10 Colo. Code Regs. § 2505-10-8.490
Current through Register Vol. 47, No. 11, June 10, 2024
Section 10 CCR 2505-10-8.490 - HOMEMAKER SERVICES8.490.1DEFINITIONSHomemaker Provider Agency means a provider agency that is certified by the state fiscal agent to provide Homemaker Services.
Homemaker Services means general household activities provided in the home of an eligible client provided by a Homemaker Provider Agency to maintain a healthy and safe home environment for a client, when the person ordinarily responsible for these activities is absent or unable to manage these tasks.
8.490.2ELIGIBLE CLIENTS8.490.2.A. Homemaker Services are available to clients in the Home and Community Based Services waivers for Elderly, Blind and Disabled and Persons with Mental Illness. 8.490.2.B. Homemaker Services are available to clients in the Home and Community Based Services waiver for Persons with Brain Injury when the client is also receiving personal care services. 8.490.3BENEFITS8.490.3.A. Covered benefits shall be for the benefit of the client and not for the benefit of other persons living in the home. Services shall be applied only to the permanent living space of the client.8.490.3.B. Benefits include: 1. Routine light housecleaning, such as dusting, vacuuming, mopping, and cleaning bathroom and kitchen areas.7. Teaching the skills listed above to clients who are capable of learning to do such tasks for themselves. Teaching shall result in a decrease of weekly units required within ninety days. If such a savings in service units is not realized, teaching shall be deleted from the care plan.8.490.3.C. Benefits do not include: 1. Personal care services.2. Services the person can perform independently.3. Homemaker services provided by family members per 10 CCR 2505-10 section 8.485.200.F8.490.3.D. Homemakers Services provided in uncertified congregate facilities are not a benefit.8.490.4HOMEMAKER PROVIDER AGENCY RESPONSIBILITIES8.490.4.A. All providers shall be certified by the Department as a Homemaker Provider Agency.8.490.4.B. The Homemaker Provider Agency shall conform to all general certification standards and procedures at 10 CCR 2505-10 section 8.4878.490.4.C. The Homemaker Provider Agency shall assure and document that all staff receive at least eight hours of training or have passed a skills validation test prior to providing unsupervised homemaker services. Training or skills validation shall include: 1. The areas detailed in 10 CCR 2505-10 section 8.490.3.B.2. Proper food handling and storage techniques.3. Basic infection control techniques including universal precautions.4. Informing staff of policies concerning emergency procedures.8.490.4.D. All Homemaker Provider Agency staff shall be supervised by a person who, at a minimum, has received training or passed the skills validation test required of homemakers, as specified above. Supervision shall include, but not be limited to, the following activities:1. Train staff on agency policies and procedures.2. Arrange and document training.3. Oversee scheduling and notify clients of schedule changes.4. Conduct supervisory visits to client's homes at least every three months or more often as necessary for problem resolution, staff skills validation, observation of the home's condition and assessment of client's satisfaction with services.5. Investigate complaints and critical incidents.8.490.5REIMBURSEMENT8.490.5.A. Payment for Homemaker Services shall be the lower of the billed charges or the maximum rate of reimbursement set by the Department. Reimbursement shall be per unit of 15 minutes.8.490.5.B. Payment does not include travel time to or from the client's residence.8.490.5.C. If a visit by a home health aide from a home health agency includes Homemaker Services, only the home health aide visit shall be billed.8.490.5.D. If a visit by a personal care provider from a personal care provider agency includes Homemaker Services, the Homemaker Services shall be billed separately from the personal care services.8.490.5.E. Each visit shall be billed to the Medicaid fiscal agent with the following documentation to be retained at the provider agency 1. The nature and extent of services.2. The provider's signature.3. The date and time of arrival and departure from a client's home.