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SECTION 440: IN-HOME AIDE SERVICES: LEVEL I-HOME MANAGEMENT POLICIES

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REVISED: 04/13/12

I. PHILOSOPHY

In-Home Aide Services are intended to assist consumers with attaining and maintaining self-sufficiency and improving quality of life. These services are aimed at preventing the deterioration of consumers' functional capacity, preventing abuse, neglect and/or exploitation and avoiding premature institutional care by assisting them in maintaining themselves in their own homes as long as possible. It is the intent of In-Home Aide Services to assist, but not replace, family members in carrying out their responsibilities for those individuals needing care or support.

II. LEGAL BASE

House Bill 1008, Chapter 457 of the 1989 Session Laws, mandated that the Department of Human Resources (DHR) Advisory Committee on Home and Community Care develop, to the extent possible, common service definitions, standards, eligibility criteria and reporting procedures for services targeted to older adults, that are administered by multiple divisions within the department.

III. DEFINITION

In-Home Aide Services: Level I-Home Management are those paraprofessional services that assist the consumer with essential home management tasks necessary to enable him/her to remain and function effectively, at home as long as possible.

These services are intended to provide support to consumers who require assistance with basic home management tasks, such as housekeeping, cooking and laundering. Consumers to be served include those who are self-directing, medically stable and have at least one instrumental activity of daily living (IADL) impairment. No personal care tasks may be performed at this level.

If the consumer receives an Aid & Attendance payment from the Veterans Administration, he/she will not be eligible for In-Home Aide Services: Level I- Home Management from the Division of Services for the Blind. The A&A payment should be used to meet the consumer’s basic needs and if he/she needs more hours than this payment would purchase, it would be indicative of a higher level need. DSB can only provide Level I tasks.

IV. TARGET POPULATION

A. Legally blind individuals who are unable to carry out tasks essential to the instrumental activities of daily living and who have no responsible person available to perform these tasks in order for the legally blind persons to remain in his/her own home. Refer to Section 250 of this Manual for definition of legal blindness.

V. GOALS

VI. CONSUMER ELIGIBILITY

Eligibility criteria are based on a combination of (a) vision status, (b) need for the service as identified under the target population for the service and (c) income. Since income is a condition of eligibility for Level I-Home Management, consumers receiving this service will have a twelve month eligibility period, thus requiring an annual review for eligibility re-determination. However, a re-determination of eligibility must be made before the end of the twelve-month period if the Social Worker for the Blind learns of changes in the consumer’s legally blind status, service need and/or income.

A. Eligibility Based on Vision

B. Eligibility Based on the Need for the Service

C. Eligibility on the Basis of Income

D. Eligibility Based on U.S. Citizenship, State and County Residency

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