CARMEL COMMUNITY LIVING CORPORATION
HOST HOME MEMO OF UNDERSTANDING
(Copyright 2012 Carmel Community Living Corporation)
The following represent the basic terms of the Host Home Provider Agreement between Carmel Community Living
Corporation (CCLC) and _______________________, Provider, regarding the placement of CCLC Consumer(s) into
Provider's home.
DEFINITION OF HOST HOME PROVIDER:
A Host Home Provider is NOT an employee of CCLC. A Provider agrees to take a Consumer into his/her home and
to provide all appropriate care as if the Consumer is a part of the HHP’s family. The United States government has
classified host home providers as Adult Foster Care Providers, subject to the same laws and regulations as foster
parents of children. An adult foster care provider assumes full responsibility for compliance with all State and Federal
laws and regulations, and for all care and supervision of the Consumer placed in his/her care.
A Provider is NOT contracted to provide specific services or to work specified hours. The Provider agrees to provide
supervision and services to the Consumer AT ALL TIMES when the Consumer is not in a structured activity or in a
location that is supervised by approved provider(s), unless the Consumer's Service Plan (SP) specifies that the
Consumer may be left unsupervised for certain periods of time.
The Provider must make arrangements for supervision when the Provider cannot be present (i.e., Provider has an
outside job, other commitments, etc.), and must provide supervision when/if the Consumer is ill and cannot work or
attend day program activities. Examples: (1) if the Consumer is sick or refuses to go to work, it is the Provider's
responsibility to stay home with the Consumer (unless the Consumer can stay home alone, per the SP), or to make
arrangements for an approved person to stay with the Consumer; (2) if the Consumer is visiting family or is at
another program and needs to return to the Provider’s home, the Provider must make appropriate arrangements.
TERMS OF THE CONTRACT:
Some provisions of the Agreement are required by Federal, State or Community Centered Board (CCB) rules and
regulations, and, therefore are compulsory. Such provisions include, but are not limited to, required services and
documentation, training, insurance coverage, background screenings, inspections, household and medical items and
services.
CARMEL COMMUNITY LIVING CORPORATION agrees to:
1.
Provide appropriate program guidance and personnel, primarily through a Program Coordinator (PC), to
facilitate communication and coordination of services between the Host Home and CCLC. The PC may assist the
Provider in coordinating services involving vocational, medical and dental matters for the Consumer, including direct
contact with personnel from other agencies. The PC’s primary responsibilities are to safeguard the health and safety
of the Consumer, to ensure that the Provider is providing all required services and is following all appropriate rules
and regulations, and to ensure that all provisions of this Agreement are being fulfilled.
2.
Provide training as necessary to increase the Provider's skills, through individual and/or group training with
CCLC staff or training consultants as required. Provider will not be compensated for attending such training.
3.
Provide, as required, support services that are necessary for the Provider to ensure a successful placement
for the Consumer.
4.
When possible, assist Provider in locating respite care. Carmel will not be involved in the negotiation of
respite payment rates. Respite is the responsibility of the Provider. It is usually in the best interests of the
Consumer to remain in his/her home during respite care, with an approved substitute coming into the Provider's and
Consumer's home. If this is not possible, respite care settings must meet the same basic standards as the Provider's
home.
Per Section 10 of the Agreement, (Personal Services), persons who provide respite care must meet the minimum
qualifications specified in this Agreement. All CCLC Host Home Providers are approved to provide respite, as are
Host Home Providers and direct care staff approved by other Program Approved Service Agencies within the State of
Colorado, as long as they have successfully completed all appropriate training to meet the Consumer’s needs and
have been approved by CCLC.
HOST HOME PROVIDER agrees to:
1.
Provide a safe living environment: the home must pass the CCLC Residence Inspection, and be maintained
in such a manner to pass the HUD Section 8 Inspection Checklist. There must be a smoke detector and a carbon
monoxide detector on each level of the home. In some areas, the home must also pass inspection by the local
Community Centered Board (CCB). As appropriate, Provider will maintain the outdoor areas of the home so that the
Consumer may have access and egress, especially in emergencies: walkways, driveway and yard must be free of
clutter and/or potentially harmful obstacles; snow must be shoveled and ice removed promptly; animal wastes
removed promptly; no hazardous/poisonous plants. The Provider covenants and guarantees that there is no
dangerous instrumentality available to the Consumer (this includes, but is not limited to, weapons of any type or other
implements which may cause physical harm or injury to self or to others).
