Home
& Community Based for the Frail (HCBS)
The HCBS/FE program may enable a person to
stay in their homes or make other successful living arrangements
in the community. Services include personal care, household
tasks and health services. Eligibility
Guidelines
Individuals must be 65 years old, meet Medicaid income eligibility
guidelines and meet the Medicaid long-term care threshold.
Where
to Get More Information
or Apply
Contact JAAA or contact your area SRS office.
Housing
Continuing Care Retirement (CCRCs)
CCRCs provide independent living units such
as apartments or cottages. Various social, recreational,
maintenance and health care services are offered usually
on the premises.
The terms of a CCRC contract typically last more than one
year. The facility agrees to provide housing, health care
and other services in exchange for your advance payment
to help cover these costs. The fees cover the cost of housing
but do not give you ownership rights in the property. Most
facilities additionally require an entrance fee and monthly
service charge. Always seek advice from an attorney before
signing a contract or paying the often substantial entrance
fee.
Because of the complicated financing required to develop
and operate such a facility, the potential for financial
management does exist. Kansas law requires these facilities
to provide a copy of their annual audit to residents on
request.
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Considering
Moving to a Nursing Facility?
If you are seriously considering moving
to a nursing home, you will need to have a Client Assessment
Referral and Evaluation (CARE) assessment prior to admission.
CARE is an assessment program operated by the Kansas Department
on Aging and authorized by the 1994 Kansas Legislature. Everyone
seeking admission to a nursing home must receive an assessment
by a certified CARE assessor before they can enter.
There are three goals of this free assessment.
The first goal is to help people find appropriate long-term
care services. These services may be community based or
in a nursing home. The second goal is to collect information
about services consumers need but are not available. The
third goal of the CARE assessment is to determine whether
an individual has serious mental health or mental retardation
needs, which may require further evaluation. Sections of
the CARE assessment are required by federal law and are
referred to as Preadmission Screening and Resident Review
(PASRR).
Through the CARE assessment process, the
assessor will give you a chance to review the services that
are available in your community so that you can make an
informed decision regarding what services will meet your
long-term care needs. After the assessment, you may decide
to remain in your home, at which time (with your permission)
the CARE assessor can make referrals for the community-based
services you need.
The CARE assessment takes about one hour
and is designed to evaluate your health and ability to perform
daily activities such as shopping, dressing, laundry, etc.
The CARE assessor from the Area Agency on Aging will conduct
the assessment in your home. If you are in a hospital and
plan to go to a nursing home, the hospital personnel (probably
a nurse or social worker) will conduct the CARE assessment
before you leave the hospital. If you wish, your family,
friend, or legal representative are encouraged to be present
during your interview.
Once the CARE assessment is completed, you
will be given a Certificate of Assessment, which will either
indicate you may enter a nursing home or you need further
evaluation. If you decide to enter a nursing home, you should
take a copy of the certificate with you.
If you lose your certificate, you or the
nursing home may contact the Area Agency on Aging for another
copy. It should be noted that a CARE assessment is not Medicaid
eligibility. If you believe you will need Medicaid assistance
you will need to apply through your local Kansas Department
of Social and Rehabilitation Services (SRS) office.
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Tips
on Selecting a Nursing Facility
If you need 24-hour skilled nursing care, several options
are available. Sometimes, moving to a nursing home is the
best option. When you are selecting a nursing home, taking
the following steps will help ensure that you will be satisfied
with your new home.
Ask
for Recommendations
Talk to people you trust who can help you make a good choice,
such as family, friends, or your doctor or other health
care providers. Also, contact your local Area Agency on
Aging and ask for information.
Narrow
your Search
Consider factors that may be important such as location,
special care needs, religious or cultural preferences, availability
of a room or bed, and cost. Once these have been determined,
narrow your search to those nursing homes that meet minimum
requirements.
To find out additional information about your preliminary
choices, you may want to access the Medicare
web site. This is a database that provides information
and survey findings on nursing homes participating in the
Medicare or Medicaid programs.
This database will list the following information about
the homes specified: Basic information such as number of
beds and type of ownership Resident information, including
the percent with pressure sores, urinary incontinence, etc.
Nursing home inspection summaries
Nursing home staffing ratios If you do not have access
to a computer, your local library can be of assistance.
You may also contact the Kansas Department on Aging or us.
Visit Potential Nursing Homes
It is suggested that you visit a nursing home you are considering
at least twice, one scheduled visit and one random visit.
The first visit should be a guided tour by a staff member
to familiarize you with the home and its services.
During this visit, you should ask to see a contract to
find out the cost of care and any additional fees that may
be charged for such items as haircuts, cable television,
and activities. Also, ask to see a copy of the most recent
state survey report completed by the Kansas Department of
Health and Environment. The report will contain information
on areas of care where the home did not meet federal and/or
state regulations.
The second unannounced visit will allow you the opportunity
to see how staff interact with residents, how the meals
are served, and how actively involved residents are in determining
their own daily schedules. Activities should be provided
that you find to be of interest.
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