Aging & Independent Living
The Homecare program for the elderly was established to assist eligible individuals to receive in-home services. The program is designed to assist individuals to remain in their own home for as long as possible and to prevent premature placement in a long-term care facility. Homecare is not available for individuals that qualify for the same or similar services through other programs. All services require an assessment, person centered plan of care and ongoing case management.
The Homecare program requires a person;
- (1) Be at least sixty (60) years of age and
(2) Not eligible for the same or similar services through Medicaid and
(3) Meets level of care based on needs.
Eligibility shall be determined by an Independent Care Coordinator (ICC) for the following in-home services:
(a) Personal Care - Services directed toward maintaining, strengthening or safegaurding the functioning of a person in the home; includes helping a person with the activities of daily living such as bathing, eating, dressing, groomin, transferring, and toileting.
(b) Homemaking - General household activities, including but not limited to nonmedical personal care, shopping, meal preparation, and routine household care, provided by a trained homemaker when the person regularly responsiblie for these activities is temporarily absent or unable to manage the home and care for himself or others in the home.
(c) Chore - The performance of heavy housecleaning, minor household repairs, yard tasks, and other activities needed to assist in the maintenance of a functionally impaired elderly person in his own home.
(d) Escort - The accompaniment of a person who requires such assistance for reasons of safety or protection to or from his physician, dentist, or other necessary services.
(e) Home delivered meals - The provision of a nutritionally sound meal, that meets at least one-third of the current daily recommended dietary allowance, to a functionally impaired elderly person who is homebound by reason of illness, incapacity, or disability.
(f) Respite - Care provided by an approved caregiver for a designated time period because of absence or need for relief of a primary caregiver.
(f) Home Repair - The provision of minor home adaptations, additions, or modifications to enable the elderly to live independently or safely to facilitate mobility including, where appropriate, emergency summons systems.
The Homecare program strives to provide quality, affordable services to an individual that are offered based on eligibility and a fee
scale. The applicant shall be screened and prioritized based on need by the ADRC prior to being placed on the waiting list. If an
applicant is eligible for Homecare services but funding is not available, they shall be placed on a waiting list for services. An applicant on
the waiting list will be mailed a resource packet and phoned by the ICC
Participant Directed Services (PDS)
Formerly Known as Consumer Directed Option (CDO)
Participant Directed Services (PDS) gives Medicaid waiver recipients more choices in the way some Medicaid services are provided. With PDS, Medicaid waiver recipients are recognized as employers and may choose who will provide approved services as well as how, when and where these services will be provided within approved regulation.
All waiver recipients choosing to utilize PDS will be assigned a Service Advisor. This staff member makes monthly visits with the Participant to help ensure that approved services are being provided and that the Person-Centered Plan is being met. The Service Advisor also manages documentation required by Medicaid in order to maintain the Participant’s waiver status. Waiver programs include Home and Community Based Waiver (HCB), Supports for Community Living (SCL), Acquired Brain Injury (ABI, ABI-LTC) and the Michelle P Waiver (MPW).
To be eligible for a Medicaid waiver program, an individual must meet Level of Care criteria for a nursing facility or intermediate care facility and be determined Medicaid eligible by the Department for Community Based Services (DCBS).
To learn more about PDS and potential services available through waiver by way of our agency, you may contact the Aging and Disabilities Resource Coordinator or visit the links below.