2.
Allow the Consumer access to and use of all living areas of the home including kitchen, living room, family
room, etc. Provider may designate his/her bedroom, office and the rooms of children and/or other Consumers as
private and restricted and not for the Consumer to enter without permission.
3.
Furnish food and household items; cleaning supplies; paper products; cookware and utensils; dishes,
flatware and glasses; linens (sheets, towels, and washcloths) unless the Consumer owns his/her own items, as
specified by state regulations (see attached list); Consumer MAY NOT be charged for these items. By regulation,
Provider and/or Carmel are not permitted to use Medicaid Waiver funds (services payment) to pay for any
item or service that is covered through the Medicaid State Plan (“Medicaid Always Pays” section of attached
list).
Room and Board payment made to HHP is intended to cover all living expenses for the Consumer. If the Consumer
receives food stamps (Colorado Quest Card) benefits, these funds are to be used to purchase items SOLELY for the
Consumer’s use; Provider must note on store receipts those items purchased either by or for the Consumer with the
Quest Card. These receipts shall be kept in the Consumer’s file.
4.
Provide a separate, furnished (bed and dresser at a minimum) sleeping room which meets the State of
Colorado Division for Developmental Disabilities standards. Consumers are not permitted to share a bedroom,
unless both Consumers request it and are given the option of separate rooms. If the Consumer has his/her own
furniture, it is preferable for them to use it rather than use Provider’s furniture; this is important to help the Consumer
feel more comfortable. Carmel is not responsible for damage done by the Consumer to Provider’s home,
furniture or other property.
5.
Provide a bathroom for the Consumer to use (shared with Provider and/or family is acceptable). Common
drinking glasses are not permitted (i.e., there may not be a “house” glass in the bathroom which everyone uses).
6.
Maintain a working telephone that is accessible to the Consumer for local calls. The Consumer is
responsible for any long distance charges. If the Consumer desires his/her own separate phone line, he/she must
pay for it from his/her personal funds. If Provider has a wireless (cell) phone only, the phone MUST be available
to the Consumer AT ALL TIMES. Provider may not charge the Consumer for utilities. Provider may charge the
Consumer for the Consumer’s share of cable or satellite television charges, if the Consumer requests such services.
However, Provider MAY NOT forbid the Consumer to watch the cable or satellite equipped television in a living area
of the home if the Consumer cannot afford to pay a share of this cost.
7.
Provide adequate laundry facilities and supplies, or provide adequate funds and assistance for the
Consumer to use commercial laundry facilities.
8.
Provide regularly scheduled meals and snacks that comply with the Consumer's prescribed diet and which
meet nutritional guidelines and the Consumer’s preferences. Provider will allow the Consumer flexibility to take
meals elsewhere, or at other times, and to have reasonable access to kitchen facilities. If the Consumer does not
want to eat the meal that is planned/offered by Provider, the Consumer may go to a restaurant or order take out and
use his/her personal funds. Provider must document on the receipt that a meal was offered but the Consumer
declined. PC will review these receipts for possible exploitation.
9.
Encourage the Consumer to participate in all decisions and activities of the household, including meal
planning, shopping and cooking, cleaning common areas, doing laundry, etc.
10.
Not require the Consumer to perform any work for Provider or for the Provider's family without reasonable
compensation, other than regular household duties in which all family members participate.
11.
Perform all services:
as listed in the Consumer’s Service Plan
as required by federal, state and local regulations
as ordered or recommended by a physician or other health care professional or therapist,
as required by Carmel policies and procedures and/or the Agreement,
and in a manner consistent with CCLC philosophy of providing services in the least restrictive manner.
This includes, but is not limited to
 performing training and support plans as scheduled
 all medical, dental, and therapy appointments and recommended follow up
 administering/assisting with medications
 daily physical and dental hygiene, unless otherwise scheduled
 periodic review of the Safety Plan and emergency procedures (e.g., fire drills) as scheduled in the Safety
Plan
 timely documentation of all services performed (i.e., documentation is required when the service is
performed).
