(Revised 04/01/22 ML #3685)
Purpose
The purpose of family personal care (FPC) is to assist individuals to remain with their family members and in their own communities by allowing individuals who want to choose their spouse or one of the following family members as defined under N.D.C.C. 50.06.2-02; parent, grandparent, adult child, adult sibling, adult grandchild, adult niece, or adult nephew, as their family personal care service provider.
Service Eligibility, Criteria for
The individual receiving Family Personal Care will meet the following criteria:
Service Tasks/Activities
The service tasks/activities within the scope of this service chapter are identified on the Preauth, and only those tasks/activities listed on the SFN 1012, Monthly Rate Worksheet, can be approved and authorized.
Tasks of laundry, shopping, housekeeping, meal preparation, money management, and communication are allowed only when the service activity benefits the individual.
The department may pay a provider for homemaker tasks that would otherwise be considered the individual’s share of the responsibility to complete the task. An example of this would be authorizing housekeeping for the individual’s personal private space OR their shared responsibility of cleaning the common living space.
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
ü Other community service settings
Out-of-Home Care
Payment can be made for days the individual is receiving the SAME care from the SAME caregiver-QSP although not in the home they otherwise mutually share. No payment is allowed for individuals out-of-state with the exception of individuals seeking medical care out of state unless prior approval has been given by an HCBS Program Administrator.
For care out of state, prior approval must be granted from the HCBS Program Administrator.
Provider need not be Present in the Home on a 24-Hour Basis
This provision within the Family Personal Care service is appropriate for individuals who can be left alone for routine temporary periods of time (e.g. part-time employment of the qualified family member) without adverse impact to the individual’s welfare and safety. The individual must agree to be left alone.
Limitations
Family Personal Care cannot be combined with adult residential care, adult foster care, extended personal care, and transitional living.
Providers
Family Personal Care is provided by the live-in qualified family member. The family member may also have the following relationship to the eligible individual (checked if allowable):
ü Guardian
ü Legally Responsible Person - Legal spouse or parent of a minor child.
Service Combinations
Family Personal Care is an all-inclusive 24-hour service. Therefore, respite care service and Emergency Response System (ERS) along with Family Personal Care is acceptable only as described under the following circumstances:
If individual cannot be safely left alone or supervision is an authorized task on the MRW respite care must be authorized so the qualified family member can take necessary breaks away from their caregiving responsibilities.
- Respite care must be authorized because FPC providers cannot delegate their care to another individual if an individual cannot be safely left alone.
- If informal respite is in place and of benefit to the individual, the case manager must document that formal respite care was offered and declined.