROVIDER REQUIREMENTS. All Homemaker providers must:

(A) Meet all the provider standards in 474 NAC 1-014.11;

(B) Have experience in performing homemaking tasks;

(C) Be free of communicable disease, have the physical capability to provide service and be willing to provide a medical provider's statement if the worker requests one;

(D) Exhibit good grooming and personal hygiene practices;

(E) Demonstrate acceptance of, respect for, and a positive attitude toward other people;

(F) Exhibit emotional maturity in assuming responsibility, maintaining schedules, and adapting to new situations;

(G) Possess the necessary skills to demonstrate, complete and instruct individuals in performing identified homemaker tasks;

(H) Observe and report all changes to the Department;

(I) Participate in or show proof of past participation in training related to the abuse and neglect of children and demonstrate an understanding of this problem before providing service in child protective service cases; and

(J) Participate in or show proof of past participation in training related to permanent planning for children before providing service to natural parents in foster care cases.

Disclaimer: These regulations may not be the most recent version. Nebraska 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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