Personal care assistance services must be medically necessary and ordered by a physician. A person must need help to complete activities of daily living, have health-related tasks or need observation and redirection of behavior to use these four categories of services:

• Activities of daily living (includes eating, toileting, grooming, dressing, bathing, transferring, mobility and positioning)
• Complex health-related functions (includes, under state law, functions that can be delegated or assigned by a licensed health care professional to be performed by a personal care assistant)
• Instrumental activities of daily living (includes meal planning and preparation, managing finances, shopping for essential items, performing essential household chores, communication by telephone and other media and getting around and participating in the community)
• Observation and redirection of behavior (includes monitoring of behavior)