Aternatives To Nursing Home Care In Louisiana (Lafayette )

Alternatives to traditional nursing home care are available; some are covered by long-term care Medicaid and some require private payments. Medicaid (other than long-term care Medicaid), Medicare, or private insurance could cover some of the costs of home health for limited periods of time. Some alternatives allow patients to live in facilities less restrictive than nursing homes and others allow the disabled to remain in their home.

I. ALTERNATIVES COVERED BY LONG-TERM CARE MEDICAID

A. LONG-TERM CARE MEDICAID WAIVERS

Alternatives to nursing home care are available through the long-term care waiver program. These waivers provide support services that allow the recipients to remain in their homes. Medicaid covers the costs of these services.

Due to demand for these services, there is a Request for Services Registry (RFSR) that lists individuals and their request date. These waivers are offered on a first-come first-served basis. Persons interested in being added to the RFSR for this waiver should contact the LA Options in Long Term Care Statewide Toll Free Help Line at 1-877-456-1146. The application process does not begin until a slot is available. At that time medical and financial determinations are done simultaneously and are the same as those for long term nursing facility care. In addition to all waiver services, the waiver recipient is entitled to all Medicaid State Plan Services. Requestors have freedom of choice for providers.

Elderly & Disabled Adults (E/DA) Waiver

There are eight services provided under this waiver: Case Management, Transition Intensive Case Management, Household Supports, Personal Supervision (day), Personal Supervision (night), Environmental Modifications, Personal Emergency Response System and Transitional Service (lifetime maximum assistance for individuals transitioning from a nursing home to the community.)

Due to the high demand for these services and the limited number of slots available each year, the wait for these services in Louisiana is presently 2-3 years.

Adult Day Health Care Waiver

Adult day health care, which is provided at an ADHC facility, is the primary service provided under this waiver, along with other services that include health services, direct care services, social services, nutrition, and transportation to and from facility.

The wait for these services in Louisiana is approximately 6-8 months. There are some areas of the state where these services are not presently available.

New Opportunities Waiver (NOW)

The following waiver requires contact with the Bureau of Community Supports and Services (BCSS) and the toll free number is 1-800-660-0488.

NOW is only appropriate for those individuals whose health and welfare can be assured via the Comprehensive Plan of Care and for whom home and community-based waiver services represent a least restrictive treatment alternative. The program is based on federal criteria which allow services to be provided in a home or community-based setting for the recipient who would otherwise require institutional care. NOW is intended to provide specific, activity focused services rather than continuous custodial care.

The following are the services provided under the NOW: Individualized and Family Support (IFS) Service-Day-Night, Shared Supports for some services, Center-Based Respite, Community Integration Development, Environmental Accessibility Modification, Specialized Medical Equipment and Supplies, Residential Habilitation Supervised Independent Living, Day Habilitation and Transportation for Day Habilitation, Supported Employment and Transportation for Supported Employment, Facility-Based Employment, Professional Consultation Personal Emergency Response System, Skilled Nursing Service, Substitute Family Care, Transitional Expenses, Transitional Professional Support Service.

Ii. Alternatives That Require Private Payments Or Insurance

A. Assisted Living Facilities- a combination of housing and personalized supportive services, designed to meet the care needs of residents requiring assistance with or supervision of daily activities of living but that can still maintain a high degree of independence. Some of the services and amenities provided by Assisted Living Facilities are:

Private rooms that often include private sitting and kitchen areas
Three homemade meals each day, served restaurant style
Weekly housekeepingLinen and laundry services
Personalized assistance with bathing and grooming
Assistance with medications
Access to both inside and outside common areas
Scheduled transportation
24- hour staffing and emergency response

Many of the assisted living facilities have specialized units for Alzheimer patients. The design and lay-out of these areas, the activities, the amount of resident supervision provided, and meal delivery are all tailored to meet the needs of the Alzheimer patient.

The cost of care in Assisted Living facilities is based on the level of independence of the resident- the greater the care and supervision required, the higher the costs. (Residents in the Alzheimer units generally are required to pay higher fees.)

Assisted Living Facilities in Lafayette, LA area:

Azalea Estates 1318 Andrea Street New Iberia, LA 70563 337.364.1695	Cornerstone Village South 103 W. Martial Ave. Lafayette, LA 70508 337.981.5335
Garden View Assisted Living 601 Verot School Road Lafayette, LA 70508 331.981.333	Kingsley Place 215 W. Farrell Road Lafayette, LA 70508 337.993.0077
Rosewood Retirement Community 203 Rue Fontaine Lafayette, LA 70508 337.981.0333

B. Apartments for the Elderly - provide limited (if any) direct assistance with care of residents but may provide some level of supervision, group activities, or meals. The physical lay-out is generally focused on meeting special care needs of the elderly and/or disabled. Rent is often based on income.

Holy Family Apartments 1512 Louisiana Ave. Lafayette, LA 70501 337.234.8145	Maison De Goodwill 415 Guilbeau Lafayette, LA 70501 337.406.8500
Moss Gardens Apartments 411 Sonny Street Lafayette, LA 70506 337.261.108	Network Residential 218 Robin Lane Opelousas, LA 70590 337.942.2649
Stonehenge Elderly Apts. 140 Statesman Drive Lafayette, LA 70506 337.989.104	St. Gertrude’s 913 Webb Lafayette, LA 70501 337.269.1719
Village Dulac Apts. 1404 Carmel Ave. Lafayette, LA 70501 337.234.5106

C. Medical Care in the Home through Home Health Agencies- some of these services are actually covered by Medicaid (other programs outside the long-term care program), Medicare, and private health insurance.

