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1995-06-25
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APPENDIX A
HIV-Related Service Categories
1. PRIMARY MEDICAL CARE: Provision of routine, non-
emergency, non-inpatient, non-specialized medical care.
2. DENTAL CARE: Diagnostic and therapeutic services
rendered by dentists, dental hygienists, and similar
professional practitioners.
3. MENTAL HEALTH THERAPY/COUNSELING: Psychological and
psychiatric treatment and counseling services,
including individual and group counseling, provided by
a mental health professional licensed or authorized
within the State, including psychiatrists,
psychologists, clinical nurse specialists, social
workers, and counselors.
4. CASE MANAGEMENT: Client-centered service that links
clients with health care and psychosocial services in a
manner that ensures timely, coordinated access to
medically appropriate levels of care and support
services, and continuity of care. Key activities
include: assessment of client's needs and personal
support system; development of a comprehensive,
individualized service plan; coordination of services
required to implement the plan; client monitoring to
assess the efficacy of the plan; and periodic
reevaluation and adaptation of the plan as necessary
over the life of the client.
5. HOME HEALTH CARE: Therapeutic, nursing, supportive
and/or compensatory health services provided by a
licensed/certified home health agency in a
home/residential setting in accordance with a written,
individualized plan of care established by a case
management team that includes appropriate health care
professionals. Component services are defined
separately below:
a. Para-Professional Care: Homemaker, home health
aide, and personal/attendant care.
b. Professional Care: Routine and skilled nursing,
rehabilitation and mental health.
c. Specialized Care: Intravenous and aerosolized
medication treatments, diagnostic testing,
parenteral feedings and other high tech services.
d. Durable medical equipment: Prosthetics, devices and
equipment used by clients in a home/residential
setting, e.g., wheelchairs, inhalation therapy
equipment or hospital beds.
6. REHABILITATION CARE: Services provided by a licensed or
authorized professional in accordance with an
individualized plan of care which is intended to
improve or maintain a client's quality of life and
optimal capacity for self-care. The definition includes
physical therapy, speech pathology, and low-vision
training services.
7. SUBSTANCE ABUSE TREATMENT/COUNSELING: Treatment and/or
counseling to address substance abuse (including
alcohol) problems.
8. HOSPICE CARE: Nursing care, counseling, physician
services, and palliative therapeutics provided by a
hospice program to patients in the terminal stages of
illness in their home setting.
9. SUPPORT SERVICES:
a. Adoption/Foster Care Assistance: Assistance in
placing children under the age of 20 because their
parents are unable to care for them due to HIV-
related illness or death, in temporary (foster
care) or permanent (adoption) homes.
b. Buddy/Companion Services: Activities provided by
volunteers/peers to assist the client in performing
household or personal tasks, and providing mental
and social support to combat the negative effects
of loneliness and isolation.
c. Day and respite care: Residential or home-based
non-medical assistance designed to relieve the
primary caregiver responsible for providing day-to-
day care of client or client's child.
d. Direct Emergency Assistance: Provision of short-
term supports for food, housing, rent, utilities,
medication or other resources.
e. Food Bank/Home Delivered Meals: Provision of actual
food or meals, not finances to purchase food or
meals.
f. Housing and Housing-Related Services: This
includes: assistance in locating and obtaining
suitable, on-going or transitional shelter
(including costs associated with finding a
residence and/or subsidized rent); and residential
housing services, which are the provision of
housing assistance in a group home setting.
g. Client Advocacy: Assistance provided to individuals
with respect to wills, funeral arrangements,
matters related to protection of civil rights, and
other relevant needs experienced by clients.
h. Transportation: Conveyance services provided to a
client in order to access health care or
psychosocial support services. May be provided
routinely or on an emergency basis.
i. Other: Support services not listed above, including
(but not limited to) non-mental health counseling,
translation and interpretation, etc.
j. In-Patient Personnel Costs: Within the limitations
of the legislation (see Sec. 2604, (c)(l) through
(3)) up to ten percent of the total award for such
costs upon determination by the HIV Health Services
Planning Council that a shortage of inpatient
personnel exists which has resulted in
inappropriate utilization of inpatient services.
January 1995