Once a person is approved for Community Medicaid, which is care provided by a home health aide to a Medicaid recipient in his or her home, he or she must be evaluated by a Managed Long-Term Care Company (MLTCC) before receiving services. As a requirement of the Department of Social Services (DSS), an approved Community Medicaid recipient must enroll with a MLTCC who will send an evaluator to assess the benefit recipient’s condition in order to create a care plan that will suit his or her daily needs. The evaluator will determine the number of hours per day that the recipient is entitled to receive a home health aide to assist with his or her basic daily needs. Continue reading “Remember: There is a Secondary Process by a MLTCC Once Approved for Community Medicaid”
Tag: Community Medicaid
Navigating the Uncertainties for Long-Term Care Needs
Medicare is a Federal program enacted in 1965. It is an earned-benefit program for those that are aged 65 or older or disabled. It consists of parts A, B, C and D. Part A is for hospital insurance coverage, as well as limited stays in nursing homes and some rehabilitative services such as physical, vocational, and speech therapy. Usually, there is no co-pay for Part A coverage. However, it is $167.50 per day for skilled nursing facility visits in excess of twenty-one days. Continue reading “Navigating the Uncertainties for Long-Term Care Needs”