Non-covered home health services shall include:

1. (a) Physician services;
2. (b) Social worker services;
3. (c) Nutritionist services;
4. (d) Visits provided solely for the purpose of supervising the LNA;
5. (e) Services provided by an LNA, RN, or LPN or other licensed therapy provider which are not medically related and which constitute routine household activities, day care, or recreational services;
6. (f) Services rendered without a physician’s signed order;
7. (g) Any service whose primary purpose is providing emotional support;
8. (h) Any service whose primary purpose is the care or supervision that would be required by any individual of the recipient’s chronological age;
9. (i) Drugs and biologicals;
10. (j) Meals delivered to the home; and

11. (k) Homemaker services considered to be general household activities, except as described in He-W 553.06(d)(2)j., including:

    1. (1) Keeping a safe environment in areas of the home used by the recipient;
    2. (2) Performing house cleaning;
    3. (3) Rearranging furniture to assure that the recipient can safely reach necessary supplies or medication;
    4. (4) Completing laundry tasks; and

    5. (5) Assisting the recipient with purchasing food and helping with the preparation of meals and special diets.

       Source. #8972, eff 9-11-07; ss by #11127, eff 7-1-16 (formerly He-W 553.06) (See Revision Note at part heading for He-W 553)

       PARTS He-W 554 and He-W 555 - RESERVED