Section 471-44-002 - DEFINITIONSThe definitions set out in Neb. Rev. Stat. § 68-907 and the following definitions apply:
002.01ACTIVITIES OF DAILY LIVING (ADL). Activities related to personal care, including but not limited to bathing or showering, continence, dressing, grooming, transferring to and from a bed or chair, mobility, toileting, and eating.002.02BATHING. A person's ability to take a full-body bath or shower, including but not limited to transferring in and out of tub or shower and bathing each part of the body.002.03CONTINENCE. A person's ability to control their body to empty the bladder or bowel on time or change incontinence pads or briefs, cleansing, or disposing of soiled articles.002.04DRESSING. A person's ability to put on and remove clothing from upper and lower body, including but not limited to the ability to put on or remove physician ordered prosthetic or orthotic devices.002.05EATING. A person's ability to eat and drink, including but not limited to intake of nourishments by other means, such as tube feeding or total parenteral nutrition.002.06GROOMING. A person's ability to manage personal hygiene, including but not limited to combing hair, brushing teeth, and washing and drying self.002.07HOME AND COMMUNITY-BASED WAIVER SERVICES FOR AGED PERSONS OR ADULTS OR CHILDREN WITH DISABILITIES. An array of community-based services available to individuals who are eligible for nursing facility (NF) services under Medicaid but choose to receive services at home. The purpose of the waiver services is to offer alternative service delivery options to Medicaid recipients who would otherwise receive services in a nursing facility (NF) or other institutional setting.002.08HOSPICE. Hospice or hospice services shall meet the definition in 471 Nebraska Administrative Code (NAC) 36.002.09LEGAL REPRESENTATIVE. Any person who has been vested by law with the power to act on behalf of an individual. The term includes a guardian appointed by a court of competent jurisdiction in the case of an incompetent individual or minor, or a person acting under a valid power of attorney.002.10LEVEL OF CARE (LOC) DETERMINATION. Medicaid's evaluation to determine whether an individual requires the supports typically provided by a nursing facility (NF) or other institutional setting.002.11LIMITATION. When a person has difficulty performing tasks associated with an activity of daily living (ADL) by themselves, or is unable to perform the tasks at all.002.12LEVEL II EVALUATION. See 471 NAC 12.002.13MEDICAID-ELIGIBLE. See 471 NAC 12.002.14MOBILITY. A person's ability to move from place to place indoors or outside, by walking or other locomotion.002.15NURSING FACILITY (NF). See 471 NAC 12.002.16PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). A program that provides comprehensive, coordinated health care and long-term services and supports for voluntarily enrolled individuals. Program of All-inclusive Care for the Elderly (PACE) provides another alternative along the continuum of available long-term care services and supports to enable participants to continue to live in their homes and communities.002.17TOILETING. A person's ability to use the toilet, commode, bedpan, or urinal, including but not limited to how a person cleanses self after toilet use, manages ostomy or catheter, and adjusts clothes.002.18TRANSFERRING. A person's ability to move from one place to another, including but not limited to bed to chair and back, into and out of a vehicle, and on and off toilet or commode.471 Neb. Admin. Code, ch. 44, § 002
Adopted effective 6/26/2021Amended effective 5/11/2022