We at Community Care Solutions
understand the importance of
Attendant Care and the need for
reliable, experienced, and caring
staffing. Because of the nature of
this service our first goal in
delivering this service is to ensure
that the consumer has a reliable
and caring Attendant Care Provider.
We strive to hire individuals with
prior nursing or personal care
experience.
understand the importance of
Attendant Care and the need for
reliable, experienced, and caring
staffing. Because of the nature of
this service our first goal in
delivering this service is to ensure
that the consumer has a reliable
and caring Attendant Care Provider.
We strive to hire individuals with
prior nursing or personal care
experience.
ATTENDANT CARE
Service Description
Service Description and Goals (Attendant Care)
This service provides a qualified attendant to assist a consumer to attain or maintain safe and sanitary
living conditions and/or maintain personal cleanliness and activities of daily living. The goal of this
service is to assist the consumer to remain in his/her home or participate in community activities.
Service Definition (Attendant Care)
Barring exclusions noted in Section 602.1.6, Attendant Care may include the following:
A. Safe and sanitary living conditions. These living conditions shall be maintained only for the
consumers personal space or common areas of the home the consumer shares/uses.
B. Tasks to maintain safe and sanitary living conditions may include:
1. Dusting
2. Cleaning floors.
3. Cleaning bathrooms.
4. Cleaning windows (if necessary to attain safe or sanitary living conditions).
5. Cleaning oven and refrigerator (if necessary to prepare food safely).
6. Cleaning kitchen.
7. Washing dishes.
8. Changing linens and making beds.
9. Routine maintenance of household appliances.
C. Washing, drying and folding the consumer’s laundry (ironing only if the consumer’s clothes cannot
be worn otherwise).
D. Shopping for and storing household supplies and medicines.
E. Unusual circumstances may require the following tasks be performed:
1. Tasks performed to attain safe living conditions:
– Heavy cleaning such as washing walls or ceilings.
– Yard work such as cleaning the yard and hauling away debris.
2. Assisting the individual in obtaining and/or caring for basic material needs for water heating and food
by:
– Hauling water for household use.
– Gathering and hauling firewood for household heating or cooking including sawing logs and
chopping wood into usable sizes.
– Caring for livestock used for consumption including feeding, watering and milking.
3. Providing or insuring nutritional maintenance for the individual by planning, shopping, storing and
cooking foods for nutritious meals.
F. Assisting with showering, bathing, toileting, dressing and shampooing.
G. Assisting with transfer to and from wheelchair and/or bed.
H. Assisting with eating, where the assistance may include reminding or encouraging the consumer to
maintain intake; serving or bringing food to the consumer; preparing food for consumption through
cutting meats or other set-up activities; and feeding the individual or assisting the individual with eating.
I. Assisting with routine ambulation activities.
J. Assisting with or performing routine nail and skin care.
K. Assisting with tasks necessary for the comfort and safety of individuals with movement restrictions
(tasks that do not require medical or nursing supervision).
L. Assisting the individual with special appliances and/or prosthetic devices, if the procedure is routine
and well established.
M. Training the individual, family members and/or friends in personal care tasks as appropriate and
available.
N. Referring for appropriate action all individuals who present additional medical or social problems
during the course of the service.
O. Assisting with self-medication or medication reminders.
P. Supervising or transporting the individual as a complement to all activities noted in this section when
supervision or transportation is not the primary goal of the service.
Q. Establishing a structured schedule that meets the individual's needs.
Target Population (Attendant Care)
It is important to remember that support needs should ultimately be based on an assessment. Using
the assessment and plan development processes described in Chapters 700 Word (42K) Adobe (83K)
and 800, Word (93K) Adobe (230K) the person with their Individual Support Plan/Individualized Family
Services Plan Person Centered Plan team (Planning Team) should take into account the following
factors when establishing the need for this service:
A. The consumer lives alone and is unable to meet specific, basic personal care needs due to severe
physical disabilities.
B. The consumer lives alone and is temporarily unable to meet basic personal care needs due to a
medical condition or illness.
C. The consumer’s basic care needs cannot be met by the primary caregiver(s) due to advancing age, a
temporary or permanent documented physical or cognitive disability, or other limitation of the primary
caregiver (physician documentation may be required).
