DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING. August 2014. WHY ARE WE HERE?. DSC is a federal Medicaid program that allows school districts/charter schools to receive reimbursement for some services provided to students who have IEP’s and those services are prescribed in the IEP’s.
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___ Eating/Feeding: Food preparation, setting up food, spoon feeding, food choices, washing hands and face, cleaning up after ones self. DO NOT BILL FOR TUBE FEEDING!!
___ Dressing: Buttoning and using a zipper, selecting appropriate clothing, putting on a sweater or jacket, discussing appropriate clothing for weather.
___ Toileting: Use of toilet/sink, ensuring cleanliness following elimination, feminine hygiene, diapering, draining/emptying a bag, washing up after elimination.
___ Transfers: Assisting with moving to a chair/wheelchair, moving from one chair to another, moving from a piece of equipment to another, may require use of equipment, e.g. Hoyer lift, sliding board, etc. NOTE: May be part of another ADL.
___ Positioning: Turning a student from back to side, using a wedge to keep student on their side, using a bolster to relieve pressure on a student’s back, elevating the leg rests on a wheelchair, putting a pillow behind the head of a student in a wheelchair, providing necessary care and comfort. NOTE: May be part of another ADL.
___ Mobility: Accompanying a student to class, assisting and accompanying between locations, assisting with wheelchair or walker. NOTE: May be part of another ADL.
___ Grooming: Combing/brushing hair, insertion and removal of contact lenses, or hearing aids, glasses care, keeping hair, hands and teeth clean. NOTE: May be part of another ADL.
___ Use of Assistive Devices: Communicative devices, standers, lifters, braces.
The ADL’s you claim on the log MUST match what is documented in the IEP!