Common use of Activities of Daily Living Section: Clause in Contracts

Activities of Daily Living Section:. Maximum Section Rate allowed (Before 2-1 Rate): $1,902.40 $1,949.96 $1,988.96 Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 Ambulation/Mobility in the Full Assist $619 $634.48 $650.34 $663.35 Home: Two Person Assist: plus 2:1 rate $619 $634.48 $650.34 $663.35 Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 Ambulation/Mobility in the Full Assist $619 $634.48 $650.34 $663.35 Community: Two Person Assist: plus 2:1 rate $619 $634.48 $650.34 $663.35 Transferring/Positioning Full Assist $619 $634.48 $650.34 $663.35 Two Person Assist: plus 2:1 rate $619 $634.48 $650.34 $663.35 Eating/Drinking Partial Assist- Intermittent $619 $634.48 $650.34 $663.35 Full Assist $928 $951.20 $974.98 $994.48 Full Assist - constant/a spiration risk $928 $951.20 $974.98 $994.48 Toileting Full Assist $309 $316.73 $324.64 $331.13 Bladder Control Partial Assist $155 $158.88 $162.85 $166.11 Full Assist $619 $634.48 $650.34 $663.35 Bowel Control Partial Assist $155 $158.88 $162.85 $166.11 Full Assist $619 $634.48 $650.34 $663.35 Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 Menses Partial Assist $77 $78.93 $80.90 $82.52 Full Assist $155 $158.88 $162.85 $166.11 Bathing Full Assist $309 $316.73 $324.64 $331.13 Two- Person Assist: plus 2:1 rate $309 $316.73 $324.64 $331.13 Oral Hygiene Full Assist $77 $78.93 $80.90 $82.52 Dressing & Hair Care Full Assist $206 $211.15 $216.43 $220.76 Shaving Full Assist $103 $105.58 $108.21 $110.37

Activities of Daily Living Section:. Maximum Section Rate allowed (Before 2-1 2:1 Rate): $1,902.40 $1,949.96 $1,988.96 ) $ 2,289.20 $ 2,403.66 $ 2,511.82 Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 4/1/2022 12/1/2023 1/1/2025 Ambulation/Mobility in the Full Assist $619 $634.48 $650.34 $663.35 Homeplus $ 763.49 $ 801.66 $ 837.74 in the: Two home 2 Person AssistAssist 2:1 RATE $ 763.49 $ 801.66 $ 837.74 Community Full Assist plus $ 763.49 $ 801.66 $ 837.74 2 Person Assist 2:1 RATE $ 763.49 $ 801.66 $ 837.74 Transferring and Positioning Full Assist plus $ 763.49 $ 801.66 $ 837.74 2 Person Assist 2:1 RATE $ 763.49 $ 801.66 $ 837.74 Eating/Drinking Partial Assist - Intermittent $ 763.49 $ 801.66 $ 837.74 Full Assist $ 1,144.60 $ 1,201.83 $ 1,255.91 Full Assist Constant/ Aspiration Risk $ 1,144.60 $ 1,201.83 $ 1,255.91 Toileting Full Assist $ 381.12 $ 400.18 $ 418.18 Bladder Control Partial Assist $ 191.19 $ 200.75 $ 209.78 Full Assist $ 763.48 $ 801.65 $ 837.73 Bowel Control Partial Assist $ 191.19 $ 200.75 $ 209.78 Full Assist $ 763.48 $ 801.65 $ 837.73 Menses Partial Assist $ 94.98 $ 99.73 $ 104.22 Full Assist $ 191.19 $ 200.75 $ 209.78 Bathing Full Assist plus $ 381.12 $ 400.18 $ 418.18 2 Person Assist 2:1 RATE $ 381.12 $ 400.18 $ 418.18 Oral Hygiene Full Assist $ 94.98 $ 99.73 $ 104.22 Dressing & Hair Care Full Assist $ 254.08 $ 266.78 $ 278.79 Shaving Full Assist $ 127.03 $ 133.38 $ 139.38 B) Medical Section: plus $ 4,603.31 $ 4,833.48 $ 5,050.98 Maximum Section Rate Allowed (Before 2:1 rate $619 $634.48 $650.34 $663.35 