D. The consumer’s basic care needs cannot be met by the primary caregiver(s) alone due to intensive
medical, physical or behavioral challenges which are result of the individual's disability.
E. The consumer, due to a medical circumstance, is unable to attend his/her normal service program,
or causes undue strain upon the caregiver(s) who in response requires additional supports.
F. The consumer’s needs are not currently being met due to unavailability of service. Attendant Care
may be used as an alternative service.
G. The consumer has medical or physical needs and one of the following circumstances exist:
1. The consumer was living in an Adult Developmental Home, Group Home, Intermediate Care Facility
for the Mentally Retarded, Nursing Facility or other out of home placement and with Attendant Care,
he/she will be able to return home.
2. The consumer was already receiving Attendant Care and/or Housekeeping and the parent, who is
working, wishes to stay home and provide the service with pay.
Service Settings (Attendant Care)
Attendant care may be provided in the following settings:
A. The consumer’s home.
B. The consumer’s community.
602.1.5 Service Requirements (Attendant Care)
For consumers between the ages of 18 and 25 who will receive attendant care from a family member, a
Person Centered Plan will be done as well as a personal, private interview between the Support
Coordinator and the person. Upon documentation of the plan and interview, the Support Coordinator
may authorize Attendant Care Family as determined by the service approval matrix. A written “Daily
Living Schedule” must also be completed and reviewed with the Support Coordinator. Any amounts
above those indicated on the service approval matrix must undergo review by Central Office.
A. Prior to initiating service, the provider shall meet with the consumer and their primary caregiver to
obtain necessary information regarding the consumer, including obtaining a medical consent if the
caregiver will not be immediately accessible, and completing the Attendant Care Agreement PDF
(100K) WORD (108K).
B. The provider shall administer first aid and appropriate attention to injury or illness.
C. The provider shall report any unusual incidents to the Division in accordance with policies and
procedures:
D. All Attendant Care Providers provision of care shall be monitored and assessed on-site no more
than 30 days from the start of the service and every month for the first quarter.
The assessment must be performed on-site quarterly thereafter. A telephone call or review of the
provider's progress notes is not sufficient.
Documentation of the on-site visit shall be maintained in the Support Coordinator's file.
E. The Individual Support Plan/Individualized Family Services Plan /Person Centered Plan team
(Planning Team) must decide, prior to the delivery of service, who is responsible for monitoring and
assessing the Attendant Care Provider's provision of care.
F. The Planning Team must address any potential issues regarding skin integrity. Examples include,
but are not limited to, pressure sores, diabetes, tube feeding, braces and consumers who are in bed for
the majority of time.
1. If, based upon Planning Team assessment and discussion, there are no issues identified regarding
skin integrity, the decision should be stated in the Individual Support Plan/Individualized Family Services
Plan (Planning Documents).
2. If the Planning Team believes there is a chance of skin breakdown, the issue should be referred to
the District Nurse for further review. Documentation of the assessment and recommendations shall be
sent to the Primary Care Provider and a copy forwarded to the Support Coordinator.
Exclusions (Attendant Care)
A. Attendant Care shall not substitute for respite, day care or habilitation; such services shall not be
changed to Attendant Care with the intent to provide reimbursement to the family members.
B. Attendant Care shall not substitute for a work, school or day program, however, Attendant Care may
be used as an alternative for Day Treatment and Training only when Day Treatment and Training or
Habilitation services are not available. Attendant Care, when used as an alternative, shall be used only
until an appropriate service can be offered (not to exceed a six-month period). In the case where an
available day program has been rejected, Attendant Care cannot be used as an alternative.
C. Providers of Attendant Care shall not perform the following tasks:
1. Cleaning up after parties.
2. Cleaning up several days of accumulated dishes.
3. Preparing meals for the whole family.
4. Routine lawn care.
5. Major carpet cleaning.
6. Caring for household pets such as walking the dog.
D. Attendant Care providers shall not provide cleaning to areas of the home not used by the individual, e.
g., parents' bedroom or sibling's bathroom.
