Specifications include, but are not limited to:SERVICE DEFINITION 1.1 Personal care is a service provided to older persons and adults with physical disabilities who need help in carrying out activities of daily living (ADL’s) or instrumental activities of daily living (IADL’s). Specific supports may include assistance with a range of activities such as bathing, dressing, personal hygiene, meal preparation, shopping, housekeeping, or other related services specified in an individual’s plan of care. 2.0 SERVICE UNIT 2.1 The unit of service for personal care is one hour. 2.2 The minimum billing unit is one quarter (.25) hour. 2.3 Time spent preparing for a visit and travel to and from a visit may not be billed. 2.4 The provider is permitted to bill for one (1) hour of service when unable to gain access, however billing for lack of access more than three (3) times per year is not permitted. 3.0 SERVICE AREA 3.1 Personal care is available to all eligible residents of the State of Delaware. 3.2 Providers of personal care are permitted to apply for sub-areas of service within the state. 4.0 SERVICE LOCATION 4.1 Personal care may not be provided in a long term care facility. 5.0 ELIGIBILITY 5.1 The Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) determines consumer eligibility. 5.1.1 Consumers who receive personal care services through Older Americans Act Title III funding must be sixty (60) years of age or older. 5.1.2 Consumers who receive personal care services through Social Services Block Grant (SSBG) funding must be at least eighteen (18) years of age. 5.1.3 DSAAPD staff will apply additional eligibility and/or targeting criteria based on requirements of the service funding source(s), as appropriate. 6.0 SERVICE STANDARDS 6.1 The provider must comply with all Federal, State, and local rules, regulations and laws applicable to the provision of the service. 6.2 Eligible personal care providers include: 6.2.1 Home health agencies licensed by the State of Delaware 6.2.2 Personal assistance services agencies licensed by the State of Delaware 6.3 The provider must develop and maintain policies and procedures for the delivery of personal care services. 6.4 DSAAPD authorizes the number of service hours a consumer will receive. 6.4.1 All personal care services must be prior-authorized by DSAAPD. 6.4.2 DSAAPD may establish service caps based on available funds. 6.4.3 DSAAPD may authorize service hours above established caps in cases of emergency or extreme need. 6.5 The provider is responsible for conducting an initial in-home visit and developing a detailed care plan for each consumer. 6.6 The provider must complete the assessment and care plan within five (5) working days of the referral. 6.7 The provider must start services within ten (10) days of the DSAAPD referral.
