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Legal Support, One Shot Visit

When Do I Need an Attendant Care Evaluation?

 February 18, 2022

By  Deborah L Weiner Katz, OTR/L, CCM, CLCP

What is an Attendant Care...?

When an injured, elderly, or incapacitated person is unable to provide their own basic needs (or activities of daily living, also known as ADL’s) such as eating, toileting, bathing, and dressing and requires assistance it is often referred to as attendant care, but could also be called home care or nursing services.

Attendant Care can consist of, but is not limited to:

  • Bathing
  • Dressing
  • Toileting
  • Medication administration
  • Transfers
  • Meal prep
  • Who can provide this assistance…?

    This type of assistance can be provided by a home health aide, a nurse, a family member, or another caregiver.

    When is an Attendant Care Evaluation needed?

    An evaluation is needed when this type of assistance is required for a client and help is needed to determine the level of care required or substantiating the level of care required. An Attendant Care Evaluation can also be used to provide a monetary determination for required funds from settlement or for use during negotiation.

    How does the change to Michigan No Fault affect Attendant Care…?

    Prior to July of 2021 in the state of Michigan, Attendant Care services were an unlimited benefit for auto accident victims and entirely paid for by the insurance carrier. Now, Attendant Care benefits are restricted to 56 hours per week when assistance is provided by a family member. This limitation does not apply to commercially provided assistance.

    How can an Attendant Care Evaluation help a MI auto accident survivor…?

  • Provide a comparison of rates from various nursing providers and/or home health aides
  • Substantiate the need for skilled nursing assistance
  • Document concerns and safety issues impacting the client’s ability to function without assistance or supervision
  • Document potential problems/complications, which may result in complications impacting the level of care and need for facility placement if proper care is not rendered
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