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l. Genezal nursing services include such services <br /> as preparing and administering medications, <br /> charting, carrying out treatments, changing <br /> dressings, rehabilitative nuzsing, etc. Theze <br /> must be a tegistered nurse available to <br /> provide directly or supervise the provfsion of <br /> the nursing services offered by the proqram <br /> and to recognize and deal vith symptoms of <br /> physical or psycholoqical distress. <br /> 2. Rehabilitative services include, at a minimum, <br /> physical therapy, occupational therapy and <br /> speech pathology services designed to improve <br /> or maintain a participant•c optimal capacity <br /> for self-care. These cervices may be provided <br /> by the program directly, or indirectly thzough <br /> contractual arrangements vith qualified <br /> providers. <br /> 8. In-Home Care Services <br /> All of the folloving cervices are covered if <br /> provided to the participant in his/her home. <br /> Certain restzictions apply to those services which <br /> are normally covered under Medicare and they are <br /> described belov. <br /> l�ill skilled care cervices must be provided in <br /> accordance vith the appzoved plan of care vhich io <br /> developed in consultation vfth. appropziate <br /> professional itaff. - <br /> i Regularly Medicare covered home health services '�� <br /> such as skilled nursing cervices, rehabilitation . . <br /> nursing services, therapy services and home l�ealth <br /> eide services �ust be provided by a Kedicare � <br /> certified home Aealth agency. Hovevet, Medicare � <br /> . ' criteria, iuch as intermittent care and the I, <br /> homebound tequirements, as referenced in the Code - <br /> of Federal Requlations, Titic 42, Chapter IV, <br /> Subpart E, Part �09.42(b) (1j-(3) (42 CFR 409.42(b) • <br /> (1)-(3)), do not apply. � <br /> 1►11 other in-home care services listed belov i.e., <br /> �omemaker/personal care cezv3cet, housekeepinq <br /> �ervices, chore cervices and eompanion cervices <br /> must be provided by a licensed and/or State <br /> approved provider of service. <br /> 1. Skilled Nursinc <br /> � Skilled nursing care consistc of those <br /> services vAich can only be performed by a <br /> B-4 <br />