Aged & Disabled Waiver
ADW Description & Services
Aged & Disabled Waiver
Personal Care - (Agency Model)
(PC) services are generally medically oriented tasks provided as an alternative to nursing facility care, and designed to meet the maintenance needs of individuals with chronic health conditions. PC services must be reasonable according to the condition and functional capacity of the participant.
All PC participants must meet the following eligibility criteria:
o At least 18 years of age;
o In active Medicaid status (Medicaid Eligibility);
 Participants who are eligible for Medicaid on a spenddown basis may be authorized to receive PC during periods when they meet their spenddown liability.  A participant is responsible for the cost of services received during periods of time when they have not met their spenddown liability.
 Participants who receive Medicaid due to eligibility for Blind Pension (BP) may be authorized for PC.
 Participants in a ‘Transfer of Property penalty’ may be authorized for PC.  Authorization of PC does not meet the requirements for an individual to be eligible for Home and Community Based (HCB) Medicaid.
o Have an appropriate Medicaid Eligibility (ME) code; and
o Meet nursing facility level of care. ï‚— PC shall be authorized in 15 minute units. ï‚— PC units authorized shall be consistent with the PC tasks to be completed on a regular basis. ï‚— The amount of PC tasks identified shall be reasonable for the amount of PC units authorized. ï‚— PC shall be included in the overall cost of care for the participant
Dietary
Support with meal preparation and cleanup, as well as assistance with eating and feeding. Attention will also be given to the participant's capability to prepare simple meals sandwiches, soups, and salads, or the option of home-delivered meals. (Recommended time: 10-60 minutes – Recommended frequency: 1-7 times per week)
Toileting/Continence
Assistance in going to the bathroom and changing bed linen. May also include the changing of bed linens for participants with medically related limitations that prohibit the completion of this task. Mobility and transfer to the bathroom should be included and delivered as needed. (Suggested time 5-10 minutes – Suggested frequency as needed)
Dressing/Grooming
Support with dressing and grooming, which includes assistance with putting on taking off clothes, hair combing, nail care, oral hygiene and denture maintenance and shaving. (Recommended duration: 15 minutes – Suggested frequency: 1-7 times per week)
Mobility/Transfer Assistance
This service provides essential assistance for participants who can partially bear their own weight during transfers and ambulation. Our staff will guide and support individuals as they navigate movements safely, ensuring comfort and stability throughout the process. The assistance can be tailored to fit individual needs, with sessions lasting between 5 to 10 minutes offered as frequently as required. We prioritize the well-being of our participants, promoting their independence while ensuring their safety.
Bathing
Bathing assistants provide essential support for personal hygiene, ensuring a and safe bathing experience. They assist with bathing tasks, including hair washing, to enhance overall well-being. The recommended time for these services is 30- minutes, with a suggested frequency of 1 to 7 per week, depending on individual needs. This personalized care promotes cleanliness and comfort for those requiring assistance.
Self-Administration of Medications
Our service provides essential assistance with the self-administration of medication, ensuring that individuals can manage their health effectively and safely. We also offer guidance on applying nonprescription topical ointments or lotions, helping to promote well-being and comfort Our support is tailored to meet each person's unique needs, fostering independence confidence in their health management.
Additional ADW Services
1
ADW Homemaker
Homemaker (HC) services are general household tasks for the participant as an alternative to nursing facility care. Homemaker services must be reasonable and necessary according to the condition and functional capacity of the participant.
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Homemaker services may include any of the following tasks:
Meals/Dishes:
Clean Kitchen
Clean Bath
Clean Living Area
Make Bed/Change Linens
Laundry (Home/Off Site)
Iron/Mend
Wash Windows/Blinds
Trash
Shopping/Errands
Essential Correspondence
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2
ADW Chore
Chore services are short-term, intermittent tasks necessary to maintain a clean, sanitary and safe home environment as determined by the Assessor to be critical in maintaining the participant’s health and safety. Chore services must be reasonable and necessary according to the condition of the functional capacity of the participant. Limited ability of the participant to perform necessary tasks shall be thoroughly documented. Chore services are mutually identified as necessary by the participant
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Chore services may include any of the following activities:
o Wash walls and woodwork;
o Clean closets, basement and attics;
o Shampoo rugs;
o Air mattresses and bedding;
o Spray for insects within the home, using over-the-counter supplies; and
o Provide rodent control within the home (setting traps or using over-the-counter supplies).
3
ADW Respite Care
Respite Care (RC) services are maintenance and supervisory services provided to a participant in the individual’s residence to provide relief to the caregiver(s) that normally provides and/or arranges care. RC can be authorized in two (2) categories: basic and advanced.
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Basic Respite service is provided to participants with non-skilled needs who are unable to perform their activities of daily living (ADL’s) and are intended to offer periods of caregiver relief. Basic Respite services shall not be authorized when the more appropriate HCBS required on a regular basis is Personal Care (PC) and Homemaker services
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Advanced Respite service is provided to participants with special care needs, requiring a higher level of personal oversight. Advanced Respite care is provided in that individual’s residence for the purpose of relief to a caregiver
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Participants appropriate for Advanced Respite care include, but are not limited to: o Participants who are essentially bedfast, and require specialized care involving turning and positioning, including assistance with mechanical transfer equipment; and/or assistance with elimination, including the use of a urinal, bedpan, catheter, and/or ostomy. o Participants who have behavior disorders resulting in disruptive behavior especially due to dementia/Alzheimer’s disease which requires close monitoring. o Participants who have health problems requiring manual assistance with oral medications; and/or participants who have special monitoring and assistance needs due to swallowing problems