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Must driving always be counted in the 20 percent allowance for care services?

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No. Driving usually constitutes assistance with IADLs and is part of the 20 percent allowance for care services. But because fellowship and protection can include accompanying the person outside of the home, driving may, in limited circumstances, be part of those services. The distinction between driving that is part of fellowship and protection and driving that constitutes assistance with IADLs depends upon the purpose and context of the trip. For example: Henry is hired as a personal attendant for Mr. Clark, an elderly person who requires assistance with meal preparation, driving, and light housework. Henry’s duties include driving Mr. Clark to medical appointments. The time he spends at that task would count toward the 20 percent limitation on care. But if Henry takes Mr. Clark on an outing such as taking a scenic drive to see fall foliage or driving to go out to lunch together, Henry would be providing fellowship and protection, and that time would not count toward the 20 percent limitation on care.


October 2018

Tags: Companionship services

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