Home

Service Description and Goals (Housekeeping)

This service provides assistance in the performance of activities related to routine household
maintenance at an individual's residence.

The goal of this service is to:

a.        increase or maintain a safe, sanitary and/or healthy environment for eligible individuals.

Service Settings (Housekeeping)

This service would occur in the individual's own home or family's home. It would occur outside only when
unsafe/unsanitary conditions exist and would occur in the community when purchasing supplies or
medicines.

Service Requirements (Housekeeping)

Before Housekeeping can be authorized, the following requirements must be met:

a.        safe and sanitary living conditions shall be maintained only for the individual's personal space or
common areas of the home the individual shares/uses;

b.        tasks 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; and

9.        routine maintenance of household appliances;

c.        washing, drying and folding the individual's laundry (ironing only if the individual's clothes cannot be
worn otherwise);

d.        shopping for and storing household supplies and medicines;

e.        in unusual circumstances, the following tasks may be performed:

1.        to attain safe living conditions:

-        heavy cleaning such as washing walls or ceilings; or

-        yard work such as cleaning the yard and hauling away debris;

2.        to assist 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; or

-        caring for livestock used for consumption including feeding, watering and milking; and

3.        to provide or insure nutritional maintenance for the individual by planning, shopping, storing and
cooking foods for nutritious meals.

Target Population (Housekeeping)

Individuals who are eligible for or are receiving assistance through the Supplemental Payments Program
will not receive Housekeeping. Individuals who are not ALTCS eligible should be referred to the
Supplemental Payments Program (SPP). Needs are assessed by the Support Coordinator based upon
what is normally expected to be provided by an individual and/or his/her caregiver. Consideration should
be made to age appropriate expectations of the individual and his/her entire family (what can reasonably
be expected of each member based on his/her age). This service is not appropriate when the family can
provide the support and/or financial resources to maintain a safe and sanitary environment. There may
be a need if any of the following are factors:

a.        an individual is living with his/her family and has intense medical, physical or behavioral needs and
the family members are unable to care for the individual and maintain a safe and sanitary environment;

b.        an individual is living with his/her family and the family members have their own medical/physical
needs which prevent the family members from maintaining a safe and sanitary environment
(documentation of the medical/physical needs may be required);

c.        an individual is living independently and has medical/physical needs which preclude him/her from
maintaining/attaining a safe and sanitary environment;

d.        an individual is living independently and has demonstrated that he/she cannot maintain a safe and
sanitary environment. Habilitation should be considered before using Housekeeping so the individual's
abilities may be maximized; or

e.        the family is experiencing a crisis that prevents them from maintaining a safe and sanitary
environment. The situation would be documented in the individual's progress notes and the service
delivery would be of a time limited nature.

Exclusions (Housekeeping)

The following exclusions apply to the provision of Housekeeping:

a.        Housekeeping is to be performed only for the individual's areas of the home or common areas of
the home used by the individual, i.e., parent's or sibling's bedrooms or bathrooms would not be cleaned.
Other examples of inappropriate use of Housekeeping would include:

1.        cleaning up after parties;

2.        cleaning up several days of accumulated dishes;

3.        preparing meals for the whole family; or

4.        routine lawn care.

Service Provision Guidelines (Housekeeping)

Typical utilization of Housekeeping would be 2 - 4 hours per week. Additionally:

a.        the individual or family is expected to provide all necessary supplies;

b.        this service shall not be provided when the individual is hospitalized or otherwise receiving
institutional services. The service may only be provided at the end of hospitalization to allow the individual
to return to a safe and sanitary environment; and

c.        individuals residing in group homes, foster homes or adult developmental homes shall not receive
this service.

Provider Types and Requirements (Housekeeping)

Designated District staff will ensure all contractual requirements related to Housekeeping providers are
met before services can be provided. Additionally, all providers of ALTCS services must be certified
by DES/DDD and registered with AHCCCS prior to service initiation.

Service Evaluation (Housekeeping)

The ISP/IFSP/PCP review shall document appropriateness of this service based upon the Support
Coordinator's observation and input from the individual, family and provider.

Service Closure (Housekeeping)

This service is no longer appropriate when:

a.        the individual's medical, physical or behavioral needs have decreased;

b.        the physical/medical needs of the family members have decreased;

c.        the family is no longer experiencing crisis;

d.        the individual no longer resides at home, has moved out of State or when the individual is no longer
eligible for ALTCS (refer to the Supplemental Payments Program (SPP));

e.        the individual moves to a residential or institutional setting; or

f.        the family has adequate resources or other support to provide the service.

A Notice of Intended Action must be sent in accordance with the processes defined in Section 2202 of this
manual.

Other (Housekeeping)

a.        the amount of Housekeeping provided shall be determined based on the home requirements for a
safe and sanitary environment. If more than one eligible individual resides in the home, payment will not
be made twice for cleaning common areas of the home;

b.        if the family is receiving SPP for other individuals in the home, the Support Coordinator shall
determine if the SPP is meeting the family's needs.