4234.1 Homemaker services shall only be provided in cases where neither the beneficiary nor anyone else in the household (i.e., an unpaid family caregiver) is able to provide or deliver the service.

4234.2 Homemaker staff may perform the following tasks when providing homemaker services:

(a) Food preparation and storage, which shall consist of any tasks to promote maintaining a tidy kitchen including overseeing the proper storage of any groceries by ensuring that all perishable foods are stored in the freezer or refrigerator.

(b) General household cleaning such as:

(1) Cleaning bathrooms;

(2) Vacuuming;

(3) Dusting;

(4) Mopping floors;

(5) Sweeping floors;

(6) Bed making;

(7) Linen changing;

(8) Wiping appliances;

(9) Washing dishes; and

(10) Doing laundry and ironing clothes.

(c) Running errands necessary to maintain the beneficiary in the home, (e.g., shopping for food or essentials needed to clean the home, picking up medicine, or mailing payments for utilities).

4234.3 A unit of service for reimbursement of homemaker services shall be fifteen (15) minutes spent performing the allowable task(s).

SOURCE: Final Rulemaking published at 50 DCR 9025 (October 24, 2003); as amended by Final Rulemaking Public Welfare

published at 64 DCR 6784 (July 21, 2017); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025).