Aging Services
Adult Protection
AGING
SERVICES
LONG TERM CONSULTATION
SERVICES
What
are Long-Term Care Consultation Services?
Long-Term
Care Consultation (LTCC) Services include a variety of services designed to help
people make decisions about long-term care needs. This service helps people stay
in their homes and receive long-term care services. Long-term care consultants
help people and their families choose services and supports that reflect their
needs and preferences. Legislation enacted in 2001 reformed this service to
incorporate the federally mandated Pre-Admission Screening (PAS) program and
additional services intended to provide more direct assistance to consumers and
families at the point when they begin looking for long-term care services and
housing options.
What
activities are included in Long-Term Care Consultation Services?
• Long-Term Care
Consultation activities include early intervention visits, information and education about local long-term care service options, pre-admission
screening
prior to nursing home admission, information about public and private programs
that can provide services, transition assistance to relocate people
currently in
nursing facilities, and assessment and support planning for people considering
community-based services.
• Community or
“face-to-face” screenings are required in some situations, such as
determining
eligibility for waiver services. Activities are conducted in
hospitals, nursing facilities, other supported living situations such as housing
with services settings, and in people's homes.
• LTCC services are also
intended to reduce nursing facility admissions and subsequent costs by ensuring
only appropriate admission to these facilities. In
• This assessment also
provides “screening” for people for possible mental illness or mental
retardation in order to prevent inappropriate admissions to nursing facilities
of people who need different services. These assessments must be completed for
all applicants to facilities, regardless of assets, income or the potential
source of payment.
• Counties, tribes and health plans, also are required to use the assessment and support planning process to determine the appropriateness of Medicaid or state-funded alternatives to nursing facilities (NFs) for people who need NF level of care. These alternatives include the Medicaid-funded home and community-based waivers to serve elderly people (Elderly Waiver), people with traumatic brain injury (TBI), people under age 65 with disabilities (Community Alternatives for People with Disabilities), people with hospital-level of care needs (Community Alternative Care) and the state-funded Alternative Care program. These community alternatives can cost no more than institutional services, and typically cost much less.
What
is the Elderly Waiver Program?
The
Elderly Waiver (EW) program funds home and community-based services for people
age 65 and older who are eligible for Medical Assistance (MA) and require the
level of medical care provided in a nursing home, but choose to reside in the
community. The Minnesota Department of Human Services (DHS) operates the EW
program under a federal waiver to
Who
is eligible?
• Those eligible for the EW
program are 65 or older, eligible for Medical Assistance, and need nursing
home level of care as determined by the Long-Term Care
Consultation process.
• The EW service cost for an
individual cannot be greater than the estimated nursing home cost for that
same individual.
What
types of services are available?
If
you would like to apply to the program, please call 763-689-1711.
HELPFUL LINKS
TRAUMATIC
BRAIN INJURY (TBI) WAIVER
Who
is eligible for TBI Waiver services?
Eligibility for the TBI Waiver is determined through a screening
process. To be eligible for the TBI Waiver, a person must meet all these criteria:
• Be certified as disabled by the State Medical Review Team or by the Social Security Administration
• Be under the age of 65 years when the waiver is opened
• Be determined to need the level of care available in a nursing facility or neurobehavioral hospital
• Choose services in the community instead of services in a nursing facility or neurobehavioral hospital
• Have a documented diagnosis of traumatic brain injury or an acquired or degenerative disease diagnosis where cognitive impairment is present, provided the diagnosis is
not congenital
• Experience significant/severe behavioral and cognitive problems related to the injury
• Be assessed at Level IV or above on the Rancho Los Amigos Levels of Cognitive Functioning Scale
What
else is important for participation in the TBI Waiver?
Once eligibility is determined for participation in the TBI Waiver, certain questions must be asked about services including:
•
Are the services necessary
to ensure the recipient’s health, welfare and safety?
• Is the service covered by
any other funding source, for example, Medical Assistance state plan
services, private health care coverage, Medicare, education or Vocational
Rehabilitation Service funding?
• Have all options been
assessed and does this option meet the individual desires, needs and
preferences of the person?
• Is the cost of the service
considered reasonable and customary?
In
addition to services covered by Medical Assistance, what services are available
Adult day care services
• Assisted living services• Behavior programming by professionals
• Case management and case aide services
• Chore services
• Companion services
• Extended cognitive rehabilitation therapy
• Extended home health aide and nursing services
• Extended home health therapies
• Extended personal care assistant services
• Extended supplies and equipment
• Extended transportation services
• Family counseling and training
• Foster care
• Home delivered meals
• Homemaker services
• Independent living skills and independent living therapies
• Mental health testing
• Modifications to home or vehicle
• Night supervision services
• Prevocational services
• Residential care services
• Respite care
• Structured day program services
• Supported employment services
HELPFUL LINKS
Who
is eligible for CADI Waiver services?
