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Aternatives To Nursing Home Care In Louisiana (Lafayette
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| 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. |
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| I. ALTERNATIVES COVERED BY LONG-TERM CARE MEDICAID
WAIVERS |
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Elderly & Disabled Adults (E/DA) Waiver
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
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)
NOW is intended to provide specific,
activity focused services rather than continuous
custodial care.
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| 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: |
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| 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. |
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| 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. |
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| 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.) |
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| 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. |
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| To schedule a consultation or to request more information, please
Contact Senior Financial Protection LLC |
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