N.J. Admin. Code § 10:60-3.3

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:60-3.3 - Covered personal care assistant services

(a) Hands-on personal care assistant services are described as follows:

1. Activities of daily living (ADL) shall be performed by a personal care assistant, and include, but are not limited to:

i. Care of the teeth and mouth;

ii. Grooming, such as care of hair, including shampooing, shaving, and the ordinary care of nails if the need for such assistance is due to the beneficiary's upper extremities or motor skills being affected by a disability, or whose level of cognitive disability requires such assistance regardless of mobility level of the upper extremities;

iii. Bathing in bed, in the tub or shower;

iv. Using the toilet or bed pan;

v. Changing bed linens with the beneficiary in bed;

vi. Ambulation indoors and outdoors, when appropriate;

vii. Helping the beneficiary in moving from bed to chair or wheelchair, in and out of tub or shower;

viii. Assistance with eating, including, but not limited to, placing food and/or liquids into mouth, and assistance with swallowing difficulties;

ix. Dressing; and

x. Accompanying the beneficiary, for the purpose of providing personal care assistance services, to clinics, physician/practitioner office visits, and/or other trips made for the purpose of obtaining medical diagnosis or treatment, or to otherwise serve a therapeutic purpose.

(b) Instrumental activities of daily living (IADL) services are non-hands-on personal care assistant services that are essential to the beneficiary's health and comfort and shall include, but are not limited to:

1. Care of the beneficiary's room and areas used by the beneficiary, including sweeping, vacuuming, dusting;

2. Care of kitchen, including maintaining general cleanliness of refrigerator, stove, sink and floor, dishwashing;

3. Care of bathroom used by the beneficiary, including maintaining cleanliness of toilet, tub, shower, sink, and floor;

4. Care of beneficiary's personal laundry and bed linen, which may include necessary ironing and mending;

5. Necessary bed-making and changing of bed linen;

6. Re-arranging of furniture to enable the beneficiary to move about more easily in his or her room;

7. Listing food and household supplies needed for the health and maintenance of the beneficiary;

8. Shopping for above supplies, conveniently storing and arranging supplies, and doing other essential errands;

9. Planning, preparing (including special therapeutic diets for the beneficiary), and serving meals; and

10. Relearning household skills.

(c) Health related activities, performed by a personal care assistant, shall be limited to:

1. Helping and monitoring beneficiary with prescribed exercises which the beneficiary and the personal care assistant have been taught by appropriate personnel;

2. Rubbing the beneficiary's back if not contraindicated by physician;

3. Assisting with medications that can be self-administered;

4. Assisting the beneficiary with use of special equipment, such as walker, braces, crutches, wheelchair, after thorough demonstration by a registered professional nurse or physical therapist, with return demonstration until registered professional nurse or physical therapist is satisfied that beneficiary can use equipment safely;

5. Assisting the beneficiary with simple procedures as an extension of physical or occupational therapy, or speech-language pathology services; and

6. Nurse delegated tasks approved by the supervising registered professional nurse.

N.J. Admin. Code § 10:60-3.3

Amended by 50 N.J.R. 1992(b), effective 9/17/2018

Amended by 54 N.J.R. 1721(a), effective 9/6/2022