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i� t.:�cl� �Icntcinst►;iti�,ii �itc� i.; i����uirccl tci cnsurc th:i� tLci: ����;.icicrs ot� serivcc <br /> fc�llc�w ,ill .st;itc•/l��r;�l li��ri�s�i►r rc'({Ul(CIT1C1115 W�1C(t iCil(�CI1T1Q :III cithcr in-hc�mc <br /> c�tre sc�vicr.s listc.cl I�cic�w i.c�., liuii�ciit�iker/��ersonal c:�re �,erv��,;es. ��ousekecpin� <br /> L SeCV1CCS. C�1Ol C SCf V1C(.'S ,lfl(1 c;Uill�)�1I11Uf1 SCfV1CC�. <br /> l. Skillc�i Nursit�� <br /> Skilleel n�irsing car� cci��sists c�f thc�se servic:es which can only be performed <br /> l�y a li�c►isc�i nursc (K.N., 1..I'.N. c�r L.V.N.) to assure the safety of the <br /> E�articiE�:�nt ,�ncl tc� a�:hicvc tl�r.. f11C(jIC7IIV cicsire�l result according to the <br /> ��liysician's tic,�tn�ent ��lan. (�ther Medicare criteria such as the <br /> i��terii�ittcnt r;lre ,�nci hc�niehc�nn�l rcyui�cit�ci�ts clo not ap��ly. See 24 CFR <br /> �IO9.42(b)(l)-('). <br /> 2. IZchal�ilitatic�n _Nursii��_Scrvices ' <br /> Ileliabilitatic�n nursin� scivices arc tlwse services desi�ned to assist in <br /> c�rrviri� c�ut �l phvsician's ��lan of treatrz�ent f�r rehabilitation. ��hese <br /> secvices inclucle skillecl riursing services, i.e_, those services that can only <br /> be j�erfc�rtttrcl hy a licensecl nurse, such as assistance in performing skilled <br /> therapy Services and skillec� observation, tnaintenance and evaluation of <br /> the neeci fe�r incxiiGcatic�n c�f the treatinent plan. �liese services must be <br /> E�crfc�rit�cd by a rc�istcrecl ntirsc witlt specialized trainin� in rehabilitation <br /> SCiV1CCS. <br /> 3. =l�l�era�v Se�viccs <br /> "i�hera��v serviccs is treatti�citt to restorc, improve or maintain impaired <br /> functions, whir.h is aimecl at increasing or n�aintaining the participant's <br /> ahiliry to E�cr[c�rrn thase tasks requireci for indcpendent functianing. The <br /> services must be performed by a quala�ed speecl�, physical or occupational <br /> tl�eraE�ist or thcrapist assistant ui�cler thc supervision of a qualified speech, <br /> E�l�ysic��l c�r c�ccup�tiot�al therapist. <br /> 4. f i�tnc I�caltll Aicic Sctviccs <br /> "I�he }�ri�nary functi�ns of a hame health aide are to perform therapeutic, <br /> su��portive ancl/or cotnpensatory healtt� and personal care tasks and <br /> activitics for participants in their homes. Home health aide services must. <br /> l�e }�rovicleci by a certifiecl IlUI11C tiealtli agency anel assigned ai�d <br /> E�crf�nliccl undcr thc supervision c�E a rcgistered professional nurse or <br /> III-4 <br />