Medicaid is a “fee for service” program, which means payment will be made ONLY if the required services are
provided and documented. To receive payment, it is not enough that the Consumer is living in the Provider’s home;
the Room and Board payment covers this. Medicaid requires that all services be performed according to the
frequency specified in the Consumer’s Service Plan. If all services are not provided, or are not documented,
Medicaid can and will withhold or take back payment. Provider understands that if Medicaid denies or takes back
any payments because Provider did not provide services or did not document services, Carmel will withhold that
amount from Provider’s payment.
12.
Be familiar with the Consumer’s Health and Safety Plan and review and practice it with the Consumer at the
frequency specified. If there is more than one Consumer in the home, Provider must be able to demonstrate that
he/she is capable of assisting all Consumers to evacuate in an emergency.
13.
Maintain records of the Consumer's program participation and progress, and medical information, and
submit progress reports as outlined by CCLC (see attached Host Home Provider Checklist). Provider will complete
and submit Incident Reports for any and all events that are covered in Carmel’s Incident Report training, or which is
noted in Carmel’s Policy and Procedures regarding Incident Reports.
14.
Keep the Consumer’s files up-to-date; all Consumer records will be kept in a secure place within Provider’s
home, or kept with Provider if taking the Consumer to an appointment.
15.
Not charge the Consumer for any damages done by the Consumer to Provider’s home, vehicle or property.
16.
Assist the Consumer with the management of his/her personal funds, according to the Consumer’s Service
Plan, unless the Consumer/guardian has made other arrangements in writing. This may include a savings and/or
checking account at a bank, or a cash system with ledger entries. Provider is responsible for accounting for all
personal funds, and for obtaining receipts for all expenditures of more than $5.00, unless a different amount
is specified in the Consumer’s Service Plan. Provider must reimburse the Consumer for any lost or missing
receipts or for unaccounted funds; if Provider is unable to provide receipts, the amount owed to the
Consumer will be deducted from Provider’s payment the following month. Provider is responsible for
reconciling the Consumer’s bank account(s) using the monthly bank statement(s) and must submit the
reconciliation and statements to CCLC on a monthly basis, per the attached checklist.
Carmel contracts with some pharmacies that waive prescription copays under $4.00; if the Provider chooses
to use a different pharmacy that does not waive these copays, the Provider is responsible for paying them.
17.
Remind the Consumer to submit paycheck stubs as soon as they are received, and to submit them to PC as
scheduled. If the Consumer’s paycheck stubs are not submitted within the required deadline, it is possible that the
Consumer may have to make an additional room and board payment in a succeeding month. If the Consumer is
required by Social Security to make an additional payment because of under-reporting of income based on
Provider’s failure to submit paycheck stubs on time, the amount of the Consumer’s additional payment may
be deducted from Provider’s payment. Provider should keep track of the Consumer’s pay days, and inform the
PC if the Consumer is not submitting check stubs timely.
18.
Safeguard the Consumer’s personal possessions and maintain an up to date inventory of all of Consumer’s
possessions (not to include clothing). Provider accepts responsibility to replace or to pay for replacing, any item of
value belonging to the Consumer which was broken or lost through Provider’s action or omission. Provider should
consult with the PC for a possible behavioral support program if Provider notes that the Consumer seems to be
losing, discarding or destroying personal items.
19.
Provide transportation to and from medical, dental and other appointments, social/recreational activities, or
other locations as needed by the Consumer, OR make adequate and appropriate transportation arrangements. It is
the Provider's responsibility to schedule appointments at a time that is mutually convenient, with the Consumer’s
schedule taking precedent. Provider is responsible for payment if an appointment is missed and there is a “no
show” charge. If the appointment is missed due to refusal to attend by the Consumer, Provider will immediately
notify the PC to discuss the behavior; in such a case, the Consumer may be required to pay the charge. Vocational
agency or the Consumer is responsible for transportation to work or to funded day program activities, unless
otherwise specified.
20.
Arrange a physical examination of the Consumer by a licensed physician at the frequency determined by
the primary care physician; a dental examination by a licensed dentist according to the dentist’s recommendations
but at least annually, and other therapies and treatments as prescribed by physicians, dentists and/or other
professionals, or as recommended by the IDT.
21.
Participate in and accept all medical testing deemed necessary for a Host Home Provider by CCLC
(Tuberculosis tests, Hepatitis screenings, etc.).
22.
