C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-29, subsec. 144-101-II-29.15

Current through 2024-51, December 18, 2024
Subsection 144-101-II-29.15 - APPENDIX II - "On Behalf Of" Covered Services

"On Behalf Of" Covered Services:

Support and supervision that is offered whenever the staff and the member are in the same physical environment is considered direct support time. This would include, for example, staff waiting for a member during a medical appointment or a home visit. Examples of acceptable services include:

Services and time that are directly related to a member: such as scheduling medical appointments, dental appointments and therapy appointments. This includes any time staff may need to spend discussing with a physician, dentist, or therapist any intervention regarding the member.

Services and time that are directly related to a member that are associated with that member's personal plan, medical plan or behavioral plan including in-service training specific to a member's personal plan, consultations with supervisors, therapist, clinicians, member's employer and or medical staff; services relating to a member's parent, guardian or Maine Developmental Services Oversight and Advisory Board (MDSOAB)representative; documentation, reports and presentations to review committees.

Services and time that are directly related to a member that are associated with home visits, family events and or family reunification including transporting a member to their parents, guardian, or friends home for visits, returning a member to their home, and any time spent during such a visit such as attending a family function with the member.

Services and time that are directly related to a member's safety such as "shadowing" a member as he or she learns to take a bus.

"On Behalf Of" Non-Covered Services:

Services and time that are related to group services, or time that cannot be directly linked to member's Personal Plan. For example, grocery shopping for a home.

Services and time that are related to home cleaning, home maintenance, facility cleaning or facility maintenance.

Services and time that are related to staff training, unless the training is specific and exclusive to the member.

Services and time that are related to landscaping, snow removal, spring clean-up or similar activities.

Services and time that are related to securing or maintaining a license or certificate such as a group home license, or CARF accreditation.

Services and time that are related to staff recruitment, even if the staff is being recruited for the member.

Services and time provided by a salaried staff member unless there is evidence that the salaried staff was working as a Direct Support Professional for the time being claimed.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-29, subsec. 144-101-II-29.15