North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 06 - AGING - PROGRAMS OPERATIONS
Subchapter X - STATE IN-HOME SERVICES FUND: IN-HOME AIDE SERVICES
Section .0200 - PROGRAM REQUIREMENTS
Section 06X .0214 - METHODS OF SERVICE PROVISION
Universal Citation: 10A NC Admin Code 06X .0214
Current through Register Vol. 39, No. 6, September 16, 2024
(a) One or more of the methods of service provision enumerated in this Paragraph shall be used to provide In-Home Aide Services.
(1) Direct Provision. County departments of
social services may employ in-home aide services providers as members of their
staff to perform tasks in accordance with
10A NCAC
71Q.0911 and the rules of this Subchapter.
In-home aide services providers are subject to the provisions of the State
Personnel Act and to applicable personnel policies of the county in which they
are employed. Responsibility for the selection, training, assignment to the
clients, supervision and discharge of in-home aide services providers rests
with the county department of social services.
(2) Cash Payment. In-Home Aide Services may
be provided through a cash payment made to an eligible client as reimbursement
for services he has received and for which he has paid. County departments of
social services may make cash advances to eligible clients but may not claim
reimbursement from any federal or state funds until a receipt is provided by
the client documenting that the service has been delivered and paid for. The
cash payment method of provision is utilized only in accordance with the
following arrangement:
(A) The client, or a
person designated by the client, is capable and willing to be responsible for
hiring, firing and supervising the In-Home Aide Services provider and for
carrying out other applicable employer-related responsibilities.
(B) The tasks performed by the provider do
not require supervision by a registered nurse or another professional with
skills appropriate to the tasks being performed for the client.
(C) The client, or a person designated by the
client, provides certification that the provider meets the competency
requirements for the level of tasks provided.
(3) Purchase of Service Contract. In-Home
Aide Services may be purchased from another agency under a purchase of service
contract in accordance with rules set forth in
10A NCAC
67B.
(b) Regardless of the method of service provision, the amount of service provided to each client will be based on individual need.
Authority
G.S.
143B-153;
Eff. December 1,
1991;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. September 6,
2016.
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