Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 277 - Contracting to Provide Primary Home Care
Subchapter D - SERVICE DELIVERY PLAN DEVELOPMENT
Section 277.41 - Allowable Tasks

Universal Citation: 26 TX Admin Code ยง 277.41

Current through Reg. 49, No. 52; December 27, 2024

The PHC Program, CAS Program, and FC Program include the following tasks:

(1) assistance with ADLs, including:

(A) bathing, which is:
(i) drawing water in sink, basin, or tub;

(ii) hauling or heating water;

(iii) laying out supplies;

(iv) assisting in or out of tub or shower;

(v) sponge bathing and drying;

(vi) bed bathing and drying;

(vii) tub bathing and drying; and

(viii) providing standby assistance for safety;

(B) dressing, which is:
(i) dressing the individual;

(ii) undressing the individual; and

(iii) laying out clothes;

(C) meal preparation, which is:
(i) cooking a full meal;

(ii) warming up prepared food;

(iii) planning meals;

(iv) helping prepare meals; and

(v) cutting an individual's food for eating;

(D) feeding/eating, which is:
(i) spoon-feeding;

(ii) bottle-feeding;

(iii) assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and

(iv) providing standby assistance or encouragement;

(E) exercise, which is walking with the individual;

(F) grooming, shaving, or oral care, which is:
(i) shaving;

(ii) brushing teeth;

(iii) shaving underarms and legs, when requested;

(iv) caring for nails; and

(v) laying out supplies;

(G) routine hair or skin care, which is:
(i) washing hair;

(ii) drying hair;

(iii) assisting with setting, rolling, or braiding hair, not including cutting or chemical processing of hair;

(iv) combing or brushing hair;

(v) applying nonprescription lotion to skin;

(vi) washing hands and face;

(vii) applying makeup; and

(viii) laying out supplies;

(H) assistance with self-administration of medication as defined in 26 TAC § 558.2(relating to Definitions);

(I) toileting, which is:
(i) changing diapers;

(ii) changing colostomy bag or emptying catheter bag;

(iii) assisting on or off bedpan;

(iv) assisting with the use of a urinal;

(v) assisting with feminine hygiene needs;

(vi) assisting with clothing during toileting;

(vii) assisting with toilet hygiene, including the use of toilet paper and washing hands;

(viii) changing external catheter;

(ix) preparing toileting supplies and equipment, not including preparing catheter equipment; and

(x) providing standby assistance;

(J) transfer, which is:
(i) non-ambulatory movement from one stationary position to another, not including carrying;

(ii) adjusting or changing the individual's position in a bed or chair (positioning); and

(iii) assisting in rising from a sitting to a standing position; and

(K) ambulation, which is:
(i) assisting in positioning for use of a walking apparatus;

(ii) assisting with putting on and removing leg braces and prostheses for ambulation;

(iii) assisting with ambulation or using steps;

(iv) assisting with wheelchair ambulation; and

(v) providing standby assistance; and

(2) assistance with IADLs, including:

(A) cleaning, including:
(i) cleaning up after the individual's ADLs;

(ii) emptying and cleaning the individual's bedside commode;

(iii) cleaning the individual's bathroom;

(iv) changing the individual's bed linens and making the individual's bed;

(v) cleaning floor of living areas used by the individual;

(vi) dusting areas used by the individual;

(vii) carrying out the trash and setting out garbage for pick up;

(viii) cleaning stovetop and counters;

(ix) washing the individual's dishes; and

(x) cleaning refrigerator and stove;

(B) laundry, including:
(i) doing hand wash;

(ii) gathering and sorting;

(iii) loading and unloading machines in residence;

(iv) using laundromat machines;

(v) hanging clothes to dry;

(vi) folding and putting away clothes; and

(C) shopping, including:
(i) preparing a shopping list;

(ii) going to the store and purchasing or picking up items;

(iii) picking up medication; and

(iv) storing the individual's purchased items; and

(D) escorting, including:
(i) accompanying the individual outside the home to support the individual in living in the community;

(ii) arranging for transportation, not including direct individual transportation;

(iii) accompanying the individual to a clinic, doctor's office, or location for medical diagnosis or treatment; and

(iv) waiting in the doctor's office or clinic with an individual if necessary due to client's condition or distance from home.

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