2016 Oklahoma Statutes
Title 56. Poor Persons
§56-198.14. Definitions.

As used in the Oklahoma Self-Directed Care Act:

1. “Ancillary services” means services in addition to basic services provided to a consumer and includes the following:

a.housekeeping chores which are incidental to the basic services furnished, or which are essential to the health and welfare of the consumer, and

b.transportation services to enable the consumer to gain access to waiver services and other community services, activities and resources;

2. “Basic services” shall include, but not be limited to:

a.getting in and out of bed, wheelchair or motor vehicle,

b.assistance with routine bodily functions including bathing and personal hygiene, dressing and grooming, and eating,

c.assistance in acquiring, retaining and improving self-help, socialization and adaptive skills necessary to reside successfully in a home- and community-based setting,

d.respite services for non-paid caregivers, which may include services consisting of general household activities such as meal preparation and routine household care, and

e.health maintenance activities including, but not limited to, administration of medications by oral, rectal, vaginal, otic, ophthalmic, nasal, skin, topical, transdermal and gastrostomy tube routes, feedings through a tube, surface care of stoma sites, irrigation of catheter, and wound care if such activities in the opinion of the attending physician or licensed registered nurse may be performed safely in the home or community by a consumer-employed caregiver who has successfully completed competency-based training approved by the Department of Human Services;

3. “Budget allowance” means the amount of money made available each month to a consumer to purchase needed home- and community-based care services, based on the results of a functional needs assessment to be developed pursuant to the provisions of this act;

4. “Consumer” means a person who has chosen to participate in the program, has met the enrollment requirements, and has received an approved budget allowance;

5. “Fiscal intermediary” means an entity approved by the Oklahoma Health Care Authority that helps a consumer manage the budget allowance of the consumer, retains the funds, and processes employment information, processes tax information, processes workers’ compensation insurance premiums, reviews records to ensure correctness, writes paychecks to providers, and delivers paychecks to the consumer for distribution to providers and caregivers;

6. “Legal representative” means a person who is a legal guardian or conservator or who holds a durable power of attorney authorizing the making of health and medical care decisions as required by this section for a consumer;

7. “Personal care services” means those basic and ancillary services which enable the consumer in need of in-home care to live in the home and community of the consumer rather than in an institution and to carry out functions of daily living, self-care and mobility;

8. “Program” means the Self-Directed Care Pilot Program;

9. “Provider” means:

a.a person licensed to render services that are eligible for reimbursement under this program, for whom the consumer is not the employer of record, or

b.a consumer-employed caregiver for whom the consumer is the employer of record; and

10. “Representative” means an uncompensated individual designated by the consumer to assist in managing the budget allowance and needed services of the consumer.

Added by Laws 2005, c. 434, § 3, eff. July 1, 2005.