1. (a) The five (5) service categories for caregiver services are:

   1. (1)

      1. (A) Information provided to caregivers about available services, including public education and provisions of information at health fairs or other similar designations as determined by the state.
      2. (B) Included in the definition of information is “outreach”, which means interventions for the purpose of identifying potential caregivers and encouraging their use of existing services and benefits.
      3. (C) Services are directed to large audiences of current or potential caregivers such as:

2. (i) Disseminating publications;

   1. (ii) Conducting media campaigns; and

      1. (iii) Other similar activities;

   2. (2)

      1. (A) Access/assistance given to caregivers in gaining access to services by linking individuals to the opportunities and services available to the maximum extent.
      2. (B) The provider should ensure that the individual receives the services needed and make opportunities available to the individuals by establishing adequate follow-up procedures.
      3. (C) Case management is assistance either in the form of access or care coordination in circumstances where the older person or their caregivers are experiencing diminished functioning capacities, personal conditions, or other characteristics which require the provision of services by formal service providers.
      4. (D) Activities of case management include assessing needs, developing care plans, authorizing services, arranging services, coordinating the provision of service among providers, and follow-up and reassessment, as required;
   3. (3) Counseling includes individual counseling, organization of support groups and caregiver training to assist caregivers in the areas of health, nutrition, financial literacy, and making decisions, as well as solving problems relating to their caregiver roles;

   4. (4)

      1. (A) Respite care provides temporary, substitute supports or living arrangements to provide a brief period of rest for caregivers.
      2. (B) It can be in the form of in-home, adult day care, or institutional respite.
      3. (C) The respite period may be an overnight stay or may be taken on an intermittent, occasional, or emergency basis by the hour.

      4. (D)

         1. (i) Respite care services may include the following activities:
3. (a) (a) In-home services, including services provided by volunteers or in-home service providers;

4. (b) (b) Adult day care services; or

   1. (c) (c) Institutional respite care.

      1. (ii) For grandparents caring for children this could include summer camps; and

   2. (5)

      1. (A) Supplemental services are provided on a limited basis, not to exceed ten percent (10%) of the Title III-E Allocation, to complement the care provided by caregivers.
      2. (B) Supplemental services includes goods or services to assist the caregiver and/or the care recipient, as needed.

      3. (C)

         1. (i) Examples include:
5. (a) (a) Blood pressure measuring instruments;

6. (b) (b) Insulin test kits;

   1. (c) (c) Dental work;

      1. (d) (d) Eyeglasses (caregiver only);
7. (e) (e) One-time medications;
8. (f) (f) Homemaker;
9. (g) (g) Chores; and

10. (h) (h) Personal care.

    1. (ii) Note. Care recipient must not be Medicaid eligible.

       1. (D) Under the flexible AFCSP, these services or supports could be provided on a limited basis for either the caregiver or care receiver.

11. (b) Temporary.

    1. (1) No more than seven (7) consecutive days or more than fourteen (14) days in a calendar year.
    2. (2) A day is considered to be a twenty-four-hour time period.

    3. (3) A client can have three hundred thirty-six (336) hours a year of respite services (fourteen (14) days) but not more than one hundred sixty-eight (168) hours of respite services for seven (7) consecutive days.

       1. (c) Limited basis. Caregiver services shall not be given more than once per week, or a total of eight (8) hours per week.

Codification Notes: This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: “1-1-17” "AFCSP" means Arkansas Family Caregiver Support Program.