Page 675
West Virginia Income Maintenance Manual Chapter 4
West Virginia Income Maintenance Manual Page 203 Chapter 4 Income
o Durable medical equipment prescribed by a physician o Rental of sickroom supplies o Cost of in-home care o Services of other licensed practitioners of the healing arts Do not deduct any expenses that are included in a package of services, prior to the date services are rendered, such as, charges for prenatal care and delivery services or orthodontia. • Expenses for personal care services are defined as: services provided in a client's home that are prescribed by a physician, delivered in accordance with a plan of treatment and provided by a qualified person who is not a member of the client's family, under the supervision of a registered nurse. For these purposes, home is defined as the client's full-time residence, but does not include a hospital, nursing facility, intermediate care facility, or any other setting in which nursing services are, or could be, made available. o Family member for these purposes is defined as: ▪ A spouse ▪ A parent or stepparent of a minor child ▪ A parent of an adult child ▪ An adopted child or adoptive parent of a client o An adult sibling or stepsibling of a minor child o An adult sibling residing with an adult sibling client o An adult child of an adult client The services must fall into any of the following general groups. Each general group shown below is further defined by examples but is not limited to only the examples shown. o Personal Hygiene/Grooming: care of hair; nails; teeth; mouth; shaving; bathing; toilet assistance; dressing; laundry, when related to incontinence. o Non-Technical Physical Assistance: routine bodily functions; routine skin care, including application of non-prescription skin care products; change of simple dressings; repositioning or transferring into and out of bed, on and off seats; walking, with or without equipment; assist in administration of medication; following directions of a professional for use of medical supplies. o Nutritional Support: meal preparation; feeding; assisting with special nutritional needs, including preparation of special formulas, prescribed feedings or special diets. o Environmental: housecleaning, dusting and vacuuming; laundry; ironing and mending; making and changing beds; dishwashing; food shopping; payment of