MO Home Care Services Quality of Care News Career


Continuous Care Services include a variety of services to help care for the Elderly or Handicapped clients.

Homemaker ChorePersonal CareAdvance Personal Care
Basic RespiteAdvanced RespiteNurse RespiteAuthorized Nurse Visit


Homemaker Chore

General household activities provided by a trained homemaker to assist with housekeeping activities that the client is unable to manage.  HC services are generally medically oriented household tasks and are designed to assist clients in maintaining the home. May include combination of any of the following: 
  • clean bathroom fixtures
  • make beds and change sheets
  • tidy and dust the home
  • perform essential errands
  • launder, iron and mend clothing
  • read/write essential correspondence
  • wash dishes
  • sweep, vacuum floors
  • meal planning, prep, cleanup
  • bag inside trash
  • wash windows within reach
  • instruct client in self-sufficiency

Personal Care

Maintenance services provided to a client in the home to assist with the activities of daily living (ADLs).  PC services are generally medically-oriented tasks, designed to meet the physical and maintenance needs of clients with a chronic, stable condition.  Authorized services may include any combination of the following:
  • Dietary
  • Bathing/Personal Hygiene
  • Mobility/Transfer
  • Dressing and Grooming
  • Toileting/Continence
  • Medications

Advance Personal Care

Maintenance services provided in the home to assist individuals with ADLs when such assistance requires devices or procedures related to altered body functions.  Caregivers performing these services have completed an additional 8 hours of classroom training and received specific OJT training on any task performed with the APC client.  These services are supervised by an RN and each client receives a monthly RN visit.  APC clients usually have chronic, but stable conditions.

Basic Respite

Maintenance and supervisory services provided to a client in the individual's residence to provide temporary relief to the usual caregivers.   Respite care services shall include, at a minimum, the following activities: 

  1. Supervision - The respite care worker will provide personal oversight of the client for the duration of the service period.  Personal oversight includes making a reasonable effort to assure the safety of the client and to assist the client in meeting his/her own essential human needs.  Sleeping is permitted when the client is asleep.  The worker must be in close proximity to the client during a sleeping period; and
     

  2. Companionship - The worker will provide companionship during the client's waking hours and attempt to make the client as comfortable as possible.
     

  3. The range of activities the respite care worker provides is mutually determined by the respite care worker and the client. 


Advance Respite

Advanced respite is designed to provide maintenance and supervisory care to clients who have care needs similar to clients for whom respite care is appropriately authorized, but with a higher level of oversight required.  Service is authorized in blocks of time: 1 hour units making up no more than a 5 hour block of time; 6-8 hour blocks; and 24 hour blocks.  This is a TXX service only. 

Worker qualifications specify that the employee shall be a current LPN, CNA or a competency tested home health aide.  In addition, a monthly RN visit is authorized for each advanced respite care client for each month the care is authorized.  The purpose of the visit is to evaluate the adequacy of the service to meet the needs and conditions of the client.
 


Nurse Respite

Nurse Respite is designed to provide respite to a live-in caregiver which will meet the needs of the client that only a nurse could supply.  The client must have a skilled service need that is normally met by the live-in caregiver.  A unit of service is 4 hours.
 

Advance Nurse Visit

Maintenance or preventative services provided by a Registered Nurse or Licensed Practical Nurse under the supervision of an RN in the home.  RN visits are provided to persons with stable, chronic conditions and are not intended as a treatment for an acute condition. 

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Last modified: 05/18/06