E. Attendant Care shall be offered only after the Individual Support Plan/Individualized Family/Person
Centered Plan process has been completed and it is has been determined Attendant Care is the most
appropriate service to meet the individual's need.
F. If the consumer is attending a day program provided by the Division provider, personal needs will be
taken care of by the agency as part of the current service.
G. Attendant Care shall not be used to circumvent the Division residential licensing process.
H. Attendant Care shall not be used to supplant care provided by the individual's natural support system.
I. Attendant Care shall not be provided when the individual is hospitalized except prior to discharge to
allow the individual to return to a safe and sanitary environment.
J. Providers may not perform skilled medical tasks.
K. Monthly progress reports validate continuing the service.
L. Attendant Care shall not be offered in a non-state operated Intermediate Care Facility for the Mentally
Retarded, Nursing Facility Vendor Supported Developmental Home, Level I or Level II Behavioral Health
Facilities or group homes.
M. An Attendant Care - Companion shall not exceed 20% of the provider’s weekly time on housekeeping
duties.
Service Provision Guidelines (Attendant Care)
Utilization of Attendant Care will be in accordance with the Individual Support Plan/Individualized Family
Services Plan/ Person Centered Plan http://www.de.state.az.us/azeip/ (Planning Documents).
Children in the age group of 0 to 3 need most of the tasks associated with Attendant Care completed for
them by their parents/caretakers regardless of whether or not they have disabilities. There are some
exceptions however, these exceptions must be listed in the Individualized Family Services Plan and
reviewed by the District Program Administrator to establish the need for Attendant Care services.
The Authorization Requirements are determined according to the Service Authorization Matrix.
A. The consumer or family is expected to provide all necessary housekeeping supplies.
B. The consumer/family is responsible to provide money for supplies and food in advance of the
purchase if the attendant is expected to shop for food and household supplies.
Service Description
Service Description and Goals (Attendant Care)
This service provides a qualified attendant to assist a consumer to attain or maintain safe and sanitary
living conditions and/or maintain personal cleanliness and activities of daily living. The goal of this
service is to assist the consumer to remain in his/her home or participate in community activities.
Service Definition (Attendant Care)
Barring exclusions noted in Section 602.1.6, Attendant Care may include the following:
A. Safe and sanitary living conditions. These living conditions shall be maintained only for the
consumers personal space or common areas of the home the consumer shares/uses.
B. Tasks to maintain safe and sanitary living conditions may include:
1. Dusting
2. Cleaning floors.
3. Cleaning bathrooms.
4. Cleaning windows (if necessary to attain safe or sanitary living conditions).
5. Cleaning oven and refrigerator (if necessary to prepare food safely).
6. Cleaning kitchen.
7. Washing dishes.
8. Changing linens and making beds.
9. Routine maintenance of household appliances.
C. Washing, drying and folding the consumer’s laundry (ironing only if the consumer’s clothes cannot
be worn otherwise).
D. Shopping for and storing household supplies and medicines.
E. Unusual circumstances may require the following tasks be performed:
1. Tasks performed to attain safe living conditions:
– Heavy cleaning such as washing walls or ceilings.
– Yard work such as cleaning the yard and hauling away debris.
2. Assisting the individual in obtaining and/or caring for basic material needs for water heating and food
by:
– Hauling water for household use.
– Gathering and hauling firewood for household heating or cooking including sawing logs and
chopping wood into usable sizes.
– Caring for livestock used for consumption including feeding, watering and milking.
3. Providing or insuring nutritional maintenance for the individual by planning, shopping, storing and
cooking foods for nutritious meals.
F. Assisting with showering, bathing, toileting, dressing and shampooing.
G. Assisting with transfer to and from wheelchair and/or bed.
H. Assisting with eating, where the assistance may include reminding or encouraging the consumer to
maintain intake; serving or bringing food to the consumer; preparing food for consumption through
cutting meats or other set-up activities; and feeding the individual or assisting the individual with eating.
I. Assisting with routine ambulation activities.
J. Assisting with or performing routine nail and skin care.
K. Assisting with tasks necessary for the comfort and safety of individuals with movement restrictions
(tasks that do not require medical or nursing supervision).
