If an activity is incidental to the provision of personal care services, then it can be included. For example, a beneficiary may have a personal care attendant (PCA) to assist with toileting and eating throughout the day. If the beneficiary has moments of inattentiveness and needs to be redirected, the PCA could do that.
However, if the student only needs redirection to complete educational tasks, that would not be considered personal care services. Activities provided for educational instruction would not be regarded as personal care. If a student exhibits the need for special assistance with educational instruction, they should be evaluated so the appropriate services that would best meet those needs can be identified.
If a personal care provider provides services in the classroom and assists the student with
Date
Topic
Sub Topic
FAQ ID
181041
FAQ Question
If a personal care provider provides services in the classroom and assists the student with an assignment, does this make the service non-billable? For example, if the provider is monitoring and cuing a student to keep the student from engaging in self-injurious behavior and prompting the student to stay on task to complete a math assignment, can the service be covered by Medicaid?