Personal Assistance⁄Habilitation (PAB) Level 1 and 2:

A range of assistance of training to enable program participants to accomplish tasks that they would normally do for themselves if they did not have a disability. Such assistance include active supervision (readiness to intervene as necessary) and interaction with participants. This may take the form of hands-on assistance (actually performing a task for the person) or training or multi-step instructional cuing as a part of a plan to prompt the participant to perform a task. Personal care services may be provided on an episodic or on a continuing basis. Health-related services that are provided include skilled or nursing care to the extent permitted by law. Such assistance include assistance or training in the performance of ADLs (bathing, dressing, toileting, transferring, maintaining continence) and IADLs (more complex life activities, e.g. personal hygiene, light housework, laundry, meal preparation, transportation, grocery shopping, using the telephone, medication, and money management). Services may include personal assistance or training to meet outcomes/goals of increasing independence, developing natural supports, learning, developing relationships, contributing through employment/volunteering/participation and their associated costs. Services may be provided in or outside the participant’s home, and recommendations of specialized therapies could be incorporated within this service.

Residential Habilitation (Res⁄Hab) Level 1¸ 2¸ 2A¸ and 3:

Res/Hab means individually tailored supports that assist with the acquisition, retention, or improvement in skills related to living in the community. These individually specific supports include adaptive skill development, assistance with Activities of Daily Living, community inclusion, transportation, adult educational supports, social and leisure skill development, that assist the participant to reside in the most integrated setting appropriate to his/her needs. Res/Hab does not include general care and protective oversight and supervision which are required under the facility’s license or certification requirements. Personal care/assistance may be a component part of Res/Hab services but may not comprise the entirety of the service. Recommendations of specialized therapies as indicated could be incorporated within this service.

Chore Services:

Services needed to maintain the home in a clean, sanitary, and safe environment. This service includes heavy household chores such as washing floors, windows and walls, tacking down loose rugs and tiles, moving heavy items of furniture in order to provide safe access and egress. Services also consist of the performance of general household tasks (e.g. meal preparation and routine household care). These services are provided only when the participant or anyone else in the household, or other relatives, caregiver, landlord, community/volunteer agency, or third party payor is not capable or responsible for performing or financially providing for them. In the case of rental property, the responsibility of the landlord, pursuant to the lease agreement, is examined prior to any authorization of service.

Respite

Services provided to participants unable to care for themselves that are furnished on a short-term basis because of the absence or need for relief of those persons normally providing care for the participant. Short-term basis shall be defined as daily units for thirty (30) consecutive days. Exceptions may be made by the DOH-DD on a case-by-case basis.

Skilled Nursing

Services listed in the service plan that are within the scope of the State’s Nurse Practice Act and are provided by a registered nurse, or licensed practical nurse under the supervision of a registered nurse, licensed to practice in the State of Hawaii. Skilled nursing falls within the scope of the State’s Nurse Practice Act and be provided by a RN or a LPN under the supervision of a RN. Skilled Nursing activities may include, but are not limited to, the following: Aspiration Precautions, Catheterization, Infection Control, Inhalation Treatments, Medication Management and Administration, Ostomy Care, Oxygen Therapy and Aerosolized Treatments, Seizure Management and Precautions, Suctioning, Tube Feeding and Management, Wound Care Requiring Sterile Procedures, IV (Intravenous), Shots – IM (Intramuscular) and SQ (Subcutaneous), Nursing Observation and Assessment of Client, and TPN (Total Parenteral Nutrition) Feedings in Vein.