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, � + <br /> Jn ari�irion, an adult day care progran must have provisions for monitar�ng the <br /> healta ranu of pamcipants and for deaIing wiLh e.^�ergenry hcalth/��.'�jical <br /> sirua�ons, in cas� thev occur duruig the pe:iod �:avered by the day care <br /> pro�rn_ 'I'Ilese servicrs may inctude general nursing se:vic�s and rehabicirative <br /> servic�s <br /> , <br /> rl. C-eneral nursing se�vices inc3ude suc� se:vic:s as preparia� and <br /> 2�ir.isterin; medicarions, chal-�ng, car:ying out treatments, c��ing <br /> L, e_essin�, rehabv.it�*�ve nursin�, e:c. <br /> 2 R�:abilitauve se:vices inc!ude, at a m;ni�un, physical the�py, <br /> occupational theraDy and spe�ch gatholo� servic�s desi�nne� to im�rove <br /> cr maintain a par�icigant's optinal capaciry for self-care. These se:vices <br /> �ay be provided by tize program dir�r�rLiy, or indire��Iy through con�c:ual <br /> a.r:anQeme�u with aualined provide:z. ' <br /> B. Ir.-�cme Care Servic�s <br /> ?�II oi the followin� seNic�s are cove:ed u provide� to the particigant i.n hs/he: <br /> home_ Ce:tain restrictions apply to those se:vices wnich are nor,ually cove:ed <br /> unde� Meaicare and they are descnoe� below. <br /> AIl s�Ied care se:vices must be provirie� in accordanc� with the aporove� p�an <br /> oi �e wizich is developed in consultation wi� apprcpriate professional sa�. <br /> Re�i�Iy Niedicare covered home bealth se:vic�s suc� as s�7led ��,z-sing <br /> se:vic�, rehabilitation nursing services, the�py se:vic�s and home he2itii aide <br /> se:vices must be provided by a Me�icare ce:tine� home health aQency. <br /> However, Meaicare c:iteria, such as inter�ittent care and the bomebound <br /> requirement�, as refereaced in the Code of Federai Regulations, Titie 4� <br /> Cha�ce: N, Subpart E, Part 4Q9.42 (b) (1)-(;) (42 CF'R 409.4? (b) (1}-(3))= <br /> � do nct apDlv. � <br /> III-3 , - <br />