Reimbursement for Personal Emergency Response System is limited to participants who: Live alone; or Have no regular caregiver for extended parts of the day and would otherwise require extensive routine supervision to ensure the participant’s health and safety. The Department shall establish a budget for personal assistance services and home-delivered meals that may be included in the participant’s plan of service, based on each participant’s assessed need. The Program does not cover the following services: Service primarily for the purpose of housekeeping unrelated to the participant’s activities of daily living, such as: Cleaning of the floor and furniture in areas not occupied by the participant; Laundry other than that incidental to services for the participant; and Shopping for groceries or household items unless in the company of the participant; Services provided by providers not approved for participation by the Department; Expenses incurred while escorting participants: To obtain medical diagnosis or treatment; To or from the participant’s workplace; or For participation in social or community activities; Expenses related to room and board for either the participant or the worker; Transition services more than 60 days post transition; Personal assistance services provided outside the State for more than 30 days per calendar year; Environmental adaptations to the home which: Are of general maintenance, such as carpeting, roof repair, and central air conditioning; Are not of direct medical or remedial benefit to the participant; Add to the home’s total square footage; or Modify the exterior of the home, other than the provision of ramps, lifts, sidewalks necessary to utilize a ramp or lift, and railings; or Experimental technology or equipment. Payment for supports planning and nurse monitoring services shall be limited to direct services to the participant and may not be made for: Administrative overhead; Travel; Internal quality monitoring activities; Staff supervision, training, or consultation; or Services rendered by an individual supports planner or nurse monitor in excess of 7 hours per day unless preauthorized by the Department in writing. Payment for environmental adaptations and technology that substitutes for human assistance is limited to a combined reimbursement of up to $15,000 over a 3-year period per participant. For technology items or services above $1,000, multiple quotes from providers are required.