Section 240.210  In-home Service


In-home service, also referred to as homemaker service, is defined as general non-medical support by supervised homecare aides, or homemakers, who have received specialized training in the provision of in-home services.  The purpose of providing in-home service is to maintain, strengthen and safeguard the functioning of individuals in their own homes in accordance with the authorized Plan of Care.


a)         Specific service components of in-home service shall include the following:


1)         Teaching/performing of meal planning and preparation; routine housekeeping skills/tasks (e.g., making and changing beds, dusting, washing dishes, vacuuming, cleaning and waxing floors, keeping the kitchen and bathroom clean and laundering the client's linens and clothing); shopping skills/tasks; and home maintenance and repairs.


2)         Performing/assisting with essential shopping/errands may include handling the client's money (proper accounting to the client of money handled and provision of receipts are required).  These tasks shall be:


A)        performed as specifically required by the Plan of Care; and


B)        monitored by the homecare supervisor.


3)         Assisting with self-administered medication, which shall be limited to:


A)        reminding the client to take his/her medications;


B)        reading instructions for utilization;


C)        uncapping medication containers; and


D)        providing the proper liquid and utensil with which to take medications.


4)         Assisting with following a written special diet plan and reinforcement of diet maintenance (can only be provided under the direction of a physician and as required by the Plan of Care).


5)         Observing client's functioning and condition and reporting to the supervisor and as defined by the Plan of Care.


6)         Performing/assisting with personal care tasks that are not medical in nature, such as the examples set forth at 77 Ill. Adm. Code 245.40(c) (e.g., shaving, hair shampooing, drying and combing, bathing and sponge bath, shower bath or tub bath, toileting, dressing, nail care, respiratory services (as authorized by 20 ILCS 105/4.02(5)(F)), brushing and cleaning teeth or dentures and preparation of appropriate supplies, positioning/transferring client, and assisting client with exercise/range of motion), and as defined by the Plan of Care.


7)         Escort/transportation to medical facilities, or for essential errands/shopping, or for essential client business with or on behalf of the client, as defined by the Plan of Care. This escort/transportation service may be provided directly by the homecare aide, directly by the provider, by the provider through contract, or by public transportation.


b)         Unit of Service


1)         One unit of in-home service is one hour of direct service provided to the client in the client's home, while providing transportation/escort, or while running errands and/or shopping on behalf of the client.


2)         For services that the provider was unable to provide due to either the client's absence without prior provider notification or refusal to admit the worker into the home to provide service (see Section 240.350), one unit of documented in-home service per occurrence will be reimbursed to the provider at a maximum of 2 units per client per State fiscal year.


(Source:  Amended at 33 Ill. Reg. 4830, effective March 23, 2009)