The PHC Program, CAS Program, and FC Program include the following tasks:
  (1) assistance with ADLs, including:
    (A) bathing, which is:
      (i) drawing water in sink, basin, or tub;
      (ii) hauling or heating water;
      (iii) laying out supplies;
      (iv) assisting in or out of tub or shower;
      (v) sponge bathing and drying;
      (vi) bed bathing and drying;
      (vii) tub bathing and drying; and
      (viii) providing standby assistance for safety;
    (B) dressing, which is:
      (i) dressing the individual;
      (ii) undressing the individual; and
      (iii) laying out clothes;
    (C) meal preparation, which is:
      (i) cooking a full meal;
      (ii) warming up prepared food;
      (iii) planning meals;
      (iv) helping prepare meals; and
      (v) cutting an individual's food for eating;
    (D) feeding/eating, which is:
      (i) spoon-feeding;
      (ii) bottle-feeding;
      (iii) assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and
      (iv) providing standby assistance or encouragement;
    (E) exercise, which is walking with the individual;
    (F) grooming, shaving, or oral care, which is:
      (i) shaving;
      (ii) brushing teeth;
      (iii) shaving underarms and legs, when requested;
      (iv) caring for nails; and
      (v) laying out supplies;
    (G) routine hair or skin care, which is:
      (i) washing hair;
      (ii) drying hair;
      (iii) assisting with setting, rolling, or braiding hair, not including cutting or chemical processing of hair;
      (iv) combing or brushing hair;
      (v) applying nonprescription lotion to skin;
      (vi) washing hands and face;
      (vii) applying makeup; and
      (viii) laying out supplies;
    (H) assistance with self-administration of medication as defined in 26 TAC §558.2 (relating to Definitions);
    (I) toileting, which is:
      (i) changing diapers;
      (ii) changing colostomy bag or emptying catheter bag;
      (iii) assisting on or off bedpan;
      (iv) assisting with the use of a urinal;
      (v) assisting with feminine hygiene needs;
      (vi) assisting with clothing during toileting;
      (vii) assisting with toilet hygiene, including the use of toilet paper and washing hands;
      (viii) changing external catheter;
      (ix) preparing toileting supplies and equipment, not including preparing catheter equipment; and
      (x) providing standby assistance;
    (J) transfer, which is:
      (i) non-ambulatory movement from one stationary position to another, not including carrying;
      (ii) adjusting or changing the individual's position in a bed or chair (positioning); and
      (iii) assisting in rising from a sitting to a standing position; and
    (K) ambulation, which is:
      (i) assisting in positioning for use of a walking apparatus;
      (ii) assisting with putting on and removing leg braces and prostheses for ambulation;
      (iii) assisting with ambulation or using steps;
      (iv) assisting with wheelchair ambulation; and
      (v) providing standby assistance; and
  (2) assistance with IADLs, including:
    (A) cleaning, including:
      (i) cleaning up after the individual's ADLs;
      (ii) emptying and cleaning the individual's bedside commode;
      (iii) cleaning the individual's bathroom;
      (iv) changing the individual's bed linens and making the individual's bed;
      (v) cleaning floor of living areas used by the individual;
      (vi) dusting areas used by the individual;
      (vii) carrying out the trash and setting out garbage for pick up;
      (viii) cleaning stovetop and counters;
      (ix) washing the individual's dishes; and
      (x) cleaning refrigerator and stove;
    (B) laundry, including:
      (i) doing hand wash;
      (ii) gathering and sorting;
      (iii) loading and unloading machines in residence;
      (iv) using laundromat machines;
      (v) hanging clothes to dry;
      (vi) folding and putting away clothes; and
    (C) shopping, including:
      (i) preparing a shopping list;
      (ii) going to the store and purchasing or picking up items;
      (iii) picking up medication; and
      (iv) storing the individual's purchased items; and
    (D) escorting, including:
      (i) accompanying the individual outside the home to support the individual in living in the community;
      (ii) arranging for transportation, not including direct individual transportation;
      (iii) accompanying the individual to a clinic, doctor's office, or location for medical diagnosis or treatment; and
      (iv) waiting in the doctor's office or clinic with an individual if necessary due to client's condition or distance from home.

Source Note: The provisions of this §277.41 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg 2802; amended to be effective October 1, 2019, 44 TexReg 5138; transferred effective July 1, 2024, as published in the June 14, 2024, issue of the Texas Register, 49 TexReg 4436