[Code of Federal Regulations] [Title 42, Volume 3, Parts 430 to End] [Revised as of October 1, 1999] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR440.181] [Page 208] PART 440--SERVICES: GENERAL PROVISIONS--Table of Contents Subpart A--Definitions Sec. 440.181 Home and community-based services for individuals age 65 or older. (a) Description of services-- Home and community-based services for individuals age 65 or older means services, not otherwise furnished under the State's Medicaid plan, or services already furnished under the State's Medicaid plan but in expanded amount, duration, or scope, which are furnished to individuals age 65 or older under a waiver granted under the provisions of part 441, subpart H of this subchapter. Except as provided in Sec. 441.310, the services may consist of any of the services listed in paragraph (b) of this section that are requested by the State, approved by HCFA, and furnished to eligible recipients. Service definitions for each service in paragraph (b) of this section must be approved by HCFA. (b) Included services. (1) Case management services. (2) Homemaker services. (3) Home health aide services. (4) Personal care services. (5) Adult day health services. (6) Respite care services. (7) Other medical and social services requested by the Medicaid agency and approved by HCFA, which will contribute to the health and well-being of individuals and their ability to reside in a community- based care setting. [57 FR 29156, June 30, 1992]