Authorize CCLC to undertake a personal background check, criminal history check (which may include
fingerprinting and Central Registry for Child Protection) and driving record check, prior to final acceptance as a Host
Home Provider; this applies to all residents of Provider’s home who are eighteen (18) years of age or older. Provider
shall pay for these screenings.
23.
Attend service provider training prior to providing services and maintain current certification in CPR and First
Aid. Provider is encouraged to attend a minimum of 24 hours of continued training per year, either through CCLC's
In-Service Training Program or through other sources. For new Providers, Carmel will accept Medication
Certification from another Program Approved Service Agency (PASA) in Colorado, as long as the Provider attends a
Carmel Medication Recertification class and passes the test, within 30 days of initiation of the Agreement. Carmel
will accept Recertification by another PASA if the Provider’s original Certification was through Carmel. Carmel
reserves the right to require the Provider to retake the Recertification class at the discretion of the Nurse Consultant.
Host Home Payment may be held until Provider has obtained and submitted proof of all required trainings and
certifications.
24.
Abide by all laws regarding the legal rights of the Consumer, and other laws, rules and regulations
pertaining to the provision of services and to participate in any applicable reviews and/or surveys of CCLC programs
by local, state or federal agencies.
25.
Maintain Provider’s vehicle(s) in safe working condition. Before transporting the Consumer, HHP will
perform an inspection of his/her vehicle, or submit a copy of a recent (within 30 days) safety inspection performed by
a mechanic or by a commercial vehicle service center (JiffyLube, Grease Monkey, dealership, etc.). Inspections shall
be required at least once per year. Host Home Payment may be held until inspection has been performed and all
safety defects have been repaired.
26.
Refrain from excessive drinking of alcohol while the Consumer is present in the home. Occasional drinking
in moderate amounts is permissible, but Provider MUST maintain the ability to appropriately deal with any emergency
or other issue which may arise. Any out-of-control drinking episode (the Provider’s ability to make sound judgments
in the best interests of the Consumer is significantly impaired) may be grounds for immediate termination of this
Agreement and charges of Mistreatment or Abuse. Any use of illegal substances or misuse of prescription
medications may be grounds for immediate termination of the Agreement and removal of the Consumer.
27.
Comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and
subsequent updates of that law, and with Carmel’s policies and procedures as stated in Carmel’s Notice of Privacy
Practices and in Carmel’s HIPAA Compliance Plan. Provider understands that if he/she violates any provisions of
HIPAA or of Carmel’s privacy policies Provider may be subject to one of more of the following:
 he/she may be subject to investigation by the Office of Civil Rights of the U.S. Department of Health and
Human Services;
 Carmel may terminate this Agreement;
 criminal charges may be brought against him/her;
 he/she may be liable for fines and/or imprisonment.
28.
Maintain a computer with high speed internet access, a printer, and a scanner and/or fax machine to record
delivery of services and send copies of paper documents to the office. If Provider does not have scanning/fax
capabilities at home, all Medical/Dental appointment forms and Incident Reports must be brought to the office by the
next business day.
ADDITIONAL PROVISIONS:
Provider’s home must meet, at a minimum, the Housing Quality Standards set by the Department of Housing and
Urban Development for its Section 8 Subsidy program; it must also meet CCLC, State and local requirements. The
assigned PC will visit the home to determine its suitability for the Consumer being considered. If the Consumer has a
HUD rent subsidy, a certified HUD inspector will also visit the home to perform the Section 8 inspection prior to
placement.
If the Consumer uses a wheelchair or other adaptive equipment, the Consumer’s bedroom, bathroom and the main
living areas of the home must be accessible to the Consumer; the main entrance/escape exit of the home must be
ramped for wheelchair access. Provider must be able to demonstrate that he/she is capable of assisting all
Consumers in the home to escape in an emergency. Provider is responsible for making any necessary
modifications to the home (ramps, grab bars, raised toilet seats, smoke alarms with flashing lights, etc.) at
Provider’s expense. However, Medicaid or local non-profit agency funds may be available to pay for some
adaptive equipment, if ordered by the Consumer’s physician.
Failure to perform any of the tasks enumerated in this Memo of Understanding or in the Agreement, or
required by regulation, may result in payment being withheld from HHP or in termination of the Agreement.
