DHS 107.112(1)(b)1. 1. Assistance with bathing;

DHS 107.112(1)(b)2. 2. Assistance with getting in and out of bed;

DHS 107.112(1)(b)3. 3. Teeth, mouth, denture and hair care;

DHS 107.112(1)(b)4. 4. Assistance with mobility and ambulation including use of walker, cane or crutches;

DHS 107.112(1)(b)5. 5. Changing the recipient’s bed and laundering the bed linens and the recipient’s personal clothing;

DHS 107.112(1)(b)6. 6. Skin care excluding wound care;

DHS 107.112(1)(b)7. 7. Care of eyeglasses and hearing aids;

DHS 107.112(1)(b)8. 8. Assistance with dressing and undressing;

DHS 107.112(1)(b)9. 9. Toileting, including use and care of bedpan, urinal, commode or toilet;

DHS 107.112(1)(b)10. 10. Light cleaning in essential areas of the home used during personal care service activities;

DHS 107.112(1)(b)11. 11. Meal preparation, food purchasing and meal serving;

DHS 107.112(1)(b)12. 12. Simple transfers including bed to chair or wheelchair and reverse; and

DHS 107.112(1)(b)13. 13. Accompanying the recipient to obtain medical diagnosis and treatment.

DHS 107.112(2) (2) Services requiring prior authorization.

DHS 107.112(2)(a) (a) Prior authorization is required for personal care services in excess of 50 hours per calendar year.

DHS 107.112(2)(b) (b) Prior authorization is required under par. (a) for specific services listed in s. DHS 107.11 (2). Services listed in s. DHS 107.11 (2) (b) are covered personal care services, regardless of the recipient’s age, only when:

DHS 107.112(2)(b)1. 1. Safely delegated to a personal care worker by a registered nurse;

DHS 107.112(2)(b)2. 2. The personal care worker is trained and supervised by the provider to provide the tasks; and

DHS 107.112(2)(b)3. 3. The recipient, parent or responsible person is permitted to participate in the training and supervision of the personal care worker.

DHS 107.112(3) (3) Other limitations.

DHS 107.112(3)(a) (a) Personal care services shall be performed under the supervision of a registered nurse by a personal care worker who meets the requirements of s. DHS 105.17 (3) and who is employed by or is under contract to a provider certified under s. DHS 105.17.

DHS 107.112(3)(b) (b) Services shall be performed according to a written plan of care for the recipient developed by a registered nurse for purposes of providing necessary and appropriate services, allowing appropriate assignment of a personal care worker and setting standards for personal care activities, giving full consideration to the recipient’s preferences for service arrangements and choice of personal care workers. The plan shall be based on the registered nurse’s visit to the recipient’s home and shall include:

DHS 107.112(3)(b)1. 1. Review and interpretation of the physician’s orders;

DHS 107.112(3)(b)2. 2. Frequency and anticipated duration of service;

DHS 107.112(3)(b)3. 3. Evaluation of the recipient’s needs and preferences; and

DHS 107.112(3)(b)4. 4. Assessment of the recipient’s social and physical environment, including family involvement, living conditions, the recipient’s level of functioning and any pertinent cultural factors such as language.

DHS 107.112(3)(c) (c) Review of the plan of care, evaluation of the recipient’s condition and supervisory review of the personal care worker shall be made by a registered nurse at least every 60 days. The review shall include a visit to the recipient’s home, review of the personal care worker’s daily written record and discussion with the physician of any necessary changes in the plan of care.

DHS 107.112(3)(d) (d) Reimbursement for registered nurse supervisory visits is limited to one visit per month.

DHS 107.112(3)(e) (e) No more than one-third of the time spent by a personal care worker may be in performing housekeeping activities.