OBJECTIVE: This article provides information about the various services provided by Help at Home in Indiana.
Table of Contents:
Medicaid PA / Home Health Aide Services
Definition: Services provided in an individual's home when the primary Caregiver is unable to provide the care to keep the individual safe in the home due to work or disability. Services must be ordered by an Indiana Medicaid-providing physician as part of a written Plan of Care. Also known as "PA" or "HHA" services, these hours typically require more hands-on activities and are given to individuals who otherwise could not be left alone for long periods of time.
Activities Allowed for HHA Services:
|Bed / Chair Bath
|Standby Assist for Bathing
|Assist with Dressing
|Hair Care / Shampoo
|Check for Pressure Areas
|Nail Care (no clipping)
|Assist with Elimination Activities
|Assist with Mobility positioning
|Assist with Feeding
|Monthly Visitation from RN
Activities NOT Allowed for HHA Services:
- Transportation / Errands
- Medication Management / Administration (reminders only)
- Treatment for Wounds
- Physical Therapy
- Care for Other Individuals in the Home
Who Can Work HHA / PA hours?
Licensed HHAs or CNAs
Who CANNOT Work HHA / PA hours?
Attendant Care ONLY workers, POA, HCR, or the legal guardian of the participant.
Attendant Care Services
Definition: Attendant Care Services involve assistance for aging adults and persons with disabilities. These services are provided in order to allow aging adults or persons with disabilities to remain in their own homes and to carry out functions of daily living, self-care, and mobility. Also known as "ATTC" these services are typically reserved for activities not requiring much training or hands-on care.
Activities Allowed for ATTC Services:
Activities that are essential to the individual's health care needs in order to prevent or postpone institutionalization when provided during the provision of other attendant services.
Activities NOT Allowed for ATTC Services:
- Attendant Care Services will not be provided to medically unstable individuals as a substitute for care provided by a RN, LPN, licensed physician, or other health professional.
- Bed Baths
Who Can Work ATTC hours?
Licensed or non-licensed Caregivers, Family members, or friends who reside in the home.
Definition: Homemaker services offer direct and practical assistance consisting of household tasks and related activities. Homemaker services assist the individual to remain in a clean, safe, healthy home environment. Homemaker services are provided when the individual is unable to meet these needs or when an informal Caregiver is unable to meet the needs for the individual.
Activities Allowed for HMK Services:
Housekeeping tasks which include:
Assistance with meals or nutrition which includes:
Running Errands (without client)
|Assistance with correspondence and bill paying
Activities NOT Allowed for HMK Services:
- Assistance with hands on services such as eating, bathing, dressing, personal hygiene, and ADLs
- Escort services (errand running without patient is allowed)
- Cleaning up the yard (defined as lawn mowing and raking leaves)
Who Can Work HMK hours?
Licensed or non-licensed Caregivers, POA, HCR, or the legal guardian of the participant.
Who CANNOT Work HMK hours?
Parent of a minor child or anyone living in the home
Definition: Respite services are provided temporarily or periodically in the absence of the usual Caregiver. Services may be provided in a client's home or the private home of the Caregiver. Respite = Break for the primary Caregiver.
Activities Allowed for Respite Services:
Home Health Aide or Skilled Nursing services, depending on the level of need and authorization.
Activities NOT Allowed for Respite Services:
- Used as daycare or childcare to allow the person's normally providing care to go to work and / or attend school.
- Used to provide service to a participant while the participant is attending school
Who Can Work Respite hours?
Licensed Home Health Aides, CNAs, LPNs, or RNs depending on the authorization.
Who CANNOT Work Respite hours?
Attendant Care ONLY workers
NOTE: Respite services typically appear in the following codes:
- RHHA (Respite Home Health Aide)
- RLPN (Respite LPN)
- RRN (Respite RN)
NOTE: Respite services are offered through AAA or other funding sources but must be treated exactly like Medicaid PA services. RNCM must admit and follow care as they would a Medicaid PA client.
NOTE: Respite services do not receive an occurrence / overhead.
Source: Indiana Branch Staff