(a)  One or more of the methods of service provision enumerated in this Paragraph shall be used to provide In‑Home Aide Services.

(1)           Direct Provision.  County departments of social services may employ in‑home aide services providers as members of their staff to perform tasks in accordance with 10A NCAC 71Q .0911 and the rules of this Subchapter.  In‑home aide services providers are subject to the provisions of the State Personnel Act and to applicable personnel policies of the county in which they are employed.  Responsibility for the selection, training, assignment to the clients, supervision and discharge of in‑home aide services providers rests with the county department of social services.

(2)           Cash Payment.  In‑Home Aide Services may be provided through a cash payment made to an eligible client as reimbursement for services he has received and for which he has paid.  County departments of social services may make cash advances to eligible clients but may not claim reimbursement from any federal or state funds until a receipt is provided by the client documenting that the service has been delivered and paid for.  The cash payment method of provision is utilized only in accordance with the following arrangement:

(A)          The client, or a person designated by the client, is capable and willing to be responsible for hiring, firing and supervising the In‑Home Aide Services provider and for carrying out other applicable employer‑related responsibilities.

(B)          The tasks performed by the provider do not require supervision by a registered nurse or another professional with skills appropriate to the tasks being performed for the client.

(C)          The client, or a person designated by the client, provides certification that the provider meets the competency requirements for the level of tasks provided.

(3)           Purchase of Service Contract.  In‑Home Aide Services may be purchased from another agency under a purchase of service contract in accordance with rules set forth in 10A NCAC 67B.

(b)  Regardless of the method of service provision, the amount of service provided to each client will be based on individual need.


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

Eff. December 1, 1991;

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