Do I have to alter the amount to reflect household help vs personal medical

yes, you can read the instructions and / or take my advice.  I tell these types of elderly clients to use a reasonable allocation method to separate true medical care vs personal care (toiletry, cooking, cleaning.) The best way would be to have the home agency bill it to you with the categories separated out.  Also, try to get an letter from the agency stating their estimates for each category.

all to help her stay in her home.  Then 0 is medical right?