Community Choice Waiver - CARE, Inc

Jul 26, 2019

Introduction

Welcome to the Community Choice Waiver program offered by Grim Harley, MD at CARE, Inc. We understand the importance of providing comprehensive care services to individuals in need. Through this program, we aim to assist and enhance the quality of life for eligible individuals who require a level of care beyond what traditional Medicaid programs offer.

Understanding the Community Choice Waiver Program

The Community Choice Waiver program is a Medicaid waiver program designed to support individuals who prefer to receive care services in their home or community as opposed to institutional settings. By participating in this program, individuals have the opportunity to receive the necessary care and support while maintaining independence and a sense of belonging within their communities.

Eligibility Requirements

In order to qualify for the Community Choice Waiver program, individuals must meet certain eligibility criteria. These criteria may vary depending on the state and organization offering the program. However, in general, the following requirements are common:

  • Age: Individuals must be over the age of 18 (age requirements may vary).
  • Medical Condition: Individuals must have a documented medical condition that requires a level of care typically provided in a nursing facility.
  • Financial Eligibility: Individuals must meet the financial eligibility criteria set by Medicaid. This includes income and asset limits.
  • Residence: Individuals must reside in the state where the program is offered.
  • Choice of Care Setting: Individuals must choose to receive care services in their home or community rather than a nursing facility or other institutional settings.

Services Covered

The Community Choice Waiver program offers a wide range of services to eligible individuals. These services aim to address the specific care needs and improve the overall well-being of participants. Some of the services covered under the program include, but are not limited to:

  • Personal care assistance
  • Nursing services
  • Respite care
  • Home modifications
  • Assistive technology
  • Meal preparation and delivery
  • Homemaker services
  • Transportation assistance
  • Case management
  • And more

Participant Rights and Responsibilities

As a participant in the Community Choice Waiver program, it is important to understand your rights and responsibilities. Participants have the right to:

  • Receive services in a dignified and respectful manner
  • Participate in the development of their care plan
  • Choose their care providers (within program guidelines)
  • Be informed about available services and service limitations
  • Voice concerns or grievances regarding the care received

At the same time, participants also have responsibilities, which include:

  • Adhering to the terms of their care plan
  • Providing accurate and updated information for eligibility determination
  • Notifying the program of any changes in circumstances
  • Cooperating with program staff and care providers
  • Utilizing services responsibly

Applying for the Community Choice Waiver Program

If you believe you or a loved one may be eligible for the Community Choice Waiver program, it is essential to initiate the application process. Each state may have a different application procedure, but in general, the following steps are required:

  1. Contact your local Medicaid office to express your interest and inquire about the program.
  2. Submit required documentation, including proof of age, medical condition, residency, and financial eligibility.
  3. Participate in a comprehensive assessment to determine the level of care needed.
  4. Develop a person-centered care plan in collaboration with program staff.
  5. Once approved, begin receiving the designated services based on your care plan.

Conclusion

The Community Choice Waiver program offered by Grim Harley, MD at CARE, Inc is dedicated to providing eligible individuals with the opportunity for personalized care services in their home or community settings. By focusing on individual needs and preferences, we strive to enhance the quality of life and promote independence. If you are interested in learning more or applying for the program, please contact our team today for assistance.