(A) " Choices home care attendant service" ("CHCAS") means a service that provides supports specific to the needs of an individual consumer with impaired physical or cognitive functioning. Allowable home care attendant services include, but are not limited to:
(1) Personal assistance with bathing, dressing, grooming, caring for nail, hair and oral hygiene, shaving, deodorant application, skin care, foot care, ear care, feeding, toileting, ambulation, changing position in bed, assistance with transfers, normal range of motion, and nutrition and fluid intake;
(2) General household assistance with the planning, preparation and clean-up of meals, laundry, bed-making, dusting, vacuuming, shopping and other errands, the replacement of furnace filters, waste disposal, seasonal yard care and snow removal;
(3) Heavy household chores including, but not limited to, washing floors, windows and walls, tacking down loose rugs and tiles, moving heavy items of furniture to provide safe access and egress;
(4) Assistance with money management and correspondence as directed by the consumer; and,
(5) Escort services and transportation to community services, activities and resources. This activity is offered in addition to medical transportation available under the medicaid state plan, and may not replace it. Whenever possible, other sources, which can provide this service without charge, must be utilized.
(B) Requirements for a choices homecare attendant service in addition to the conditions of participation under rule 173-39-02 of the Administrative Code:
(1) Certified providers who transport a consumer for any reason must ensure that the driver has a valid drivers license, and proof of collision and liability insurance for each vehicle used.
(2) Oversight: The consumer is the employer of record and is responsible for supervising the provider. As used in this paragraph, "employer of record" means the consumer who employs the provider; supervises the provider; pays the appropriate state, federal, and local taxes; and pays premiums for worker's compensation and unemployment compensation insurance. ODA provides the support of a financial management service (FMS) to the consumer to act as the agent of the common-law employer with the consumer-directed individual provider that he or she employs.
(3) Provider qualifications:
(a) Only a consumer-directed individual provider that ODA certifies or an agency provider that ODA certifies shall furnish the service.
(b) Prior to service initiation, the CHCAS worker must complete training provided by the consumer or his designee, and must demonstrate competency in skills appropriate to the consumer's needs.
(c) At the request of a consumer, the CHCAS worker must participate in an interview with the consumer prior to service initiation.
(C) Rates and units:
(1) One unit of choices home care attendant service is equal to fifteen minutes.
(2) The maximum rate allowable for the service is established in the appendix to rule 5160-1-06.4 of the Administrative Code for the choices program.
R.C. 119.032 review dates: 08/12/2013 and 11/11/2018
Promulgated Under: 119.03
Statutory Authority: 173.01 , 173.02 , 173.391 , Section 323.110 of H.B.59 (130th G.A.)
Rule Amplifies: 173.391
Prior Effective Dates: 03/31/2006