AAA Home Health 601 Renaud Dr. Lafayette, LA 70508 337.237.9898	A-Nursing Registry A-1 Home Health A-1 Angels 515 Verot School Road Lafayette, LA 70508 337.237.5570
Acadian Homecare 420 W. Pinhook, Ste. C Lafayette, LA 70503 337.235.8185	Acadian Premire Regional 1538 Pinhook Lafayette, LA 70503 337.406.0278
Community Home Heath 600 Young Street Youngsville, LA 70592 337.857.2580	Complete Home Health 1304 Bertrand Drive, Suite B5 Lafayette, LA 70506 337.233.0079
Concepts of Care 100 General Mouton Lafayette, LA 70501 1.800.246.3233	Extended Home Health Lamm Home Health 19157 Crowley-Eunice Hwy. Crowley, LA 70526 1.800.297.6775
First Option Home Health Option Care 210 Magnate Drive Lafayette, LA 70508 337.234.1292	Home Health Care 2000, Inc. 1304 Bertrand, Suite D4 Lafayette, LA 70506 1.888.235.3214
Health Care Options 3804 Johnston St.- Bldg. 1 Lafayette, LA 70503 337.984.3104	Interlink Home Health Services 913 S. College, Suite 208 Lafayette, LA 70503 1.800.297.6775
Nursing Specialties 1602 W. Pinhook, Ste. 300 Lafayette, LA 70508 337.266.9996 337.266.9997	Nursing Specialties 221 North Second St. Eunice, LA 70535 337.550.9060
Intrepid Healthcare Services 143 N. Fourth St. Eunice, LA 70535 1.800.297.6775	Lafayette General Home Health 201 Audubon, Suite 246 Lafayette, LA 70508 1.337.289.8137
Medsource Healthcare Group 4010 W. Congress, Suite 208 Lafayette, LA 70506 337.993.994	Prescribed Home Health PO Box 99 Chataignier, LA 70524 337.885.2299
Regional Home Care 4640 W. Congress, St. B Lafayette, LA 70506 337.234.2682	Synergy Home Health 4023 Ambassador Caffery, Ste. 502 Lafayette, LA 70503 1.800.299.4967
United Home Care 1919 Dulles St., Suite A Lafayette, LA 70506 1-800-955.6877

D. Sitter Services/Personal Care in the home- provides non-medical assistance in the home of the patient with daily living activities such as bathing, dressing, meal preparation, and transportation. Also can provide companionship, respite care, and 24 hour live in services. Sitter services are generally paid by private insurance or private payments by the family. Medicaid covers these services but only through the EDA and NOW waivers that are very limited in the number available each year and the type of services provided. Medical and financial assessments are necessary to determine eligibility for the waivers. (See information in the waiver section for specific details.)

AAA Private Sitter Service 601 Renaud Drive Lafayette, LA 70508 337.237.940	A-1 Nursing Registry 515 A Verot School Road Lafayette, LA 70508 337.237.5570
ciaGriswold Spel Care A PMB#2864400- affAmbassador Cery A Lafayette, L70508 337.988.0076	Acadian Premire Regional Nursin 1538 W. Pinhook Lafayette, LA 70503 1.800.725.5256
Alternative Home Care Specialist 1304 Bertrand Dr., Suite A-3 Lafayette, LA 70506 337.233.545	Amian Health Service 514 Guilbeau Rd., Suite C-2 Lafayette, LA 70506 337.981.6062
Gulf Coast Teaching 515 S. College Dr., Suite 100 Lafayette, LA 70503 337.295.7990	Home Instead Senior Care 514 Guilbeau Road, Suite A2 Lafayette, LA 70506 337.295-7990
L & D Community Care 128 Demande, Suite 301 Lafayette, LA 70503 337.237.104	Lafayette ARC 303 New Hope Road Lafayette, LA 70506 337.984.6110
Leading Heathcare of LA 114 W. Vermillion Street Lafayette, LA 70501 337.236.9111	LA Health & Rehab Option 227 Jefferson Street Lafayette, LA 70501 337.267.7375
Premiere Reg. Healthcare 1720 Kaliste Saloom, Suite D-1 Lafayette, LA 70508 337.406.0278

E. Hospices - Hospice care may be received in the home or in a nursing home for those persons who generally have 6 months or less to live. There are some non-profit hospices that charge fees based on income and Medicaid also covers some hospice services. Others require private insurance or private payments by the family. Services provided include pain management, respite for the caretaker, and emotional and spiritual support.

AAA Hospice 2111 Hwy. 14 New Iberia, LA 70560 337.367.940	Hospice of Acadiana 2600 Johnston St.- Suite 200 Lafayette, LA 70503 337.232.1234
Hospice of St. Landry 613 S. Main Opelousas, LA 70570 337.948.8835	Improving Care Through End of Life 2600 Johnston St., Suite 132 Lafayette, LA 70503 337.232.4490
Southern Care Hospice 200 W. Congress St., Suite 705 Lafayette, LA 70501 337.291.1818

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