Homemaker Service

General household activities provided by a trained homemaker when the person (i.e., the person, family member or primary caregiver) who is regularly responsible for these activities is unable to manage the household activities or are temporarily absent. Homemakers may monitor the person’s well-being while in the home, including home safety.

Homemaker services are listed in the community support plan and include:

  • Cleaning

  • Companionship

  • Laundry

  • Meal preparation

  • Routine household care

  • Shopping for food, clothing and supplies

  • Simple household repairs

  • Social stimulation

  • Transportation arrangement

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Supported Living Services (SLS)

Services provided to a person who cannot live in his or her home without such services or who need outside support to remain in his or her home. Rehabilitation services are provided in the person’s residence and in the community and should be directed toward increasing and maintaining the person’s physical, intellectual, emotional and social functioning. Services Include:

  • Communication

  • Community participation and mobility

  • Health care, leisure and recreation

  • Household chores

  • Interpersonal skills

  • Money management

  • Reduction or elimination of maladaptive behavior

  • Sensory and motor development

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Chore Services

Support or assistance to a person or their primary caregiver to maintain a clean, sanitary and safe home. Examples of covered chore services include:

  • Basic indoor and outdoor home maintenance

  • Delivery of grocery store products*

  • Extermination and pest control**

  • Heavy household chores such as tacking down loose rugs or washing floors, windows and walls

  • Moving or removal of large household furnishings and heavy appliances in order to provide safe access and egress from the home***

  • Rearrangement of home furnishings or securing of household fixtures and items in order to prevent injuries or falls

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Adult Companion Services

Non-medical care, assistance, supervision and socialization provided in accordance with a therapeutic goal in the plan of care to a person age 18 years or older. Adult companion services are directed at companionship, assistance or supervision of the person in the home or community. Covered services when incidental to the companion service also include:

  • Laundry

  • Light housekeeping tasks

  • Meal preparation

  • Shopping

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Independent Living Skills Training

Services that develop, maintain and improve the community living skills of a person. ILS training is direct training from a staff person to address the identified skill development needs of a person in the areas of:

  • Communication skills

  • Community living and mobility

  • Interpersonal skills

  • Reduction/elimination of maladaptive behavior

  • Self-care

  • Sensory/motor development involved in acquiring functional skills

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24h Emergency Assistance

On-call counseling and problem solving and/or immediate response for assistance at a person’s home due to a health or personal emergency. Covered services include:

  • Immediate response for assistance at a person’s home

  • On-call counseling and problem solving

  • PERS device and monitoring

  • Personal emergency response system (PERS) installation and testing

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PCA Services

Personal care aides, also known as caregivers, personal attendants, homemakers, or companions, assist with the daily tasks of elderly, mentally disabled, chronically ill, or physically challenged clients, as well as hospice patients and those in various stages of rehabilitation or recovery. Aides might work at clients’ homes, residential care or hospice facilities.

  • Responsible for light cleaning, cooking, running errands, and doing laundry, as well as assisting clients with bathing, showering, grooming, and other personal hygiene tasks.

  • Personal care aides might consult with a client’s family members to address their concerns regarding the client’s health, nutrition, and overall well-being.

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Extended Home Care Services

Extended home care services exceed the amount, duration and scope specified for the MA State plan service description.

  • Home health aide (HHA) extended

  • Personal care assistance (PCA) extended

  • Private duty nursing (PDN) extended

  • Therapies extended – Physical, occupational,

  • Speech language/pathology and respiratory

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Night Supervision

Overnight assistance and monitoring provided by an awake staff in the person’s own home.

  • Carrying out a person’s positive support programming and transition plans

  • Reinforcing independent living skills training and other skill development supports

  • Assisting with instrumental activities of daily living (IADLs).

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Personal Support

Non-medical care, supervision and assistance provided in the home of the person or in the community to achieve increase independence, productivity and inclusion in the community. Covered services include:

  • Assistance to reasonably meet the needs of the person

  • Non-medical care

  • Supervision

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In-Home Family Support

In-home family supports: Services provided to a person and his/her family (including extended family members) in the family’s home and/or in the community to enable the person to remain in or return to the home. This includes training of the person and family members to increase their capabilities to care for and maintain the person in the home.

In-home family supports include assistance to develop, maintain or improve skills related to activities of daily living, such as:

  • Household chores (e.g., bed-making, washing dishes, laundry)
  • Health, safety and wellness
  • Personal hygiene and cleanliness
  • Social and adaptive skills necessary to help the person live in the community
  • Health, safety and wellness
  • Household management.
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Respite Care

Short-term care services provided due to the absence or need for relief of the family member(s) or primary caregiver normally providing the care. Respite care is only provided for a primary caregiver meeting the following criteria:

  • Responsible for the care and supervision of the person and

  • Maintain his/her primary residence at the same address as the person and

  • Named as an owner or leaser of the primary residence

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