Section 455IAC1-5-2. Definitions

   As used in this rule, the following definitions apply:

(1) "AAA" refers to the agency designated by the bureau in each planning and service area under IC 12-10-1-4(18).

(2) "Adult day care services" means the provision of a comprehensive structured program in a protective setting during the daytime and early evening hours.

(3) "Advocate" means any legal representative or any other person whom the applicant or participant chooses to assist him or her at any stage of the appeals process.

(4) "Applicant" means an individual who resides in Indiana and who has submitted an application to the area agency on aging for the CHOICE program.

(5) "At risk of losing the individual's independence" means that the individual meets the criteria specified in IC 12-10-10-4(b).

(6) "Attendant care services" means assistance with nonmedical personal care services such as:

(A) personal hygiene activities;

(B) ambulation and transfer of the individual;

(C) assisting the individual with communication;

(D) disposal of bodily waste;

(E) meeting the individual's nutritional needs; and

(F) ensuring the individual's physical safety.

(7) "Bureau" refers to the bureau of aging and in-home services established within the division under IC 12-10-1-1.

(8) "Care plan" means the plan of services developed by the AAA under IC 12-10-10-1(2).

(9) "Case management" means the administrative functions performed by the AAA under IC 12-10-10-1.

(10) "CHOICE" refers to the community and home options to institutional care for the elderly and disabled program.

(11) "CHOICE guidelines and procedures manual" refers to the document published by the division to define the protocol of the CHOICE program.

(12) "CHOICE representative" means a person authorized to act on behalf of an individual, as specified under section 4 of this rule, if the individual lacks the capacity to make a knowing and informed decision regarding his or her own care.

(13) "Community and home care services", "in-home and community services", or "CHOICE services" means those services specified in IC 12-10-10-2.

(14) "Division" or "DDARS" refers to the division of disability, aging, and rehabilitative services.

(15) "Home delivered meals" means an appropriate, nutritionally balanced meal that meets at least one-third (1/3) of the current recommended dietary allowance (RDA) delivered to the individual's home.

(16) "Home health services and supplies" means services and supplies that include all health monitoring activities performed in the home, the supervision of medication, care and maintenance of any appliances or equipment necessary to maintain health, safety, and independence, and dressing changes.

(17) "Homemaker services" means those household tasks that enable an individual to live in a clean, safe, and healthy home environment, including grocery shopping and meals preparation.

(18) "Institutional care" means continuous, twenty-four (24) hour residential care provided by, among others, hospitals, nursing facilities, intermediate care facilities for the mentally retarded, community residential facilities for the developmentally disabled, residential facilities for the mentally ill, and state owned and operated institutions.

(19) "Other services necessary to prevent institutionalization" includes, but is not limited to, the following:

(A) "Minor home modifications" means selected internal and external modifications to the home environment, related specifically to the individual's functional limitations, which will assist the individual in remaining in the current living situation.

(B) "Adaptive aids and devices" means controls, appliances, or supplies determined necessary to enable the individual to increase the ability to function in a home and community-based setting with independence and physical safety.

(20) "Respite care services" means services provided temporarily or periodically to participants in the absence of the usual unpaid caregiver, including services provided in the home or on an overnight basis in an approved out-of-home setting such as a nursing facility.

(21) "Transportation" means transporting the individual to and from medical or therapeutic activities that are directly related to maintaining the individual's independence.

(Division of Aging; 455 IAC 1-5-2; filed Dec 5, 1995, 8:30 a.m.: 19 IR 1104; readopted filed Oct 1, 2001, 3:38 p.m.: 25 IR 528; readopted filed Nov 30, 2007, 4:47 p.m.: 20071226-IR-460070733RFA; readopted filed Nov 15, 2013, 3:22 p.m.: 20131211-IR-455130453RFA) NOTE: Transferred from the Division of Disability and Rehabilitative Services (460 IAC 1-4-2) to the Division of Aging (455 IAC 1-5-2) by P.L.153-2011, SECTION 21, effective July 1, 2011.