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37.40.701    HOME HEALTH SERVICES DEFINITIONS

(1) "Home-bound status" means that a recipients:

(a) is confined on a full time, part time or intermittent basis to the person's place of residence for medical reasons;

(b) is unable to obtain required medical services without demonstrated taxing effort; or

(c) cannot reasonably obtain medical services other than through a home health agency.

(2) "Home health aide services" means services to assist a recipient in the activities of daily living and the care of the household.

(3) "Home health services" means services provided by a licensed home health agency to a recipient considered homebound in the recipient's place of residence for the purposes of postponing or preventing institutionalization.

(a) Home health services include:

(i) skilled nursing services;

(ii) home health aide services;

(iii) physical therapy services;

(iv) occupational therapy services;

(v) speech therapy services; and

(vi) medical supplies and equipment suitable for use in the home.

(b) Home health services do not include:

(i) personal care services as provided at ARM 37.40.1101 et seq.;

(ii) visits made by a registered nurse for evaluating the home health needs of a recipient or to review the provision of home health services by a home health aide or a licensed practical nurse; and

(iii) maintenance therapy as provided at ARM 37.86.601, et seq.

(4) "Home health service visit" means a personal contact in the place of residence of a recipient made for the purpose of providing a covered home health service.

(5) "Place of residence" means the residential setting in which the recipient generally resides.

(a) Place of residence includes a recipient's own home, a personal care facility, a foster home, a community home or other residential setting for persons who have a developmental disability or a physical disability, a rooming house or a retirement home.

(b) Place of residence does not include a hospital, a nursing facility, an adult day care center, or a day habilitation facility providing developmental disabilities services.

(6) "Skilled nursing services" means nursing services, as defined in the Montana Nurse Practice Act, provided on an intermittent or part time basis to meet the medical needs of a recipient who needs nursing procedures.

History: Sec. 53-6-113, MCA; IMP, Sec. 53-6-101, 53-6-131 and 53-6-141, MCA; NEW, 1980 MAR p. 1761, Eff. 6/27/80; AMD, 1981 MAR p. 690, Eff. 7/17/81; AMD, 1983 MAR p. 863, Eff. 7/15/83; AMD, 1986 MAR p. 2017, Eff. 1/1/87; AMD, 1989 MAR p. 1285, Eff. 9/1/89; AMD, 1995 MAR p. 1182, Eff. 7/1/95; AMD, 1997 MAR p. 1042, Eff. 6/24/97; TRANS, from SRS, 2000 MAR p. 489.

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