Care Management

Care Management is a program that offers supports to help you in live in a community setting rather than moving to a nursing home or another institutional setting.

Eligibility:

You may be eligible for the Care Management Program if you are:

• 60 years of age and older.
• Are currently in a nursing facility but wish to return to your own home.
• Are currently living at home or the home of another but extensive services are required to make it possible for you to stay living there.
• Are unable to take care of your needs; and family and friends are unable to provide all of the care that is needed.

Getting Started:

An initial telephone interview is performed to determine your eligibility for the Care Management Program.  If eligible, a more comprehensive “in-home” assessment by a Supports Coordination team (nurse and social worker) will be scheduled.  There is often a waiting list.  Our I&A Specialist will help direct you to other community resources that may meet some of your needs until a program opening occurs.

Services:

• An evaluation of your individual needs and circumstances; assessing your health, emotional, social, financial and environmental conditions.
• Assistance in developing a plan of care which might include services such as meals, personal care, or relief for caregivers. Most services are provided in your home; however there are valuable supports such as adult day services that are available in a community setting.  The Supports Coordinators will help you understand all your options. You can accept or refuse all or any of their recommendations.
• Help arranging for the services you select.
• An on-going relationship in which we check in regularly to make sure you are satisfied.  As your needs change, the Supports Coordinator can help you make adjustments to your plan.

Paying for your services may be handled in a number of ways to include:

• Community      Programs such as county millage funded services through your County      Council or Commission on Aging.
• Medicare      or Medicaid funded services.
• Privately      paying for services or sharing in the cost of some services.
• AAANM      funded services purchased on your behalf.

The Supports Coordinator will help you determine how to pay for your services.  If you do not have the ability to pay for all your needed care, they will help seek out other funding options when available.  Any services offered that could have a cost to you will be clearly explained and will not be arranged without your approval.