TEXAS ADMINISTRATIVE CODE

TITLE 40
PART 1
CHAPTER 47
SUBCHAPTER D
RULE §47.41

The PHC Program, CAS Program, and FC Program include the following tasks:

  (1) assistance with ADLs, including:
 
    (A) bathing, which is:
 
      (i) drawing water in sink, basin, or tub;
 
      (ii) hauling or heating water;
 
      (iii) laying out supplies;
 
      (iv) assisting in or out of tub or shower;
 
      (v) sponge bathing and drying;
 
      (vi) bed bathing and drying;
 
      (vii) tub bathing and drying; and
 
      (viii) providing standby assistance for safety;
 
    (B) dressing, which is:
 
      (i) dressing the individual;
 
      (ii) undressing the individual; and
 
      (iii) laying out clothes;
 
    (C) meal preparation, which is:
 
      (i) cooking a full meal;
 
      (ii) warming up prepared food;
 
      (iii) planning meals;
 
      (iv) helping prepare meals; and
 
      (v) cutting an individual's food for eating;
 
    (D) feeding/eating, which is:
 
      (i) spoon-feeding;
 
      (ii) bottle-feeding;
 
      (iii) assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and
 
      (iv) providing standby assistance or encouragement;
 
    (E) exercise, which is walking with the individual;
 
    (F) grooming, shaving, or oral care, which is:
 
      (i) shaving;
 
      (ii) brushing teeth;
 
      (iii) shaving underarms and legs, when requested;
 
      (iv) caring for nails; and
 
      (v) laying out supplies;
 
    (G) routine hair or skin care, which is:
 
      (i) washing hair;
 
      (ii) drying hair;
 
      (iii) assisting with setting, rolling, or braiding hair, not including cutting or chemical processing of hair;
 
      (iv) combing or brushing hair;
 
      (v) applying nonprescription lotion to skin;
 
      (vi) washing hands and face;
 
      (vii) applying makeup; and
 
      (viii) laying out supplies;
 
    (H) assistance with self-administration of medication as defined in 26 TAC §558.2 (relating to Definitions);









 
    (I) toileting, which is:
 
      (i) changing diapers;
 
      (ii) changing colostomy bag or emptying catheter bag;
 
      (iii) assisting on or off bedpan;
 
      (iv) assisting with the use of a urinal;
 
      (v) assisting with feminine hygiene needs;
 
      (vi) assisting with clothing during toileting;
 
      (vii) assisting with toilet hygiene, including the use of toilet paper and washing hands;
 
      (viii) changing external catheter;
 
      (ix) preparing toileting supplies and equipment, not including preparing catheter equipment; and
 
      (x) providing standby assistance;
 
    (J) transfer, which is:
 
      (i) non-ambulatory movement from one stationary position to another, not including carrying;
 
      (ii) adjusting or changing the individual's position in a bed or chair (positioning); and
 
      (iii) assisting in rising from a sitting to a standing position; and
 
    (K) ambulation, which is:
 
      (i) assisting in positioning for use of a walking apparatus;
 
      (ii) assisting with putting on and removing leg braces and prostheses for ambulation;
 
      (iii) assisting with ambulation or using steps;
 
      (iv) assisting with wheelchair ambulation; and
 
      (v) providing standby assistance; and
 
  (2) assistance with IADLs, including:
 
    (A) cleaning, including:
 
      (i) cleaning up after the individual's ADLs;
 
      (ii) emptying and cleaning the individual's bedside commode;
 
      (iii) cleaning the individual's bathroom;
 
      (iv) changing the individual's bed linens and making the individual's bed;
 
      (v) cleaning floor of living areas used by the individual;
 
      (vi) dusting areas used by the individual;
 
      (vii) carrying out the trash and setting out garbage for pick up;
 
      (viii) cleaning stovetop and counters;
 
      (ix) washing the individual's dishes; and
 
      (x) cleaning refrigerator and stove;
 
    (B) laundry, including:
 
      (i) doing hand wash;
 
      (ii) gathering and sorting;
 
      (iii) loading and unloading machines in residence;
 
      (iv) using laundromat machines;
 
      (v) hanging clothes to dry;
 
      (vi) folding and putting away clothes; and
 
    (C) shopping, including:
 
      (i) preparing a shopping list;
 
      (ii) going to the store and purchasing or picking up items;
 
      (iii) picking up medication; and
 
      (iv) storing the individual's purchased items; and
 
    (D) escorting, including:
 
      (i) accompanying the individual outside the home to support the individual in living in the community;
 
      (ii) arranging for transportation, not including direct individual transportation;
 
      (iii) accompanying the individual to a clinic, doctor's office, or location for medical diagnosis or treatment; and
 
      (iv) waiting in the doctor's office or clinic with an individual if necessary due to client's condition or distance from home.

SOCIAL SERVICES AND ASSISTANCE

DEPARTMENT OF AGING AND DISABILITY SERVICES

CONTRACTING TO PROVIDE PRIMARY HOME CARE

SERVICE DELIVERY PLAN DEVELOPMENT

Allowable tasks