1. (a) Personal emergency response systems (PERS), as defined in He-E 801.02(al), services shall be a covered service for participants who:

   1. (1) Live alone, live only with someone in poor or failing health, or who are alone at home for 8 hours or more per day, and who are:

      1. a. Ambulatory and at risk of falls as assessed by a physician, registered nurse, or occupational or physical therapist; or
      2. b. Identified as at risk of having a medical emergency as identified in the comprehensive care plan; and
   2. (2) Would require ongoing supervision if the PERS were not provided.
2. (b) PERS shall not be covered separately when provided to a participant receiving residential care services.

3. (c) For each participant receiving a PERS, the coverage shall include:

   1. (1) Setting up the PERS in the participant’s home;
   2. (2) Demonstrating to the participant how to use the PERS;
   3. (3) Providing 24/7 monitoring, including the capacity to summon emergency assistance on behalf of the individual as needed; and
   4. (4) Repairing and replacing faulty units.

Source. (See Revision Note at part heading for He-E 801) #9969, eff 8-8-11; ss by #12830, INTERIM, eff 8-7-19, EXPIRED: 2-3-20 New. #13340, eff 1-29-22 (formerly He-E 801.23)