Homemaker Service 525-05-30-35
(Revised 1/1/15 ML #3428)
The purpose of Homemaker Service is to complete
intermittent or occasional environmental tasks that an elderly or disabled
individual is not able to complete him or herself in order to maintain
that individual's home.
Eligibility Criteria for
The individual receiving homemaker service
will meet the following criteria:
- Must be eligible for the
Medicaid Waiver for Home and Community Based Services, SPED, or
- Needs assistance with environmental
tasks that are within the scope of this service.
- Has no informal network
or other agency available/capable/willing to complete environmental task(s)/activities.
The client must live-alone or the person(s) living with the client is/are
not capable or obligated to complete the task(s). Homemaking services
cannot be approved when they are completed for the benefit of both the
client and the provider.
If the live-in provider is a relative as defined in the definition of "family home care", or is a former spouse. the tasks of laundry, shopping, housekeeping, meal preparation, money management or communication CANNOT be authorized; except the department may provide essential homemaking activities such as meal preparation if the adult not receiving care who resides in the home is unavailable due to employment The department may provide shopping assistance only if at least one other activity is performed and no other shopping assistance is available through informal networks or other community providers.
- For a client who lives
with a capable person or a provider, prior approval for Homemaker Service
must be obtained from the HCBS Program Administrator.
- The need for environmental
tasks/activities is intermittent or occasional.
- Occasionally the provision
of Homemaker Service tasks/activities may impact other family members.
When this occurs it must be considered insignificant or must be inseparable
from tasks/activities provided to the client (e.g. cooking, cleaning).
- The department may provide
essential homemaking tasks such as meal preparation if the adult not receiving
care who resides in the home is unavailable due to employment. Prior approval
for these tasks must be obtained from the HCBS Program Administrator.
- The funding cap applies to a household and may not be exceeded regardless of the number of clients reside in the home.
EXAMPLE: If a husband and wife both qualify for homemaker services and the max funding cap must be shared by both clients. The total number of units should be divided between the individuals in the home and included on each individual care plan but the cap cannot be exceeded.
- Meal Preparation
- If shopping is the only
identified Homemaker Service, Homemaker Service should not be authorized.
- Transportation or escorting
of the client are unallowable.
- Managing Money
Activities, Authorized and Limits
- The service tasks/activities
within the scope of this service chapter are defined on page 2 of the
Authorization to Provide Service, SFN 1699.
- When a client receives
assistance with laundry, shopping, housekeeping, under medicaid state
plan personal care (MSP-PC) in excess of the funding cap allowed for homemaker
services under SPED, EXSPED, or HCBS Wavier, additional tasks may not
be authorized under Homemaker Services.
- A client is receiving MSP-PC
480 unit per month, 96 units are allocated to L/S/H, the total cost of
the 96 units provided by a individual provider is over the cap for Homemaker
Services allowable under this chapter and the client therefore is not
eligible for Homemaker Service, see Maximum Monthly Amount - Aggregate
and Per Service 525-05-35
- A client is receiving MSP-PC
960 unit per month, 20 units are allocated to L/S/H, the total cost of
the 20 units provided by an agency is under the cap for the Homemaker
Services allowable under this chapter. This client would be eligible for
Homemaker Services up to the allowable cap (the cost of the 20 units of
service would need to be subtracted from the Homemaker Service cap and
the client would be eligible for additional units of service up to the
Homemaker Service cap), see Maximum Monthly Amount - Aggregate and Per
- If a client is receiving
MSP-Personal Care assistance for meal prep, communication, and money management,
these tasks are not allowable homemaker tasks unless approval is obtained
from a HCBS Program Administrator.