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c. doing personal laundry (towels, bedlinens, bedclothes snd other <br /> clothing). <br /> Where another member of the household is also aged, f:ail ar ill, e.g., an <br /> aged spouse or parent of the participant, assigned household activities of <br /> the home health aide may be advantageous to both members and would <br /> be reimbursable if the amount of time spent is not materially increased <br /> in order to serve the non-participant household member. <br /> 5. Homemaker/Personal Care Services <br /> The primary functions of a homemaker/personal care worker are to <br /> perform personal care and household tasks and activities related to <br /> supporting participants in their homes. Other duties include providing <br /> supervisory and supportive services to maintain the health and safety of <br /> a participant when the caregiver needs a period of relief or is unable to <br /> provide care. Homemaker/personal care services must be provided in <br /> accordance with the approved plan of care by an agency, properly licensed <br /> or regulated by standards established by an agency of State government, <br /> whose professional staff train, assign and supervise the <br /> homemaker/personal care worker and who are responsible for evaluating <br /> whether the service given meets agreed upon quality standards and the <br /> f assessed needs of participants as specified in the approved plan of care. <br /> , � Agencies providing homemaker/personal care services are required to <br /> report to the demonstration site any observed changes in the participant's <br /> condition or family situation which might affect his/her currently approved <br /> plan of care. <br /> Services which may be provided include: <br /> a. assistance with or supervision of tasks associated with activities of <br /> daily living, e.g.,bathing,toileting, grooming and dressing,transferring <br /> and use of adaptive equipment, where indicated; <br /> b. periormance of or assistance with tasks related to maintaining a safe <br /> and healthy living environment, e.g.,: <br /> light cleaning tasks in areas of the home used by the participant, <br /> e.g., dusting, vacuuming, damp mopping; <br /> _ _ _ preparation of a shopping list appropriate to a participant's dietary <br /> needs and financial circumstances as necessary and preparation of <br /> meals; <br /> t <br /> � III-6 <br />