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House Research Department Revised: June 2010 <br />Regulation of Health and Human Services Facilities Page 22 <br />Glossary <br />Alternative Care (AC) program is a state -funded program that provides health care and <br />supportive services to individuals age 65 or older who are at risk of nursing home placement. <br />These services are intended to allow these individuals to remain in the community. In order to <br />qualify for AC services, individuals must be eligible to receive MA within 135 days of admission <br />to a nursing home. <br />Assisted living services, as defined by MDH, means individualized home care aide tasks or <br />home management tasks provided to clients of a residential center in their living units, and <br />provided either by the management of the residential center or by providers under contract with <br />the management. (Minn. Rules part 4668.0003, subp. 3) According to Minnesota Statutes, <br />section 144G.01, services or a package of services that use the phrase "assisted living" are <br />subject to Minnesota Statutes, chapter 144G. <br />Group residential housing (GRH) program provides funding to eligible persons to pay for <br />room and board and other related housing services. The GRH program replaced what was <br />referred to as the "negotiated rate" payment system. GRH payments are made out of the GRH <br />fund, which is composed of General Assistance (GA) and Minnesota Supplemental Aid (MSA) <br />funding that had previously been used to provide funding to negotiated rate facilities. <br />Health -related services, as they are provided in housing with services establishments, include <br />professional nursing services, home health aide tasks, and home care aide tasks, or the central <br />storage of medication for residents. (Minn. Stat. § 144D.01, subd. 6 (2008)) <br />Health supervision services, as they are provided in board and lodging facilities and board and <br />lodging facilities with special services, means assistance in the preparation and administration of <br />medications other than injectables; the provision of therapeutic diets; taking vital signs; and <br />providing assistance with dressing, grooming, bathing, or with walking devices. (Minn. Stat. § <br />157.17, subd. 1 (2008)) <br />Home care aide tasks include preparing modified diets; reminding clients to take medication or <br />to perform exercises; doing household chores in certain circumstances; and assisting with <br />dressing, oral hygiene, hair care, grooming, and bathing in certain circumstances. (Minn. Rules <br />part 4668.0110, subp. 1 (2005)) <br />Home care services include nursing, certain personal care services, physical therapy, speech <br />therapy, respiratory therapy, occupational therapy, nutritional services, home management <br />services, medical social services, provision of medical supplies and equipment, and other health - <br />related services. (Minn. Stat. § 144A.43, subd. 3 (2008)) <br />Home health aide tasks include the administration of medication; routine, delegated medical or <br />nursing or assigned therapy procedures; assisting with body positioning and transfers; feeding of <br />clients; assisting with bowel and bladder control, devices, and training; assisting with certain <br />exercises; skin care and bathing; and maintaining hygiene of the client's body and environment. <br />(Minn. Rules part 4668.0100, subp. 1 (2005)) <br />69 <br />