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Medicaid Personal Care (MPC)
Personal Care Task Definitions
*One or more of these direct personal
care tasks are required for MPC eligibility.
*
"Ambulation": means assisting the client to move
around. Ambulation includes supervising the client when walking alone or with
the help of a mechanical device such as a walker if guided, assisting with
difficult parts of walking such as climbing stairs, supervising the client if
client is able to propel a wheelchair if guided, pushing the wheelchair, and
providing constant physical assistance to the client if totally unable to walk
alone or with a mechanical device.
*"Bathing":
means assisting client to wash self. Bathing includes supervising client
able to bathe self when guided, assisting client with difficult tasks such as
getting in or out of the tub or washing back, and completely bathing the client
if totally unable to wash self.
* “Body care”: assisting the client with exercises, skin care including the application of nonprescribed ointments or lotions, or changing dry bandages or dressings when requiring professional judgment is not required and pedicure to trim toenails and apply lotion to feet. In adult family homes or in licensed boarding homes contracting with DSHS to provide assisted living services, dressing changes using clean technique and topical ointments must be delegated by a registered nurse in accordance with chapter 246‑840 WAC. "Body care" excludes:
-
Foot care for clients who are diabetic or have poor circulation; or
-
Changing bandages or dressings when sterile procedures are required.
*
“Dressing”:
means assistance with dressing and undressing. Dressing includes
supervising and guiding client when client is dressing and undressing,
assisting with difficult tasks such as tying shoes and buttoning,
and completely dressing or undressing client when unable to participate in
dressing or undressing self.
*
“Eating”:
means assistance with eating. Eating includes supervising client when
able to feed self if guided, assisting with difficult tasks such as cutting food
or buttering bread, and feeding the client when unable
to feed self.
*
“Personal
Hygiene”: means
assistance with care of hair, teeth, dentures, shaving, filing of nails, and
other basic personal hygiene and grooming needs. Personal hygiene includes
supervising the client when performing
the tasks, assisting the client to care for the client's own appearance, and
performing grooming tasks for the client when the client is
unable‑to care for own appearance
*
“Positioning”:
means assisting the client to assume a desired position. Positioning includes
assistance in turning and positioning to prevent secondary disabilities, such as
contractures and balance deficits or exercises to maintain the highest level of
functioning which has already been attained and/or to prevent the decline in
physical functional level. (Range of motion ordered as part of a physical
therapy treatment is not included.)
*
“Self-medication”:
means assisting the client to self‑administer medications
prescribed by attending physician. Self-medication includes reminding the client
of when it is time to take prescribed medication, handing the medication
container to the client, and opening a container.
*
“Toileting”:
means assistance with bladder or bowel problems. Toileting includes
supervising the client when able to care for own toileting needs if guided,
helping client to and from the bathroom, assisting with
bedpan routines, diapering and lifting client on and off the toilet. Toileting
may include performing routine peri/colostomy catheter tasks, for the client
when client is able to supervise the activities.
*
“Transfer”: means assistance with getting in and out of bed or wheelchair
or on and off the toilet or in and out of the bathtub. Transfer includes
supervising the client when able to transfer if guided, providing steadying, and
helping the client when client assists in own transfer. Lifting the
client when client is unable to assist in their transfer requires
specialized training.
“Travel
to medical services”:
means accompanying or
transporting the client to a physician's office or
clinic in the local area to obtain medical diagnosis or treatment.
“Essential
shopping”: means
assistance with shopping to meet the client's health care or nutritional needs.
Limited to brief, occasional trips in the local area to shop for food, medical
necessities, and household items required specifically for the health and
maintenance, and well being of the client. Essential shopping includes assisting
when the client can participate in shopping and doing the shopping when the
client is unable to participate.
“Meal
preparation”: means
assistance with preparing meals. Meal preparation includes planning meal, including
special diets, assisting clients able to participate in meal preparation,
preparing meals for clients unable to participate, and cleaning up after meals.
This task may not be authorized to just plan meals or clean up after meals. The
client must need assistance with actual meal preparation.
“Laundry”:
means washing, drying, ironing, and mending clothes and linens
used by the client or helping the client perform these tasks.
“Housework”:
means performing or helping the client perform those periodic tasks
required to maintain the client in a safe and healthy environment. Activities
performed include such things as cleaning the kitchen and bathroom, sweeping,
vacuuming, mopping, cleaning the oven, and defrosting the freezer, shoveling
snow. Washing inside windows and walls is allowed, hut is limited to twice a
year. Assistance with housework is limited to those areas of the home which are
actually used by the client. This task is not a maid service and does not
include yard care.
“Wood
supply”: means
splitting, stacking, or carrying wood for the client and used as the sole source
of fuel for heating and/or cooking. This task is limited to splitting, stacking
or carrying wood the client has at own home. The department shall not allow
payment for a provider to. use a chain saw or to fell trees.
“Supervision”:
means being available to:
-
Help the client with personal care tasks that cannot he scheduled (toileting, ambulation, transfer, positioning, some medication assistance; and/or
-
Provide protective supervision to a client who cannot be left alone because of impaired judgment.
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This page last updated: Sunday, November 25, 2007