(a) Allowable tasks. Except as otherwise provided in
subsection (b) of this section, an attendant may perform one or more
of the following tasks for an individual enrolled in the CMPAS Program:
(1) personal care tasks required to maintain the individual's
physical health, including:
(A) bathing;
(B) dressing and undressing;
(C) preparing meals;
(D) assisting with eating, including:
(i) assisting with eating and drinking utensils and
adaptive devices; and
(ii) providing standby assistance or encouragement;
(E) exercising;
(F) toileting, including:
(i) changing an incontinence brief;
(ii) assisting with the use of a bedpan or urinal;
(iii) assisting with feminine hygiene needs, including
menstruation supplies;
(iv) assisting with clothing during toileting, including
raising, lowering, removal or replacement of garments for hygiene
needs;
(v) assisting with toilet hygiene, including the use
of toilet paper and washing hands;
(vi) changing an external catheter;
(vii) preparing toileting supplies and equipment but
not preparing catheter equipment unless it is a delegated task as
described in paragraph (4) of this subsection; and
(viii) providing standby assistance;
(G) positioning;
(H) assisting with self-administered medication, including
administration through a permanently placed feeding tube;
(I) grooming;
(J) routine hair and skin care; and
(K) transfer or ambulation, including lifting;
(2) home management tasks that support the individual's
health and safety, including:
(A) changing the bed linens and making the bed;
(B) housekeeping services, including cleaning and laundry;
(C) shopping for or with the individual;
(3) escorting assistance tasks, including:
(A) accompanying the individual outside the home to
support the individual to live in the community;
(B) assisting with or arranging for transportation
and escorting on public transit, but not providing transportation;
(C) accompanying the individual to a clinic, doctor's
office, or other trip made for the purpose of obtaining a medical
diagnosis or treatment; and
(D) waiting in a doctor's office or clinic with an
individual if necessary due to the individual's condition or distance
from home;
(4) delegated health-related tasks; and
(5) health-related tasks that do not require delegation.
(b) Unallowable tasks. An attendant must not perform
any task for an individual if:
(1) performing the task would require additional licensure
beyond the license held by the attendant or provider, including nursing
services that have not been properly delegated to the attendant;
(2) the task is not among those listed in subsection
(a) of this section;
(3) the task is not contained in the individual's service
plan; or
(4) performing the task would be fraudulent or illegal.
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Source Note: The provisions of this §275.57 adopted to be effective October 1, 2013, 38 TexReg 6606; transferred effective August 1, 2022, as published in the Texas Register July 8, 2022, 47 TexReg 3983 |