Rate) Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 Ambulation/Mobility in the 4/1/2022 12/1/2023 1/1/2025 Communication - Expressive Full Assist $619 $634.48 $650.34 $663.35 Community: Two Person Assist: plus 2:1 rate $619 $634.48 $650.34 $663.35 Transferring/Positioning $ 381.12 $ 400.18 $ 418.18 Communication - Receptive Full Assist $619 $634.48 $650.34 $663.35 Two Person Assist: plus 2:1 rate $619 $634.48 $650.34 $663.35 Eating/Drinking Partial Assist- Intermittent $619 $634.48 $650.34 $663.35 $ 381.12 $ 400.18 $ 418.18 Safety Full Assist $928 $951.20 $974.98 $994.48 $ 572.30 $ 600.92 $ 627.96 Fire Evacuation Full Assist - constant/a spiration risk $928 $951.20 $974.98 $994.48 Toileting $ 18.51 $ 19.44 $ 20.31 Medication Management Support Oral Full Assist $309 $316.73 $324.64 $331.13 Bladder Control 5 or 6 $ 191.19 $ 200.75 $ 209.78 Full Assist 7 or more $ 381.12 $ 400.18 $ 418.18 Medication Management Support Inhalants, Topicals or Suppositories Partial Assist $155 $158.88 $162.85 $166.11 $ 191.19 $ 200.75 $ 209.78 Full Assist $619 $634.48 $650.34 $663.35 Bowel Control $ 381.12 $ 400.18 $ 418.18 Health Management Supports - General Full Assist $ 191.19 $ 200.75 $ 209.78 Health Management Supports - Complex Partial Assist $155 $158.88 $162.85 $166.11 - Weekly $ 381.12 $ 400.18 $ 418.18 Partial Assist - 1 to 3 per days $ 729.54 $ 766.02 $ 800.49 Full Assist $619 $634.48 $650.34 $663.35 Supports Title Level of Assist Supports Value Feb-16 Feb-17 Jul-18 Menses Partial Assist $77 $78.93 $80.90 $82.52 3 per day $ 2,290.44 $ 2,404.96 $ 2,513.19 Full Assist $155 $158.88 $162.85 $166.11 Bathing Full & Monitoring Exclusive Focus $ 4,580.85 $ 4,809.89 $ 5,026.34 2 Person Assist $309 $316.73 $324.64 $331.13 Two- Person Assist& Monitoring Exclusive Focus (+ 2:1) $ 4,580.85 $ 4,809.89 $ 5,026.34 Equipment (considered part of the medical section): The value of the highest price item is yielded for each section. Maximum Allowed for this Equipment Section: plus 2:1 rate $309 $316.73 $324.64 $331.13 Oral Hygiene Full Assist $77 $78.93 $80.90 $82.52 Dressing & Hair Care Full Assist $206 $211.15 $216.43 $220.76 Shaving Full Assist $103 $105.58 $108.21 $110.37described in table 4/1/2022 12/1/2023 1/1/2025 Leg Braces $ 32.65 $ 34.28 $ 35.83 Ankle or Foot Orthotics $ 32.65 $ 34.28 $ 35.83 Arm Splints $ 32.65 $ 34.28 $ 35.83 Grab bars in bathroom $ 5.30 $ 68.57 $ 71.65 Shower Xxxxxx $ 65.30 $ 68.57 $ 71.65 Xxxxx Lift $ 129.39 $ 135.86 $ 141.97 Transfer Boards $ 129.39 $ 135.86 $ 141.97 Body Jacket $ 65.30 $ 68.57 $ 71.65 Manual Wheelchair $ 32.65 $ 34.28 $ 35.83 Electric Power Wheelchair $ 32.65 $ 34.28 $ 35.83 Prone Xxxxxxx $ 32.65 $ 34.28 $ 35.83 Sidelyer $ 32.65 $ 34.28 $ 35.83 Nebulizers $ 65.30 $ 68.57 $ 71.65 C-PAP $ 65.30 $ 68.57 $ 71.65 Oxygen $ 65.30 $ 68.57 $ 71.65 Ventilator $ 129.40 $ 135.87 $ 141.98 Pulse Oxymeter $ 32.65 $ 34.28 $ 35.83 Heart Monitor $ 32.65 $ 34.28 $ 35.83 Suctioning Equipment $ 129.39 $ 135.86 $ 141.97 Vagal Stimulator $ 65.30 $ 68.57 $ 71.65 Diabetic insulin pump $ 65.30 $ 68.57 $ 71.65 Baclofen pump $ 32.65 $ 34.28 $ 35.83 Prosthetics $ 13.31 $ 13.98 $ 14.60