L. Assisting the individual with special appliances and/or prosthetic devices, if the procedure is routine
and well established.
M. Training the individual, family members and/or friends in personal care tasks as appropriate and
available.
N. Referring for appropriate action all individuals who present additional medical or social problems
during the course of the service.
O. Assisting with self-medication or medication reminders.
P. Supervising or transporting the individual as a complement to all activities noted in this section when
supervision or transportation is not the primary goal of the service.
Q. Establishing a structured schedule that meets the individual's needs.
Target Population (Attendant Care)
It is important to remember that support needs should ultimately be based on an assessment. Using
the assessment and plan development processes described in Chapters 700 Word (42K) Adobe (83K)
and 800, Word (93K) Adobe (230K) the person with their Individual Support Plan/Individualized Family
Services Plan Person Centered Plan team (Planning Team) should take into account the following
factors when establishing the need for this service:
A. The consumer lives alone and is unable to meet specific, basic personal care needs due to severe
physical disabilities.
B. The consumer lives alone and is temporarily unable to meet basic personal care needs due to a
medical condition or illness.
C. The consumer’s basic care needs cannot be met by the primary caregiver(s) due to advancing age, a
temporary or permanent documented physical or cognitive disability, or other limitation of the primary
caregiver (physician documentation may be required).
D. The consumer’s basic care needs cannot be met by the primary caregiver(s) alone due to intensive
medical, physical or behavioral challenges which are result of the individual's disability.
E. The consumer, due to a medical circumstance, is unable to attend his/her normal service program,
or causes undue strain upon the caregiver(s) who in response requires additional supports.
F. The consumer’s needs are not currently being met due to unavailability of service. Attendant Care
may be used as an alternative service.
G. The consumer has medical or physical needs and one of the following circumstances exist:
1. The consumer was living in an Adult Developmental Home, Group Home, Intermediate Care Facility
for the Mentally Retarded, Nursing Facility or other out of home placement and with Attendant Care,
he/she will be able to return home.
2. The consumer was already receiving Attendant Care and/or Housekeeping and the parent, who is
working, wishes to stay home and provide the service with pay.
Service Settings (Attendant Care)
Attendant care may be provided in the following settings:
A. The consumer’s home.
B. The consumer’s community.
602.1.5 Service Requirements (Attendant Care)
For consumers between the ages of 18 and 25 who will receive attendant care from a family member, a
Person Centered Plan will be done as well as a personal, private interview between the Support
Coordinator and the person. Upon documentation of the plan and interview, the Support Coordinator
may authorize Attendant Care Family as determined by the service approval matrix. A written “Daily
Living Schedule” must also be completed and reviewed with the Support Coordinator. Any amounts
above those indicated on the service approval matrix must undergo review by Central Office.
A. Prior to initiating service, the provider shall meet with the consumer and their primary caregiver to
obtain necessary information regarding the consumer, including obtaining a medical consent if the
caregiver will not be immediately accessible, and completing the Attendant Care Agreement PDF
(100K) WORD (108K).
B. The provider shall administer first aid and appropriate attention to injury or illness.
C. The provider shall report any unusual incidents to the Division in accordance with policies and
procedures:
D. All Attendant Care Providers provision of care shall be monitored and assessed on-site no more
than 30 days from the start of the service and every month for the first quarter.
The assessment must be performed on-site quarterly thereafter. A telephone call or review of the
provider's progress notes is not sufficient.
Documentation of the on-site visit shall be maintained in the Support Coordinator's file.
E. The Individual Support Plan/Individualized Family Services Plan /Person Centered Plan team
(Planning Team) must decide, prior to the delivery of service, who is responsible for monitoring and
assessing the Attendant Care Provider's provision of care.
F. The Planning Team must address any potential issues regarding skin integrity. Examples include,
but are not limited to, pressure sores, diabetes, tube feeding, braces and consumers who are in bed for
the majority of time.
1. If, based upon Planning Team assessment and discussion, there are no issues identified regarding
skin integrity, the decision should be stated in the Individual Support Plan/Individualized Family Services
Plan (Planning Documents).
