Section 29-4220. REIMBURSEMENT RATES: OCCUPATIONAL THERAPY  


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    4220.1Each recipient shall meet the following qualifications to receive personal care aide services reimbursed by the Medicaid waiver program:

     

    (a)Each recipient shall require assistance with activities of daily living;

     

    (b)The recipient shall meet criteria that address functional limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as specified on Form-1728. The recipient shall:

     

    (1)Require extensive assistance or total dependence in at least two (2) of the five (5) activities of daily living (ADLs) as listed on Form-1728; or

     

    (2)Require supervision, limited assistance, extensive assistance, or total dependence in at least two (2) of the five (5) activities of daily living (ADLs) as listed on Form-1728; and

     

    (3)Require supervision, limited assistance, extensive assistance, or total dependence in at least three (3) of the five (5) instrumental activities of daily living (IADLs) as listed on Form-1728.

     

source

Final Rulemaking published at 50 DCR 9025 (October 24, 2003).