Provider understands and agrees that CCLC may withhold payment for non-compliance with any of the following
items until the deficiency is corrected, and may assess a non-refundable monthly administrative fee of $25.00
(twenty-five dollars) per item, with thirty (30) days’ written notice, until the deficiency is corrected:
*that he/she MUST submit to CCLC proof of General Liability insurance (homeowners or renters in the
amount specified in the Agreement) within 30 days of the Consumer's moving into his/her home;
*that he/she MUST submit proof of Professional Liability insurance in the amount specified in the
Agreement to CCLC within 30 days (ten days for Consumers served through Denver Options);
*that he/she MUST be trained in CPR and First Aid within 90 days and maintain certification;
*that he/she MUST be certified in Medication Administration within 30 days; Provider will NOT administer or
otherwise deal with the Consumer’s medications until Provider is certified to do so;
*that he/she MUST submit proof of registration of a Trade Name with the State of Colorado Department of
Revenue within 90 days;
*that if he/she transports the Consumer in his/her vehicle, he/she MUST have insurance with at least the
minimum coverage as required by the State of Colorado, submit proof of such insurance to CCLC before driving the
Consumer in his/her vehicle, and submit proof of coverage renewal; the policy MUST cover all drivers who may be
using the vehicle to transport the Consumer
*that he/she will maintain his/her vehicle in a safe condition, and will submit proof of such condition before
driving the Consumer, and periodically (at least once) through the year, as requested (copies of inspection reports
from a dealer or other service facility or inspection by Provider using CCLC Vehicle Safety Inspection Checklist).
Provider further agrees:
*that he/she will meet Carmel’s minimum driving record standards and will notify the assigned PC of
citations received for any moving violations;
*that CCLC may remove the Consumer from the Provider’s home if there is an allegation of Mistreatment,
Abuse, Neglect or Exploitation (see CCLC’s Policy/Procedure on M/A/N/E), pending the results of an investigation; if
the investigation shows that the allegations are true, the Consumer may not return to the Provider’s home and
payment will cease as of the day that the Consumer was removed;
*that if CCLC loses funding for the Consumer for any reason (death, move to another facility due to illness
or behaviors, Consumer/guardian request), payment will cease with forty-eight (48) hours’ notice to Provider (i.e.,
Provider will be paid for two days from the date of notice);
*that if Provider violates any provision of this Memo of Understanding or of the Agreement, CCLC may
remove the Consumer with no further obligation of payment to Provider, as of the day the Consumer was removed.
This Memo of Understanding is not all-inclusive, and is not intended to take the place of the Host Home Provider
Agreement which is incorporated by reference herein. It is intended to enumerate the basic terms of the contract so
that Provider understands the responsibilities and obligations which are clearly defined in the formal Agreement.
This Memo is part of the final Agreement between the parties.
________________________________________
Provider
Date
________________________________________
CCLC Program Coordinator
Date
________________________________________________
CCLC Region Manager
Date
HOST HOME PROVIDER AGREEMENT - EXHIBIT A
SAMPLE HHP MONTHLY CHECKLIST
The tasks below must be completed for your Consumer by the end of the month, or by the date
indicated. Give all paperwork to your Program Coordinator (PC).
FAILURE TO COMPLETE REQUIRED TASKS OR TO SUBMIT REQUIRED
DOCUMENTATION MAY RESULT IN PROVIDER’S CHECK BEING HELD BY CCLC UNTIL
SATISFACTORY COMPLETION, AND/OR A LATE FEE OF $25.00 (TWENTY-FIVE
DOLLARS) BEING DEDUCTED FROM PROVIDER’S PAYMENT AFTER THIRTY (30) DAYS’
WRITTEN NOTICE.
Provider name: _________________________ PC name: _________________________
Tasks to be completed
PETI Forms to PC by the 15th
Room and Board checks to PC by the 20th
Consumer’s WORK paycheck deposited within 5 days; stub submitted
to PC within 2 days (mailed or brought in person)
Census information WEEKLY to PC; form submitted Monthly
Checkbooks balanced and all accompanying financial paperwork
(receipts, bank statement, PNF log, etc.) submitted to PC by the assigned
date
Completed Activity Logs, Medication Sheets and Medical
Communication Logs submitted to the PC before payment
Personal Needs checks deposited within 5 days of receipt
Fire drills and Safety Plan reviews turned in to PC as required by
Safety Plan
Inventory updated
Doctor’s appointments, labs completed/scheduled
ID card checked: does Consumer have one, address correct?
