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Home
and Community Based Services
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| ELIGIBILITY GROUP (ALSO SHOWN AS THE SPECIAL POPULATION) | >>Individuals age 16-64 and over >>financially eligible for Medicaid >>KBH screening if under 21 |
| LEVEL OF CARE REQUIREMENTS (ALSO KNOWN AS FUNCTINAL ELIGIBILITY RULES) | >>Determined disabled by SSA standards >>Need personal assistance to accomplish normal rhythms of the day >>Meet Medicaid LTC threshold criteria >>Not developmentally disabled or mentally ill |
| ASSESSMENT AND ACCESS (CASE MANAGEMENT) | Independent living counselors employed by Centers for Independent Living or Home Health Agencies using Uniform Assessment Instrument |
| CHOICE OF CASE MANAGEMENT AGENCIES AVAILABLE | Yes. Statewide choice among all qualified agencies is allowed |
| FINANCIAL ELIGIBILITY RULES | Only individuals own income and resources are considered beginning in the first month of HCBS (income over $696 per month must be contributed towards cost of care) plus for individuals under 18, parental income and resources are not counted. |
| NUMBER
OF UNDUPLICATED CONSUMERS PER MONTH |
1,941 |
| TOTAL FY 98 HCBS WAIVER EXPENDITURES | $25,368,000 |
| MONTHLY AVERAGE COST PER CONSUMERS FY 98 (WAIVER SERVICES) | $1,089 |
| MONTHLY AVERAGE COST PER CONSUMER FY 98 (XIX SP SERVICES) | $505 |
| CONSUMER DIRECTED ATTENDANT OPTION AVAIL | Yes, for age 18 and older |
| SERVICES (THOSE LISTED ARE PROVIDED IN ADDITION TO REGULAR TITLE XIX STATE PLAN SERVICES | >>Independent living counseling >>personal services >>assistive services |
| QUALITY ASSURANCE | >>AMS program manager authorizes and reviews
all plans of care >>Annual evaluation of level of care by fiscal agent home care review >>Area Medicaid management in SRS reviews all case records and makes home visit annually >>Peer education and resource council >>PD quality assurance team reviews program trends by CIL >>Annual consumer and provider satisfaction surveys >>Fiscal agent post pay reviews of providers >>Fiscal agent provider and consumer assistance units to register and follow up on all complaints or grievances |
| View the
booklet: Listen
to My Story For more information visit Health Care Policy |
Page last updated January 16, 2003