Eligibility
for CADI Waiver services is determined through a screening process. To be
eligible for CADI Waiver services, a person must meet all these criteria:
•
•
Be certified disabled by
the State Medical Review Team or by the Social Security Administration
• Be under the age of 65
years when the waiver is opened
• Be determined to require
the level of care provided to individuals in a nursing facility
• Have an assessed need for
supports and services over and above those available under other funding sources
•
Choose care and services in
the community instead of a nursing facility
What
else is important for participation in the CADI Waiver?
Once
eligibility is determined for participation in the CADI Waiver, certain
questions must be asked about services including:
•
Are
the services necessary to ensure the recipient’s health, welfare and
safety?
•
Is the service
covered by any other funding source, for example, Medical Assistance, state plan services, private health care coverage,
Medicare, education or Vocational
Rehabilitation Service funding?
•
Have all options been
assessed, and does this option meet the individual desires,
needs and preferences of the person?
•
Is the cost of the service
considered reasonable and customary?
In
addition to services covered by Medical Assistance, what services are available
• Assisted living services
• Case management and case
aide services
• Extended home health aide
and nursing services
• Extended home health
therapies
• Extended personal care
assistant services
• Extended supplies and
equipment
• Extended transportation
services
• Family counseling and
training
• Foster care services
• Home delivered meals
• Homemaker services
• Independent living skills
• Modifications to home or
vehicle
• Prevocational services
• Residential care services
• Respite care
• Supported employment
services
If
you would like to apply to the program, please call 763-689-1711.
HELPFUL LINKS
ALTERNATIVE CARE PROGRAM
The Alternative Care (AC) Program is a state-funded cost-sharing program that
supports certain home and community-based services for eligible Minnesotans,
age 65 and over. This program provides home and community-based services to
prevent and delay transitions to nursing facility level of care. The program
prevents the impoverishment of eligible seniors and shares the cost of care
through an expanded client role by maximizing use of their own resources. It is
administered by counties and tribal health agencies.
Who is eligible?
A person age 65 and older who is assessed through the Long-Term Care
Consultation process is eligible for Alternative Care funding when the following
are met:
•
The person is in need
of nursing facility level of care and admission is recommended.
•
The person’s income
and assets would be inadequate to fund a nursing facility stay for more than
135 days.
•
The monthly cost of AC services must
be less than 75 percent of the average Medicaid payment limit for older
people with a comparable case mix classification.
•
The person chooses to receive
community-based services instead of nursing facility services.
•
The person pays the assessed monthly
fee.
•
No other funding
source is available for the community services.
What types of services are
available?
Covered services include:
•
Adult
day care
•
Care-related
supplies and equipment
•
Case
management
• Chore
services
•
Companion
services
•
Consumer-directed
community supports
•
Home
health aides
•
Home-delivered
meals
•
Homemaker
services
•
Modifications
and adaptations
•
Nutrition
services
•
Personal
care
•
Respite
care
•
Skilled
nursing
•
Training
and support for family caregivers
•
Transportation
COMMUNITY ALTERNATIVE CARE (CAC) WAIVER
Waiver provides funding for home and community based services for children and adults who are chronically ill. The CAC Waiver is designed to serve persons with disabilities who would otherwise require the level of care provided in a hospital. CAC Waiver services may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g. sibling, aunt, grandparent etc.), in a family foster care home or corporate foster care home. If married, a person may receive CAC Waiver services while living at home with his or her spouse.
Who
is eligible for the CAC Waiver?
Eligibility
for the CAC Waiver is determined through a screening process. To be eligible for
the CAC Waiver, a person must meet all these criteria:
•
Be a Medical Assistance
recipient or be eligible for MA
•
Require the level of care
provided in a hospital
•
Be under the age of 65
years when the waiver is opened
•
Choose care in the
community instead of a hospital
•
Be certified as disabled by
the Social Security Administration or the State Medical Review Team
•
Have a Community Support
Plan, which includes assurances of the health and safety for the person
What
else is important for participation in the CAC Waiver?
Once eligibility is determined for participation in the CAC Waiver, certain questions must be asked about services including:
•
Are the services necessary
to ensure the recipient’s health, welfare and safety?
•
Is the
service covered by any other funding source, for example, Medical Assistance state plan services, private health care coverage,
Medicare, education or Vocational
Rehabilitation Service?
•
Have all options been
assessed and does this option meet the individual desires, needs and preferences of the person?
