9 CRR-NY 6654.19NY-CRR
9 CRR-NY 6654.19
9 CRR-NY 6654.19
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.
9 CRR-NY 6654.19
Current through July 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.