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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 29-50. MEDICAID REIMBURSEMENTS FOR PERSONAL CARE AIDE SERVICES |
Section 29-5099. DEFINITIONS
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5099.1When used in this chapter, the following terms and conditions shall have the following meanings:
Activities of Daily Living - The ability to bathe, transfer, dress, eat and feed self, engage in toileting, and maintain bowel and bladder control (continence).
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 Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201 et seq. (2012 Repl. & 2015 Supp.)).
Authorized representative – Any person other than a provider:
(a) Who is knowledgeable about a beneficiary’s circumstances and has been designated by that person to represent him or her; or
(b) Who is legally authorized either to administer a beneficiary’s financial or personal affairs or to protect and advocate for his/her rights.
Cueing - Using verbal prompts in the form of instructions or reminders to assist persons with activities of daily living and instrumental activities of daily living.
Department of Health Care Finance – The executive agency of the government responsible for administering the Medicaid program within the District of Columbia, effective October 1, 2008.
Family - Any person related to the client or beneficiary by blood, marriage, or adoption.
Limited English Proficient- Individuals who do not speak English as their primary language and who have a limited ability to read, write, speak or understand English.
Order – A formal, written instruction signed by a physician or APRN. regarding a specific patient’s medical care, treatment or management. An order for PCA services may only be written by a physician or APRN in accordance with § 5006.1.
PCA Service Authorization Form – A form that has been developed or approved by DHCF that identifies the amount, duration and scope of PCA services and the number of hours authorized based upon a face-to-face assessment in accordance with § 5003.
Primary care physician - A person who is licensed or authorized to practice medicine pursuant to the District of Columbia Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201 et seq. (2012 Repl. & 2015 Supp.)).
Registered Nurse - A person who is licensed or authorized to practice registered nursing pursuant to the District of Columbia Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201 et seq. (2012 Repl. & 2015 Supp.)).
Significant change - Changes in a beneficiary’s health status that warrants an increase of decrease of supports/services outlined in their plan of care.
Staffing Agency – Shall have the same meaning as set forth in the Nurse Staffing Agency Act of 2003, effective March 10, 2004 (D.C. Law 15-74; D.C. Official Code §§ 44-1051.01 et seq.).
Start of Care – The first date upon which a beneficiary receives or is scheduled to receive PCA services.