In
addition to services covered by Medical Assistance, what services are available
•
Case management and case
aide services
•
Extended home health aide
and nursing services
• Extended home health
therapies
•
Extended nutritional
therapy
• Extended personal care
assistant services
•
Extended prescribed
medication
• Extended supplies and
equipment
•
Extended transportation
services
•
Family counseling and
training
•
Foster care services
•
Homemaker services
•
Modifications to the home
or vehicle
•
Respite care
WHAT
IS RELOCATION SERVICE COORDINATION?
Relocation
Service Coordination is a type of targeted case management for people currently residing
in eligible institutions who want to move into the community.
Relocation Service Coordination
helps people plan and arrange for the services and supports they need to live in the
community.
Who
is eligible for Relocation Service Coordination?
Persons, who reside in an eligible institution, choose to relocate to a community setting and are eligible for Medical Assistance, are eligible for Relocation Service Coordination. Persons must be opened to Medical Assistance at the time Relocation Service Coordination is delivered.
Eligible
institutions are defined as nursing facilities, certified boarding care
facilities,
Intermediate
Care Facilities for Persons with Mental Retardation or Related Conditions,
hospitals
and regional treatment centers providing inpatient services to persons currently
receiving
Medical Assistance.
What
services are covered under Relocation Service Coordination?
• Development
and review of an individual relocation plan
•
Coordination of
referrals to ensure access to medical, social and other related services and supports
• Coordination
and monitoring of the implementation of the plan and service delivery
• Coordination with the
institution discharge planner
• Travel
and documentation necessary to develop and implement the plan
How
do people get Relocation Service Coordination?
If a person chooses to move out of an institution, they or someone acting on their behalf must first make the request in writing to their county of financial responsibility. The county of financial responsibility is typically the county where the person lives. The option to request Relocation Service Coordination is also part of the Long-Term Care Consultation (LTCC) that must be provided to everyone under the age of 65 years who lives in a nursing facility.
Who
can provide Relocation Service Coordination?
The
county of financial responsibility must assign a case manager to visit the
person within 20 working
days. If it is not practical for the county of financial responsibility
to
provide Relocation Service Coordination, the county may coordinate with a
different
county or sub-contract with another vendor to provide the service.
HELPFUL LINKS
Adult Protection and
Vulnerable Adult Investigations:
Adult Protection strives to improve the quality of life for
Isanti
Who
is a Vulnerable Adult?
A Categorical “vulnerable adult” may include any person, 18 years of age and older, who is a resident or patient of a facility such as a hospital, group home, nursing home, or adult foster care home; or a person who receives services during the day from an agency, licensed/certified by Minnesota Department of Human Services or Minnesota Department of Health, such as a home-care agency or personal care services provider.
A Functional “vulnerable adult” also includes a person,
regardless of living arrangement or receipt of services, who possesses a physical
or mental infirmity or other physical, mental or emotional dysfunction that
impairs the individual’s ability to provide adequately for his/her own care
without assistance AND because of the
dysfunction or infirmity and the need for assistance, the individual has an
impaired ability to protect himself/herself from maltreatment.
REPORTING MALTREATMENT OF VULNERABLE
ADULTS
What is the Vulnerable Adults Act?
The Minnesota Vulnerable Adults Act
Minnesota
Statues 626.557-626.5572 declares that it is the public policy of Minnesota
to protect adults who, because of physical or mental disability or dependency on
institutional services, are particularly vulnerable to maltreatment; to assist
in providing safe environments for vulnerable adults; and to provide safe
institutional or residential services, community-based services, or living
environments for vulnerable adults who have been maltreated.
Additionally, it is the state policy to require the reporting of suspected
maltreatment of vulnerable adults by certain persons, and to provide for the
voluntary reporting of maltreatment of vulnerable adults, to require the
investigation of the reports, and to provide protective and counseling services
in appropriate cases. Readers are encouraged to access the Vulnerable Adults Act
statutory language, particularly the definitions of a vulnerable adult, mandated
reporter, and maltreatment (abuse, neglect, or financial exploitation). The
definitions can be specifically found in Section
626.5572.
How is the
Under the Vulnerable Adults Act, counties have three main responsibilities:
• Providing adult protection
• Performing investigations when the vulnerable adult is not receiving
services from a Minnesota Department of Human Services or Minnesota
Department of Health
licensed provider
To report possible
maltreatment of a vulnerable adult you may contact the:
Common Entry Point for
Isanti County at:
Social Services 763-689-8146
Monday through Friday
8:00 AM to 4:30 PM
Or evenings, holidays or weekends you may call - Isanti County Sheriff’s Department at 763-689-2141
FORMS
Common Entry Point (CEP) DHS-3243
“Warning Signs of Abuse” DHS-2754