Reduction/ Decrease in PCA svs based on Mbr’s Request
You request for a reduction in your approved Level II Personal Care Aide (PCA) services from four and a half (4.5) hours a day / six (6) days a week (Total (27) hours a week) to four and a half (4.5) hours a day / four (4) days a week Monday, Wednesday, Thursday, Friday(Total 18 hours a week) is being granted (decreased). This change will take effect as of 10/24/16.
Your stated that four and a half (4.5) hours a day / four (4) days a week (Total 18 hours a week) along with your participation in a Social Day Care 3 times a week is an adequate amount of PCA services to assist you with the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) that include: bathing, dressing, toileting, ambulation, grocery shopping, meal preparation, cleaning to complete the above tasks and adequately meet your needs. You confirmed that your brother and friend will assist you with the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) on the no aide services days.
As per discussion, you will inform Nurse Care Manager if any changes should occur. We will review your care again in February 2017 or earlier if you have any significant changes