§ 20.42. Ongoing caregiving expenses.
(a) Reimbursable expenses. To qualify for reimbursement under this chapter, ongoing expenses shall be for services or consumable supplies directly related and necessary to the care being provided to the carereceiver. To the extent that they are consistent with the developed care plan, the services may include all forms of respite care, other supportive services and consumable supplies as defined in this chapter.
(b) Accumulated benefits. To facilitate the purchase of more expensive respite care and other supportive services for a period of time that would afford a primary caregiver the opportunity to be away for several days of vacation, hospitalization or special emergency absences, an area agency on aging may permit caregivers to accumulate unused financial benefits under the following provisions:
(1) Unused reimbursement benefits may only be accumulated for the purposes described under this subsection when an area agency on aging has included its intent and procedures for allowing accumulated benefits in its approved Program plan as provided under § 20.12 (relating to administrative functions and responsibilities of area agencies on aging).
(2) Reimbursement benefits available for home modifications and assistive devices may not be used for the special circumstances provided under this subsection.
(3) Accumulated reimbursement benefits may not be anticipated. They shall have been earned on a monthly basis prior to use.
(4) Unused reimbursement benefits may be accumulated over a period of time not to exceed 6 months.
(5) Accumulated reimbursement benefits may not be carried over from 1 contract year to another unless the Department has waived this requirement. The Department will consider waiving this requirement only if an area agency submits a written request for a waiver which adequately explains how the area agency on aging proposes to provide accumulated benefits across contract years without charging expenditures in 1 contract year to the budget for a different contract year. This paragraph is not subject to § 20.62 (relating to waivers).
Cross References This section cited in 6 Pa. Code § 20.21 (relating to eligibility for Program benefits); and 6 Pa. Code § 20.22 (relating to conditions of participation).
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