(a)  Each individual must have an In‑Home Aide Service Plan which is based on the initial assessment and regular reassessments.

(b)  The In‑Home Aide Service Plan must include:

(1)           Measurable client outcome goals;

(2)           In‑Home Aide Service level or levels to be provided;

(3)           Specific tasks to be performed;

(4)           Frequency of service provision;

(5)           Anticipated duration of the service; conditions for continuing or discontinuing service;

(6)           Signature of agency's professional staff developing the service plan;

(7)           A physician's signature, if required by a specific funding source.

(c)  When a client receiving Level II ‑ Personal Care Services requests assistance with one or more of the following tasks:

(1)           Applying ace bandages, TED's or binders;

(2)           Applying or removing prosthetic devices; and

(3)           Self‑monitoring of temperature, pulse, blood pressure and weight;

the In‑Home Aide Service Plan must specify that the client has requested such assistance and that the client is responsible for directing these tasks and for making decisions regarding actions to be taken as a result of temperature, pulse, blood pressure and weight readings.

(d)  All changes in tasks must be documented and dated on the In‑Home Aide Service Plan by the responsible professional.

(e)  Children and their families must have a plan that is consistent with the family's services plan to prevent family disruption and unnecessary out‑of‑home placement of children.


History Note:        Authority G.S. 143B‑153;

Eff. December 1, 1991;

Amended Eff. September 1, 1993;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.