(a) A hospice must use a qualified hospice homemaker to provide hospice homemaker services. A qualified hospice homemaker is a person who:(1) successfully completes an agency's hospice orientation and training as specified in subsection (b) of this section; or(2) is a qualified hospice aide as described in §558.843 of this division (relating to Hospice Aide Qualifications).(b) The orientation for a hospice homemaker must address the needs and concerns of a client and a client's family who are coping with a terminal illness. The training for a hospice homemaker must include:(1) assisting in maintaining a safe and healthy environment for a client and the client's family; and(2) providing homemaker services to help the client and the client's family to carry out the treatment plan.(c) If there is a direct conflict between the requirements of this chapter and federal regulations, the requirements that are more stringent apply to a Medicare-certified hospice agency.