37.86.2232    EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES (EPSDT) , SCHOOL BASED PERSONAL CARE PARAPROFESSIONAL SERVICES

(1) Personal care paraprofessional services are medically necessary in-school services provided to Medicaid clients whose health conditions cause them to be functionally limited in performing activities of daily living.

(2) Personal care includes assistance with activities of daily living which include:

(a) grooming;

(b) transferring;

(c) mobility;

(d) eating;

(e) dressing;

(f) toileting; and

(g) bus escort for children with functional limitations.

(3) Personal care services do not include:

(a) any skilled services that require professional medical personnel; and

(b) instruction, tutoring or guidance in academics.

(4) Personal care service provided by an immediate family member will not be reimbursed. The term immediate family member includes:

(a) parent or stepparent;

(b) foster parent; or

(c) legal guardian.

History: 53-6-113, MCA; IMP, 53-6-101, 53-6-111, MCA; NEW, 2003 MAR p. 1316, Eff. 6/27/03.