2. If the Planning Team believes there is a chance of skin breakdown, the issue should be referred to
the District Nurse for further review. Documentation of the assessment and recommendations shall be
sent to the Primary Care Provider and a copy forwarded to the Support Coordinator.
Exclusions (Attendant Care)
A. Attendant Care shall not substitute for respite, day care or habilitation; such services shall not be
changed to Attendant Care with the intent to provide reimbursement to the family members.
B. Attendant Care shall not substitute for a work, school or day program, however, Attendant Care may
be used as an alternative for Day Treatment and Training only when Day Treatment and Training or
Habilitation services are not available. Attendant Care, when used as an alternative, shall be used only
until an appropriate service can be offered (not to exceed a six-month period). In the case where an
available day program has been rejected, Attendant Care cannot be used as an alternative.
C. Providers of Attendant Care shall not perform the following tasks:
1. Cleaning up after parties.
2. Cleaning up several days of accumulated dishes.
3. Preparing meals for the whole family.
4. Routine lawn care.
5. Major carpet cleaning.
6. Caring for household pets such as walking the dog.
D. Attendant Care providers shall not provide cleaning to areas of the home not used by the individual, e.
g., parents' bedroom or sibling's bathroom.
E. Attendant Care shall be offered only after the Individual Support Plan/Individualized Family/Person
Centered Plan process has been completed and it is has been determined Attendant Care is the most
appropriate service to meet the individual's need.
F. If the consumer is attending a day program provided by the Division provider, personal needs will be
taken care of by the agency as part of the current service.
G. Attendant Care shall not be used to circumvent the Division residential licensing process.
H. Attendant Care shall not be used to supplant care provided by the individual's natural support system.
I. Attendant Care shall not be provided when the individual is hospitalized except prior to discharge to
allow the individual to return to a safe and sanitary environment.
J. Providers may not perform skilled medical tasks.
K. Monthly progress reports validate continuing the service.
L. Attendant Care shall not be offered in a non-state operated Intermediate Care Facility for the Mentally
Retarded, Nursing Facility Vendor Supported Developmental Home, Level I or Level II Behavioral Health
Facilities or group homes.
M. An Attendant Care - Companion shall not exceed 20% of the provider’s weekly time on housekeeping
duties.
Service Provision Guidelines (Attendant Care)
Utilization of Attendant Care will be in accordance with the Individual Support Plan/Individualized Family
Services Plan/ Person Centered Plan http://www.de.state.az.us/azeip/ (Planning Documents).
Children in the age group of 0 to 3 need most of the tasks associated with Attendant Care completed for
them by their parents/caretakers regardless of whether or not they have disabilities. There are some
exceptions however, these exceptions must be listed in the Individualized Family Services Plan and
reviewed by the District Program Administrator to establish the need for Attendant Care services.
The Authorization Requirements are determined according to the Service Authorization Matrix.
A. The consumer or family is expected to provide all necessary housekeeping supplies.
B. The consumer/family is responsible to provide money for supplies and food in advance of the
purchase if the attendant is expected to shop for food and household supplies.
| ATTENDANT CARE |
Scottsdale Office:
480-272-9557
6310 E Thomas #228
Scottsdale AZ 85251
Mesa Office:
480-306-6868
2135 E University #112
Mesa AZ 85213
Coolidge Office:
520-723-9630
345 W Central #1
Coolidge AZ 85228
Phoenix Office:
Phone 602-973-8119
Fax 602-973-9189
2850 W Camelback #80
Phoenix AZ 85017
Northwest Office:
Phone 623-334-0615
17235 N. 75th Ave.
Glendale AZ 85308
Tucson Office:
Phone 520-575-7087
480-272-9557
6310 E Thomas #228
Scottsdale AZ 85251
Mesa Office:
480-306-6868
2135 E University #112
Mesa AZ 85213
Coolidge Office:
520-723-9630
345 W Central #1
Coolidge AZ 85228
Phoenix Office:
Phone 602-973-8119
Fax 602-973-9189
2850 W Camelback #80
Phoenix AZ 85017
Northwest Office:
Phone 623-334-0615
17235 N. 75th Ave.
Glendale AZ 85308
Tucson Office:
Phone 520-575-7087