Page 2 - Senior Times South Central Michigan - April 2017 - 24-04
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Page 2 Senior Times - April 2017
MEETING CARE NEEDS AT HOME By: Sherii Sherban, Publisher
You or your aging loved one wants to remain living at home, but they need help with daily living activities. Bringing services into the home might be a solution that allows them to remain living right at home.
In-home services may be the least costly way to get started with additional care needs when it becomes necessary. Carefully watch- ing the changes in level of need, and realizing that additional services may be required at some point is a practical way of being in con- trol of making future choices.
Balancing the need for in-home care and financial eligibility for services can be a chal- lenge, however. While most pay for in-home care out-of-pocket there are options for as- sistance based on service or need.
The Veterans Administration provides pension benefits to Veterans, their spouses, and widows or widowers with limited incomes. Probably the most underutilized Veteran’s benefit available is the VA Aid and Attendance Pension. This benefit pays for home care, where traditionally, people would have to go into a nursing home to have the government (Medicaid) help pay for their care. This benefit is a great alternative to Medicaid or even long-term-care insurance (for those who are not insurable). Information can be obtained by calling the Veterans Administration at
1-800- 827-1000.
Aid and Attendance (A&A) is a special pension offered by the VA, which provides benefits for Veterans and their spouses who require the regular attendance of another person to assist in their activities of daily living. There are four criteria to be met in order to apply for A&A; military service, medical need, assets, and income.
One program run by Michigan Medicaid
is the MI Choice Waiver Program, or simply, “the Waiver.”
Waiver will pay for in-home services, when otherwise the person would qualify for nursing home care. The program also has a financial need qualification.
The MI Choice Waiver program provides services such as homemaking, respite and adult day care, transportation, chore services, home delivered meals, personal care supervi- sion, and other services.
While the program does not provide 24-hour care, the services offered are often enough to help the family keep their loved one at home for a long period of time.
Through this program, eligible adults who meet income and asset criteria can receive Medicaid-covered services like those pro- vided by nursing homes, but can stay in their own home or another residential setting. The Waiver is available in all Michigan counties. Each participant can receive the basic services Michigan Medicaid covers, and one or more of the following services unique to the waiver:
• Community transition services
• Community living supports
• Nursing services (preventative nursing)
• Respite services
• Adult day health (adult day care)
• Environmental modifications
• Non-medical transportation
• Medical supplies and equipment not cov-
ered under the Medicaid State Plan
• Chore services
• Personal emergency response systems • Private duty nursing
• Counseling
• Home delivered meals
• Training in independent living skills
• Supports coordination
• Fiscal intermediary
• Goods and services
The process for Waiver assistance begins
with a phone call to determine potential
program eligibility and waiting list placement. During the initial phone assessment ques-
tions may be asked regarding how you do everyday tasks and to learn more about your health. Keep in mind that they are interested in your ability to do these tasks, not whether you actually did them. This will take about fifteen minutes. It is important that you share how things really are going for you, as accu- rately as possible, so they can make sure you get the kind of assistance that will best meet your needs. There will be financial questions to determine eligibility. Those who don’t qualify are also provided options and resources outside of the Waiver program to help them. To get started call CareWell Services SW at (269) 966-2450.
Programs of All-inclusive Care for the Elderly (PACE) is a Medicare and Medic- aid program offered that allows people who otherwise need a nursing home-level of care to remain in the community.
To qualify for PACE, you must meet these conditions:
• You’re 55 or older.
• You live in the service area of a PACE
• You’re certified by your state as needing
a nursing home-level of care.
• At the time you join, you’re able to live
safely in the community with the help of
PACE services.
To find out if you’re eligible, call Cen-
traCare at (269) 441-9313, visit pace4you. org or, or you can call your State Medical Assistance (Medicaid) office. CentraCare offers services for Calhoun and Kalamazoo Counties.
Note: Medicare (vs. Medicaid) only pays covered health care expenses for individuals at least 65 years old, and for individuals who have permanent disabilities, regardless of income or assets.
The Care You Need to Help You Stay in
the Home You Love!
When asked, most older adults say that they want to live in their own community as long as possible. For those
with chronic conditions and limited resources, this can be a challenge. CentraCare is part of the National PACE Program (Program of All-Inclusive Care for the Elderly) and serves to meet the health care needs of frail adults 55 or older living in Calhoun, Kalamazoo, and Eastern VanBuren Counties.
Services are coordinated by the CentraCare team to:
Ensure safety in the home • Promote wellness • Focus on quality medical care Provide an opportunity for socialization • Support caregivers
Call us to find out if CentraCare is right for you or someone you love.
(269) 441-9313 or visit
200 W. Michigan Ave, Ste 103, Battle Creek, MI • 445 W. Michigan Ave, Kalamazoo, MI

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