Assessments, Pre-SP forms and other required paperwork submitted to
PC by assigned date
Documentation of required training submitted by due date
________________________________________________________
PC Signature
Date
PURCHASE CATEGORIES FOR CONSUMERS, HOST HOMES AND CARMEL (Rev 1/5/12)
Consumers Pay for with Personal Funds
Clothes and shoes
Haircuts, perms
Hygiene supplies not on CCLC or
HHP list:
Shampoo, conditioner
Lotion (unless doctor ordered)
Deodorant
Shavers/Razors/Blades
Shaving cream
Nail polish and remover
Bubble bath, bath oil (unless
doctor ordered)
Depilatories
Magazines, books
Floral, plants
Toys, games
Greeting cards, gifts
Stationery, pens, paper, tape, etc.
Recreation
Video rental or purchase
Holiday/party items and decorations
Decorations for client’s room
Furniture other than bed and dresser
Cigarettes, other smoking materials
Medical co-pays
Postage
Air fresheners (if requested)
Batteries (except for hearing aids or smoke alarms)
Vacation expenses (per policy)
Pet supplies, vet bills, etc.
Special request furniture or appliances: TV, VCR/DVD, desk, video games, bookshelves
Misc. personal items
Host Home: Provider Pays
PCA: Carmel Pays
Food
Housekeeping supplies: cleaners, mop, broom, sponges, dish soap, trash bags, foil/saran, air fresheners
Household supplies: basic furnishings, light bulbs, cooking & eating utensils, cookware, dishes, flatware, serving utensils
Batteries for hearing aids, smoke alarms and emergency flashlights
Linens: sheets, blankets, towels, protective mattress pads/liners
HYGIENE: soap, nail clippers/files
DENTAL: toothbrush (including Sonicare or similar power brush ordered by the dentist), toothpaste, floss, threaders, mouthwash,
denture cleaner/cup
Sanitary napkins
Doctor-ordered lotions, bath oil, etc.
Over the counter meds: Tylenol, aspirin, cold remedies, cough syrup and drops, vitamins, lip balm, laxatives, suppositories, etc.
Prescription copays if HHP chooses to use a pharmacy that does not waive them
Medical/first aid: bandaids, Q-tips, antiseptics, bandage, gauze, cotton balls, alcohol, heating pads, ice bags, scales, humidifiers,
lubricants
Telephone (local service), utilities
Laundry: machines or laundromat, detergent, bleach, softener
Lighted smoke alarms and doorbells for hearing impaired
Anti-elopement alarms
Escape ladder and windows
All transportation except voc or day program, unless otherwise specified
CCLC ALWAYS Pays, Regardless of Setting
Prescription medications not covered by Medicaid or Medicare
Note: all medications – oral or topical - MUST have a doctor’s order (unless the person is independent with their medications); a “prescription
medication” is one that is ONLY available with a prescription from a health care professional; over the counter meds are NOT prescription
meds and must be paid for by the HHP
Medicaid Pays Through CCB
(PAR must be in place BEFORE service is provided)
*Dental services: exams and cleaning, all dental work, dentures and partials
*Eye exams and glasses
*Some assistive devices and supplies if not covered by State Plan
*Psychological and Behavioral services: evaluations, therapy; (Consumers may pay a portion if court-ordered or IDT-approved)
Medicaid State Plan Pays (provider bills Medicaid directly)
Physical and occupational therapy
Speech therapy, audiology, communication devices
Hearing aids
Walkers, wheelchairs, canes, crutches and repairs (if Medicaid paid for item)
Leg/arm braces, special shoes
Adaptive equipment and furniture: hospital bed, hydraulic lifts, cradles
Medical supplies: thermometer, syringes and needles, diagnostic equipment (diabetes test kits, etc.), colostomy and urine bags
and equipment, fleece pads
Home health care (some cases)
G-tube equipment: tubes, bags, gloves, ancillary supplies
Breathing equipment: oxygen and masks, O2 humidifiers, hoses, regulators, etc.
If Medicaid denies payment, Host Home pays unless PCA:
Most nutritional supplements as ordered by doctor (Ensure, Jevity, etc.)
Diapers, chux pads, wipes
Gloves, gowns, masks as ordered
Irrigating solutions (saline, acetic acid)
Adaptive equipment for home: grab bars, raised toilet seats, bath benches
(Lists are subject to change pending further information from Medicaid)