Chore Service 525-05-30-20

(Revised 04/01/22 ML #3685)

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Purpose

The purpose of Chore Service is to complete tasks which an individual is not able to complete in order to maintain their home, lawn, or walkway. The chore service tasks authorized must be directly related to the health and safety of the individual, or maintaining access to safe and appropriate housing.

 

Chore Service can provide for the completion of one time, intermittent, or occasional home tasks which enable individuals to remain in their homes.

 

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 Eligibility, Criteria for

The individual receiving Chore Service must meet the following criteria:

  1. Must be eligible for Medicaid Waiver for Home and Community Based Services, SPED, or ExSPED.
  2. For Emergency Response Service, is limited to installation and monthly rental fee. ERS Service is restricted to individuals living alone.
  1. Exception:  If an individual resides in a multiple person household and there are occasions when the individual may be at risk due to the absence of the other household member(s), it is allowable to authorize (ERS) as long as the case manager documents the need and benefit to the individual.
  1. The individual is not able to complete tasks to maintain his/her residence, lawn, or walkway.
  2. The chore activity is a one-time or intermittent task.  
  3. If the individual is a renter, chore services shall not replace the responsibilities of the landlord to complete tasks to maintain the residence, or walkway.
  4. Pre-approval from the Department of Human Services is required if the cost of the service is expected to exceed $500 per month. See Service Tasks listed below for specific tasks that require additional prior approval.
  5. Emergency Response Service is limited to persons cognitively and physically capable of activating the emergency call.

 

Service Tasks

 

   

Professional extermination or sanitation

Need prior approval

Authorized per job, not units

Snow/Ice removal (when measurable snowfall or drifts present a safety hazard to the individual)

Floor care/cleaning of unusual nature, tacking down loose rugs or tiles

Need prior approval

Moving heavy furniture and cleaning on seasonal basis for safety reasons

Cleaning appliances (may include moving to clean around or behind)

Cleaning and garbage removal of unusual nature

Need prior approval

Professional ERS installation and monthly rental fees are allowed --does not include maintenance or repair of ERS

Clean windows (may include seasonal removal of screens or storm windows)

Lawn mowing

The purpose of this service is to maintain access and prevent any barriers to safe and appropriate housing. The service is not to be utilized for cosmetic purposes, but instead to comply with city ordinances related to grass control.

 

Limits:

Limited to seasonal cutting and trimming grass, bagging/dumping.

Does not include landscaping, fertilizing, or weed control.

Maximum service amount is set at once per week.

If a provider is to use an individual's equipment to complete this task, the individual must sign a statement granting permission. The case manager must maintain this statement in the individual's file.

 

Providers

Chore Service 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.