KRS 304.17-312: Definitions for KRS 304.17-313, 304.18-037, 304.32-280, and

304.38-210.

As used in KRS 304.17-313, 304.18-037, 304.32-280, and 304.38-210:

(1) "Home health agency" means a public agency or private organization, or a

subdivision of such an agency or organization which is licensed as a home

health agency by the Kentucky Health Facilities and Health Services Certificate

of Need and Licensure Board and is certified to participate as a home health

agency under Title XVIII of the Social Security Act;

(2) "Home health care" means the care and treatment provided by a home health

agency which is prescribed and supervised by a physician, an advanced

practice registered nurse, or a physician assistant. The care and treatment

shall include but not be limited to one (1) or more of the following:

(a) Part-time or intermittent skilled nursing services provided by an advanced

practice registered nurse, registered nurse, or licensed practical nurse;

(b) Physical, respiratory, occupational, or speech therapy;

(c) Home health aide services;

(d) Medical appliances and equipment, drugs and medication, and laboratory

services, to the extent that such items and services would have been

covered under the policy if the covered person had been in a hospital;

and

(3) "Home health aide services" means those services provided by a home health

aide and supervised by a registered nurse which are directed towards the

personal care of the patient. Such services shall include but not be limited to

the following:

(a) Helping the patient with bath, care of mouth, skin, and hair;

(b) Helping the patient to the bathroom or in using a bedpan;

(c) Helping the patient in and out of bed and assisting with ambulation;

(d) Helping the patient with prescribed exercises which the patient and home

health aide have been taught by appropriate professional personnel;

(e) Assisting with medication ordinarily self-administered that has been

specifically ordered by a physician, an advanced practice registered

nurse, or a physician assistant;

(f) Performing incidental household services as are essential to the patient's

health care at home provided that such services would have been

performed if the patient was in a hospital or skilled nursing facility; and

(g) Reporting to the professional nurse supervisor changes in the patient's

condition or family situation.