After the Care Manager does the assessment with the client, a Plan of Care is developed with the client, family and the Care Manager. The services are based on the needs of the client, and the providers chosen have a contract for specific services with SWCAA. The services not only reflect the clients needs but they meet the financial guidelines that are appropriate for each level of care through CHCPE.
CHCPE provides social services along with traditional Medicaid health services including:
Homemaker – provides general household management activities provided in the home to assist with light housekeeping and cleaning, laundry, shopping, meal planning and preparation.
Skilled Nursing – services provided by a registered nurse (RN) or Licensed Practical Nurse (LPN) including observation and assessment of patient’s condition; including weekly pre-pour of medications.
Home Health Aide – provides hands-on personal care such as bathing, dressing, grooming, caring for hair, nail and oral hygiene, changing bed linens of an incontinent person, shaving, applying deodorant, skin care with lotion and/or powder, foot care, ear care, feeding, assistance with ambulation, changing position in bed, assistance with transfers and assistance with elimination.
Physical Therapy – provide assistance with teaching client exercises to regain movement and strength in a body area and training on how to use special equipment or do daily activities.
Chore – provides the performance of heavy indoor or outdoor work or household tasks for individuals unable to do the tasks themselves. These services are necessary to maintain and promote a healthy and safe environment for elders in their homes.
Companion – provides home-based supervision and monitoring of activities which assist an individual in maintaining a safe environment, including the following activities: escorting individuals to medical or business appointments or recreational activities, supervising activities of daily living, reminding individuals to take self-administered medications, and reading to or for an individual.
Emergency Response Systems – an in-home, 24 hour electronic alarm system activated by signal to a central switchboard, which enables a high-risk individual to obtain immediate help in case of a medical, physical, emotional, or environmental emergency. ERS are provided through local hospitals or emergency response centers that provide 24-hour coverage.
Adult Day Care – provides a community-based program designed to meet the needs of cognitively and physically impaired adults through a structured, comprehensive program that provides a variety of social, health and related support services, including but not limited to socialization, supervision and monitoring, personal care and nutrition in a protective setting during any part of the day. There are two types of adult day cares: social and medical. SWCAA only contracts with medical models.
Home-Delivered Meals – provides the preparation and delivery of one or two meals a day for individuals who are unable to prepare or obtain nourishing meals on their own.
Mental Health Counseling – provides professional counseling services that are provided to help individuals resolve or cope with individual, family, or environmentally-related problems or conditions. Counseling focuses on issues such as problems in maintaining a home in the community, relocation within the community, dealing with long-term disability, substance abuse, and family relationships.
Respite Care Services – provides short-term relief from the continuous care of an elderly person for the individual’s family or other primary caregiver(s) in the home of the individual by a qualified provider, or provided in an organized facility operating under the state’s guidelines. The primary purpose of respite care services is to reduce stress on the caregiver, to allow the caregiver to meet other family needs or fill in during a temporary absence of the primary caregiver.
Minor Home Modifications – provides minor physical adaptations to the home, required by the client’s plan of care, which are necessary to ensure the health and safety of the individual, or which enable the individual to function with greater independence in the home, and without which, the client would require or be at risk of institutionalization. DSS provides CHCPE clients this service contingent on availability of funds.
PCA (State funded) – Personal Care Attendant (PCA) is a pilot program funded through DSS that allows for funding for up to 250 persons, aged 65 and older, who meet the eligibility for CHCPE to receive personal care assistance. In addition to CHCPE financial and functional eligibility, the PCA applicant must need physical assistance with at least one of the following Activities of Daily Living: bathing, dressing, eating, transfer, toileting (bowel and bladder care), meal prep and medication administration. Applicants and clients must be screened and assessed to determine if they are applicable for CHCPE. PCA services are provided by a Personal Care Assistant who is not a licensed caregiver, but must meet certain requirements in order to be a provider of PCA services to CHCPE clients. The client (or authorized representative) is responsible to hire, fire/terminate, train and provide specific service needs for their PCA. Presently, there is a waiting list for this Pilot Program.
Assisted Living in approved MRC’s – CHCPE offers Assisted Living Services in:
- State-funded congregate housing facilities
- Federally-funded HUD facilities
- a Pilot Program
- Four affordable Living Demonstration Sites
Assisted Living Service Agencies (ALSA’s) provide nursing and personal care to individuals living in Managed Residential Communities (MRC’s/Congregate Housing facilities/HUD facilities) listed with the State Department of Public Health. By offering assisted living services in a congregate housing and HUD facility setting, residents are provided a viable choice that will allow them to enhance and maintain a degree of continued health, dignity and independence at significantly less cost than nursing facility placement.
A combination of services will be developed into a Plan of Care that will best fit the client’s needs by the Care Manager.
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