I am trying to determine level of care for some participants in an adult day services program. (a PACE program) I have been asked to come up with some guidance for determining level of care for our clients (participant). If they do not meet nursing home level of care they are to be disenrolled from our program as per medicaid rules. This info about adl time limits is not for rehab purposes it is to help caregivers and staff determine a participants level of care while in the home, not at the facility. Staff has to ask the caregiver what level of assistance the participant requires to complete adl at home, not what the participant can do when I am present.
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