(1) Health maintenance activities include urinary system management, bowel treatments, administration of medications and wound care.

(2) Self-directed personal assistance providers are limited to businesses organized under the laws of the state of Montana.

(3) Self-directed personal assistance services may only be delivered by an individual who is the employee of a medicaid enrolled provider and who is selected by the consumer or their immediately involved representative.

(4) Personal assistance services managed by provider agencies under agreement with medicaid are not available to individuals participating in the self-directed personal assistance program.

(a) The use of personal assistance services managed by provider agencies may be permissible in the event that the consumer's emergency back up plan fails.

(5) Home health skilled nursing services are not available to consumers for the completion of health maintenance activities which the consumer has been authorized to manage.

(a) The use of home health skilled nursing services may be permissible in the event that the consumer's emergency back up plan fails.

(6) Consumers who have been terminated from the self-directed program may apply for personal assistance services through the medicaid personal assistance services program managed by approved provider agencies.