Private duty care providers and family caregivers alike know that homecare services can play an integral part in a senior citizen’s ability to remain in their home. However, for low-income seniors, the ability to pay for homecare services may seem unattainable. Medicaid waivers are making the ability to receive homecare a financial reality for many seniors.
Although Medicaid is a Federally-funded program to provide care for low-income individuals, Medicaid programs are administered on a State-level and may cover services that other programs, like Medicare, do not. Here are some facts about non-medical homecare services available through Medicaid programs and how homecare software and homecare systems can help increase efficiency of these services:
1. Medicaid is required to provide home-based health-related services:
To participate in Medicaid, all states must provide provisions for participants to receive in-home, medically-based care. However, there is often a need for non-medical services in conjunction with this type of care; or for seniors who don’t have a serious medical condition, yet require assistance to maintain independence.
2. States may choose to offer Personal Care Services, known as PCS:
Individual states may choose to include personal care services in their Medicaid plans. This means that seniors and disabled individuals receiving Medicare benefits may also receive assistance with activities of daily living such as meal preparation, errands and personal hygiene. A study by the Kaiser Commission on Medicaid and the Uninsured reports that 34 States provided optional Personal Care Services by 2009. These types of services may be provided by a homecare provider utilizing homecare software or homecare systems to track activity and bill for Medicaid reimbursement.
3. Medicaid waivers allow for more specialized in-home care:
Waivers allow Home and Community Based Services (HCBS) in Medicaid to offer more specific services, such as case management, personal aide service and homemaker services to a more specific population. For instance: Medicaid participants in a specific geographic region, or those with a specific condition. However, waivers often have caps and may create a waiting list of people seeking these services under Medicaid reimbursement. These types of services are often the same as those provided by a private duty provider, and may be benefit via efficient case management with the help of a homecare software or homecare systems, like ClearCare.
As funding for Medicaid programs fluctuates with State and Federal budgets, the Home and Community Based Services that Medicaid provides in individual states may begin to change. Is your agency providing any Medicaid reimbursed care? If so, let us know how you are managing reimbursement paperwork and how homecare software and homecare systems are easing your paperwork load.