N.Y. Comp. Codes R. & Regs. Tit. 9 § 6654.19 - EISEP ancillary services
(a) Ancillary services include non-medical
services, items and other supports which together with other assistance are
intended to provide an individual in need of long term care with the ability to
remain safely in the community with an acceptable quality of life.
(b) Ancillary services shall be provided only
to an EISEP client pursuant to a care plan on a per client basis.
(c) A client will be re-evaluated in
accordance with the reassessment process found in section
6654.16 of
this Part to insure that all ancillary services provided under this section are
appropriate and necessary and continue to be in accordance with the client's
care plan.
(d) Expenditures for
ancillary services may only be made if no other payment source is
available.
(e) Allowable services,
items/goods and other supports which may be provided under ancillary services
are as follows:
(1) those that maintain or
promote the individual's independence such as:
(i) purchasing/renting of equipment or
assistive devices;
(ii)
purchasing/renting, maintaining and repair of appliances;
(iii) personal and household items;
(iv) social adult day services; and
(v) transportation to needed medical
appointments, community services and activities;
(2) those that maintain, repair or modify the
individual's home so that it is a safe and adequate living environment, such
as:
(i) home maintenance and chores;
(ii) heavy house cleaning; and
(iii) removal of physical barriers;
(3) those that address everyday
tasks, such as:
(i) house cleaning;
(ii) laundry;
(iii) grocery shopping, shopping for other
needed items and other essential errands;
(iv) bill paying and other essential
activities;
(v) providing meals;
and
(vi) escort to appointments and
other community activities.
(f) The following items or services may not
be provided as an ancillary service:
(1)
food, except for meals provided under the nutrition program administered by an
area agency or other meals that the area agency has determined meet the
nutritional requirements of such program;
(2) housing expenses which include, but are
not limited to, expenditures for rent, mortgage, property taxes, heating fuel,
gas, electricity, water, sewage, garbage collection, cable television and
telephone services; and
(3) items
or services that can be obtained only with a prescription or doctor's
order.
(g) The area
agency must have and follow written policies and procedures for ensuring
justification and documentation for each ancillary service provided.
(h) Documentation verifying the receipt of
the ancillary service must be maintained in the client case record.
(i) For any item or alteration to be left in
the client's home for an extended period or permanently, the area agency must
have a signed agreement with the client that includes statements regarding
ownership of the item or alteration and the responsibilities of the client and
agency regarding the item or alteration. Movable durable items remain the
property of the area agency until the area agency determines that the item has
no appreciable value.
Notes
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