(Revised 11/1/21 ML #3640)
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Purpose
Supervision may be provided to assist eligible recipients who live alone or with an individual who is not identified as a relative within the definition of family home care under subsection 4 of N.D.C.C. 50-06.2-02.
If the individual who is requesting supervision services lives with their former spouse or one of their following relatives, or the current or former spouse of one of their following relatives, they are not eligible for supervision: Parent, grandparent, adult child, adult sibling, adult grandchild, adult niece or adult nephew.
Up to 24 hours of supervision may be provided to individuals who, because of their disability, need monitoring to assure their continued health and safety. Recipients must have a need for supervision as described in this chapter.
Service Description
An individual could be considered to have a need for supervision if, because of their impairment, they have delusions, hallucinations, severe depression, emotionally labile (severe mood swings) and or other behaviors like screaming, hitting, kicking, biting, wandering, hyperactivity, aggression, inappropriateness, elopement (running away), or frequent falls that may require human intervention to safeguard the individual from harm. (The list of behaviors/needs is not an all-inclusive list).
Service Eligibility, Criteria for
The individual receiving supervision will meet the following criteria:
Service Location
Services will be administered in the most integrated setting consistent with the Person Centered Plan of Care, including (checked if allowable):
ü The individual's home
□ Workplace
□ Other community service settings
Service Tasks/Activities
Allowable supervision tasks include: Having the knowledge of, and account for, the activity and whereabouts of the individual at all times to allow immediate provider intervention as necessary to safeguard the individual from harm. During the time that the provider is supervising the individual and is not actively providing personal care or homemaker tasks etc., they may play games, visit, read, and participate in activities with the individual. If the individual is physically able, they may also participate in activities on or around the individual's home such as gardening, or going for short walks etc.
The following tasks are not considered allowable tasks under this chapter because they would be provided under personal care or homemaker:
Bathing, dress/undress, eye care, feeding/eating, hair/care/shaving, incontinence, mobility, nail (finger) care, skin care, teeth/mouth care, toileting, transferring/turning/ positioning. The global endorsements of exercise, hoyer lift/mechanized bath chair, indwelling catheter, medical gases, prosthetic, orthotics, suppository, bowel program, ted socks, Temp/BP/pulse/respiration rate. The client specific endorsements of apnea monitor, jobst stockings, ostomy care, postural /bronchial drainage, ric bed care. Communication, housework, laundry, meal preparation money management, and shopping are not allowable service tasks under this service. Individuals who live alone or with a non-relative are still eligible for home maker services. Medication assistance is not an allowable task under this service.
Supervision outside of the individual's home
Payment cannot be made for time performing authorized supervision tasks outside of the individual's home/grounds.
Cognitively Impaired Individuals, Services to
For cognitively impaired individuals who are receiving less than 24 hours of personal care with supervision, the care plan must identify how the daily care needs are being met (including supervision) during the time no provider is in the home. During those periods of time when personal care with supervision service is not being provided, cooperative and coordinated efforts of meeting the needs of the individual by the family, other informal providers, must be identified.
Service Activities, Authorized and Limits
Authorizing Service
Example: If an individual requiring 24/7 supports receives 4 hours of informal supports and 6 hours per day of personal care, they would be eligible for 14 hours of supervision.
Standards for Providers
Supervision providers must meet the same standards as respite providers that includes having the global endorsement for cognitive/supervision.
Providers
Supervision may be provided by the following individual QSP's or employees of a QSP agency (checked if allowable):
□ Guardian
□ Legally Responsible Person - Legal spouse or parent of a minor child.
üRelative within the definition of Family Home Care under subsection 4 of N.D.C.C. 50-06.2-02.