A federally approved program operated
under Section 1915(c) of the Social Security Act that authorizes the U.S. Secretary of Health and
Human Services to grant waivers of certain Medicaid statutory requirements so that a state may
furnish home and community based services to certain Medicaid beneficiaries who need a level
of care that is provided in a hospital, nursing facility, or Intermediate Care Facility for the
Mentally Retarded (ICF/MR). For the purpose of this Regulation, Home and Community-Based
Service Waiver refers to the two ABI waivers and the two MFP waivers.
Adult Companion Service – nonmedical care, supervision, and socialization provided to a
participant. Companions may assist or supervise the participant with such light household tasks
as meal preparation, laundry, and shopping.
Chore Service– an unusual or infrequent household maintenance task that is needed to maintain the participant’s home in a clean, sanitary, and safe environment. This service includes heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Homemaker – a person who performs light housekeeping duties (for example, cooking, cleaning, laundry, and shopping) for the purpose of maintaining a household.
Home Health Aide – a person who performs certain personal care and other health-related services.
Personal Care – services provided to a participant, which may include physical assistance, supervision or cuing of participants, for the purpose of assisting the participant to accomplish activities of daily living(ADLs), including, but not limited to, eating, toileting, dressing, bathing, transferring, and ambulation.