• Medicaid Waiver Programs and Home Health Care

    March 3, 2017
  • Seniors look to caregivers for assistance with their daily routines, home health care and companionship. Friendships blossom, home health care needs are met and safety increases for older adults who have a home health caregiver around to assist.

    Most of today’s elderly come from the Depression Era and were frugal hard workers. It is disheartening to experience older adults who gave so much of themselves in their younger days, who now have a variety of needs and very little extra money. However, there are a few resources available to the elderly that help pay for care at home.

    Family members should search the agencies in their loved one’s local community to locate financial assistance to help pay for home health care, most likely through Medicaid. Unlike Medicare, Medicaid home care coverages are not limited to medical care and the coverage doesn’t run out when an older person’s medical condition stabilizes.

    In the past, Medicaid only paid for long term care services that were provided in an institution, such as nursing facilities and group homes. However, there are Medicaid Waiver programs that allow the elderly who do not want to leave the comfort of their houses to stay there and out of nursing homes for as long as possible. The waiver program “waives” the requirement of an admission into an institution in order for Medicaid to pay for the needed Home and Community-Based Services (HCBS).

    According to Indiana Family and Social Services, the Office of Medicaid Policy and Planning (OMPP) is responsible for the development and operation of its waiver programs, in agreement with the Division of Aging, the Division of Mental Health and Addiction, and the Division of Disability and Rehabilitative Services. Each division works to create the service definitions and standards for services and providers and then certifies provider applicants in order to provide the waiver services.

    One of the five waivers that Indiana offers is called the Aged and Disabled Waiver. This waiver is for adults (and children) whose needs are primarily medical, and is to help assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home. There is an application process and he or she must qualify financially for the program.

    Another waiver is called the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID). This one is a bit more complex. These waivers are for children and adults with an intellectual disability and assist a person to become involved in the community where he or she lives and works; develop social relationships in the person’s home and work communities; develop skills to make decisions about how and where the person wants to live; and be as independent as possible.

    More information about the process can be found at https://www.benefits.gov/benefits/benefit-details/1072

    Learn more about United Home Healthcare here: https://about.me/unitedhomehealthcareindianapolis