What is home care?
“Home care encompasses a wide range of health care and social services. These services are delivered at home to recovering, disabled, chronically or terminally ill persons in need of medical, nursing, social or therapeutic treatment and/or assistance with the activities of daily living. Home care is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily or effectively be provided solely by family and friends.” –National Association for Home Care and Hospice
What are activities of daily living?
–US Department of Health and Human Services
What is respite care?
Short term, temporary relief for caregivers.
Who provides home care?
– Home care organizations
- Home health agencies
– Independent providers
Certified Home Care
– Provides a part-time, intermittent health care and support services to individuals who need intermediate and skilled health care
– Also can provide long-term nursing and home health aid services, can help patients determine the level of services they need, and can either provide or arrange for other services including physical, occupational, and speech therapy, medical supplies and equipment, and social worker and nutrition services
– Reimbursement done by Medicare, Medicaid, private pay and some health insurers
– Services by referral
–NYS Department of Health
Licensed Home Care
– Provide hourly nursing care, homemaker, housekeeper, personal care attendants, medication set ups and administration, and other health and social services
– Available to clients who have private insurance and those who pay privately
– In some cases, licensed agencies contract with local Social Services departments, or certified home care agencies, to provide services to persons with Medicaid coverage.
–NYS Department of Health
– Nonmedical services that are provided in the patient’s home. Examples include, but are not limited to: helping the senior with everyday activities, making meals, grooming, ensuring safety, medication reminders, etc. No hands-on medical care is provided.
NYS Medicaid Waiver Program
– Waivers available: SOMRDD-CAHIV; Care at Home I/II; CAH VI; Traumatic Brain Injury; OMH SED; OMRDD Comprehensive; NY CAH III; Long Term Home Health Care Program; Nursing Home Transition and Diversion Medicaid Waiver; Bridges to Health for Children w/SED; Bridges to Health for Children w/DD; Bridges to Health for Children who are Medically Fragile
– The NYS Office for People with Developmental Disabilities handles Medicaid waivers for developmental disabilities.
– Services provided include family support, case management, respite, housing, supported employment, recreation, skills development, training, long term rehabilitation services, nursing and psychiatric services, respite (short-term caregiver relief).
NYS Long Term Home Health Care
– Who is eligible: This program is available to individuals who are medically eligible for placement in a nursing home and choose to receive services at home. These individuals must have care costs which are less than the nursing home cost in the county.