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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-42. HOME AND COMMUNITY-BASED WAIVER FOR PERSONS WHO ARE ELDERLY AND INDIVIDUALS WITH PHYSICAL DISABILITIES |
Section 29-4299. DEFINITIONS: WAIVER SERVICES
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4299.1When use in this chapter, the following terms shall have the meaning ascribed:
Activities of Daily Living - shall have the same meaning as set forth in D.C. Official Code § 44-102.01(1).
Advanced Practice Registered Nurse - a person who is licensed or authorized to practice as an advanced practice registered nurse pursuant to the District of Columbia Health Occupations Revisions Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1201 et seq.).
Assisted Living Services - hands-on care provided in an assisted living residence, of both a supportive and health-related nature, specific to the needs of an older person or a person with disabilities. Supportive services include activities associated with providing or coordinating personalized assistance through activities of daily living, recreational activities, 24 hour supervision, and provision or coordination of health services and instrumental activities of daily living.
Assisted Living Residence - shall have the same meaning as set forth in D.C. Official Code § 44-102.01 (4).
Case Management Agency - an agency under contract with the Medical Assistance Administration (MAA) to provide case management services to waiver recipients.
Case Management Services - services that assist an applicant or recipient in gaining access to Medicaid waiver services and Medicaid State Plan services.
Case Manager - a staff person from the case management agency who performs case management services.
Chore Aide - one-time non-medical, non-continuous household remediation tasks intended to place the home environment in a clean, sanitary, and safe condition, and to prepare the home environment for ongoing routine home care services.
Communicable Disease - as defined in D.C. Official Code § 7-132 and 22 DCMR § 201 of the District of Columbia Public Health and Medicine Regulations.
Emergency Situation - any urgent condition perceived as requiring immediate medical or significant intervention or one in which the perceived behavior poses a risk or danger to oneself or others.
Environmental Accessibility Adaptation (EAA) - physical adaptations to the home that are necessary to ensure the health, welfare, and safety of the individual, or that enable the individual to function with greater independence in the home, and without which, the individual would require institutionalization.
Handicap Accessibility Improvement Program (HAIP) - a program offered by the D.C. Department of Housing and Community Development, Residential and Community Services Division, that offers assistance to low income disabled individuals who need to improve accessibility and remove barriers restricting mobility within their homes.
Family - any person related to the recipient by blood, marriage, or adoption.
Home- and Community-Based Services (HCBS) - the entire range of supportive services that help the elderly or persons with physical disabilities live independently in their homes and communities.
Home and Community-Based Waiver- known as the 1915(c) waiver under the Social Security Act that allows a state Medicaid Program to offer to beneficiaries at risk of institutionalization in a nursing facility or facility for the mentally retarded a number of services that would otherwise not be covered with federal matching funds.
Home Health Agency - an agency, organization, or distinct part thereof, other than a hospice, that provides, either directly or through a contractual arrangement, a program of health care, habilitative or rehabilitative therapy, personal care services, homemaker services, chore services, or other supportive services to sick or disabled individuals living at home or in a community residence facility. The term "home health agency" shall not be construed to require the regulation and licensure of non-medical services delivered by or through a religious organization on a small-scale, volunteer basis.
Homemaker - services consisting of general household activities (meal preparation, and routine household care) when the individual regularly responsible for these activities is temporarily absent, unable to manage the home, or care for himself/herself.
Individualized Service Plan (ISP) - a plan of action formalized with the recipient/representative and one or more health care professionals based upon the nature of the recipient's illness and identified needs. The plan includes the recipient's health care and supportive needs, and the approaches recommended for meeting those needs. Modifications are made to the plan, as required, to ensure the optimal outcomes for the recipient.
Instrumental Activities of Daily Living-shall have the same meaning as set forth in D.C. Official Code § 44-102.01 (15).
Medicaid - a federal-state program established by Title XIX of the Social Security Act, which provides payment of medical expenses for eligible persons who meet income and/or other criteria.
Medical Assistance Administration (MAA) - the Administration within the District of Columbia Department of Health responsible for administering all Medicaid services under Title XIX (Medicaid) for eligible participants, including the Medicaid Managed Care Program and oversight of its managed care contractors.
Personal Care Aide - a person who has successfully completed the state or District of Columbia established training program and meets the competency evaluation requirements. Tasks include assistance with activities of daily living and instrumental activities of daily living.
Personal Care Aide Services - services involving assistance with one or more activities of daily living that is rendered by a qualified personal care aide under the supervision of a registered nurse.
Personal Emergency Response System (PERS) - an electronic system that enables an individual to secure help in an emergency from a friend, relative, or an emergency service provider (police, fire department, or ambulance). PERS services are limited to those recipients who live alone or are alone for significant parts of the day and who have no regular caregiver for extended periods of time, and who would otherwise require extensive routine supervision.
Physician - a person who is licensed or authorized to practice medicine pursuant to the District of Columbia Health Occupations Revisions Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code, § 3-1201 et seq.).
Provider - any entity that meets the waiver service requirements, has signed an agreement with MAA to provide those services, and is enrolled by MAA to provide services to waiver recipients.
Purified Protein Derivative (PPD) - a tuberculin solution that is used in skin tests for tuberculosis.
Registered Nurse - a person who is licensed or authorized to practice registered nursing pursuant to the District of Columbia Health Occupations Revisions Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code, § 3-1201 et seq.).
Resident- shall have the same meaning as set forth in D.C. Official Code § 44-102.01 (19).
Respite - services that include the provision of companionship, supervision, or assistance with activities of daily living and instrumental activities of daily living for waiver recipients in their home or temporary place of residence in the temporary absence of the primary caregiver. Respite services may also be provided in a Medicaid certified nursing facility or a group home.