1. (a) Adult day care.

   1. (1) An adult day care is a group program designed to provide care and supervision to meet the needs of four (4) or more functionally impaired adults for periods of less than twenty-four (24) hours but more than two (2) hours per day in a place other than in the adult’s own home.
   2. (2) Meals, transportation, and recreational activities are also provided.
   3. (3) Unit definition: one (1) hour.
   4. (4) Medicaid service and unit definition: same.

2. (b) Chore service.

   1. (1) This is a household service which may include running errands, preparing food, simple household tasks, heavy cleaning, or yard and walk maintenance which:

      1. (A) The client is unable to perform alone; and
      2. (B) Does not require the services of a trained homemaker or other specialist.
   2. (2) This cannot include medically oriented personal care tasks.
   3. (3) Unit definition: one (1) hour.
   4. (4) Medicaid services and unit definition: provides heavy cleaning and/or yard and sidewalk maintenance only in extreme, specific, and individual circumstances when lack of these services would make the home uninhabitable.
   5. (5) This service does not include routine lawn and yard maintenance.

3. (c) Client representation.

   1. (1) Client representation is an activity under which a client’s needs are assessed and services to meet those needs are either provided directly by the client representative or arranged for in an organized and consistent manner.

   2. (2) Client representation includes, but is not limited to, such activities as:

      1. (A) Outreach;
      2. (B) Referral for legal assistance;
      3. (C) Providing information about and determining eligibility for public benefits such as QMB and SLMB;
      4. (D) Assisting with completion of applications and paperwork;
      5. (E) Attending meetings on behalf of clients; and
      6. (F) Providing information and assistance.
   3. (3) Clients receiving both Medicaid targeted case management and client representation will not receive duplicate services.
   4. (4) Unit definition: one (1) client per annual reporting period.

4. (d) Employment services.

   1. (1) This service provides an organized program of counseling, assessment, training, and placement in employment, either subsidized or unsubsidized.
   2. (2) Clients must be fifty-five (55) or older.
   3. (3) Unit definition: one (1) person.

Codification Notes: “QMB” means Qualified Medicare Beneficiary. "SLMB" means Specified Low-income Medicare Beneficiary.