Section 473-4-004 - HOMEMAKER SERVICE FOR ADULTS This section contains material which governs:
(1) The authorization and provision of homemaker; and(2) The evaluation and approval of homemaker providers 004.01HOMEMAKER DEFINITION FOR ADULTS. Homemaker services is not provided based on the demand of the recipient. The instruction provided by the homemaker must maintain or strengthen the recipient's capacity to function in the most independent living situation possible.004.02HOMEMAKER TASKS. Recipients approved for homemaker services receive assistance with the following tasks: (A) Organization of household activities and time management;(B) Management, maintenance, arrangement, cleaning, and care of home appliances, equipment, eating utensils, furniture, and supplies;(C) Obtaining, storing, planning, preparing, and serving nutritious food for self or family;(D) Management, supervision, training, and proper care of infants, children, or incapacitated family members;(E) Obtaining and properly caring for clothing, household supplies, and sundry needs of self or family;(F) Maintenance of sanitation within the home;(G) Maintenance of personal hygiene and health practices for self and family members, if applicable;(H) Obtaining any necessary medical care and treatment;(I) Management and proper use of income and resources; and(J) Maintaining proper relationships and communication with family members.004.03RECIPIENTS SERVED. Eligible recipients include: (A) Current Supplemental Security Income State Supplemental recipients; or(B) Low income aged or disabled persons.004.04HOMEMAKER NEED. Eligible recipients must: (A) Have an identified service need; and(B) Be unable to maintain safe and adequate homemaking practices within their own living facilities. This inability may be caused by:(i) A change in living situation within the past 12 months;(ii) Recent death of or other separation from the usual homemaker;(iii) Adjustment to a recent medical condition; or004.05LIVING ARRANGEMENT. Applicants and recipients living in a congregate facility are not eligible for homemaker service if the facility: (A) Is responsible to provide either homemaker service; and(B) Includes the cost of homemaker service in its rate.004.06LIMITS FOR ADULT PROTECTIVE SERVICES WITHOUT REGARD TO INCOME RECIPIENTS. Based upon the service needs assessment, the homemaker services can be authorized for recipients eligible without regard to income for a maximum of 31 days in situations of abuse or neglect for an individual age 18 or older.004.07MAXIMUM RATES AND ALLOWABLE UNITS. The following guidelines of rate and allowable units are applicable to homemaker services: (A)RATES. homemaker rate of pay matches the federal minimum wage. Periodic increases or decreases may be made to the homemaker service rate in a percentage amount corresponding with legislative appropriations or budget directives from the Nebraska Legislature which result in general Medicaid service provider increases or decreases.(B)FREQUENCY. The frequency of service is by the hour.(C)MAXIMUM ALLOWABLE UNITS. The maximum allowable units 65 hours per month for homemaker services.(D)TIME LIMIT. Maximum of six months. Services beyond six months must receive approval from the Department.004.08HOMEMAKER PROVIDER REQUIREMENTS. Homemakers participating as providers must: (A) Have experience in performing homemaker tasks;(B) Be free of communicable disease, have the physical capability to provide service, and be willing to provide a physician's verification statement if requested;(C) Exhibit good grooming and personal hygiene practices;(D) Demonstrate acceptance of, respect for, and a positive attitude toward other people, especially those who are aged or disabled;(E) Exhibit emotional maturity in assuming responsibility, maintaining schedules, and adapting to new situations; and(F) Possess the necessary skills to demonstrate, complete and instruct individuals to adopt proper activities to overcome identified deficiencies; and473 Neb. Admin. Code, ch. 4, § 004
Adopted effective 7/11/2021