The Living-at-Home program provides case management through the Community Alternatives Program for Disabled Adults (CAP/DA or CAP/Choice).
CAP/DA and CAP/Choice are Medicaid waiver programs that provide a coordinated network of support services in the home, allowing the aged or disabled adult to remain at home for as long as possible or to return home from a facility, when circumstances allow. The client may elect to participate in traditional CAP/DA or CAP/Choice based on qualifications.
As a standard service, Living-at-Home provides an in-home evaluation of the client’s abilities, needs and circumstances, along with close, ongoing supervision of the client by a case manager/care adviser.
The following services are provided on an as-needed basis:
- In-home aide or personal assistant services, such as bathing and dressing
- Adult day health care at approved centers
- Home mobility aids, including wheelchair ramps
- Telephone alert
- Incontinence supplies
- Nutritional supplements
- Respite care
- Home-delivered meals
CAP/DA and CAP/Choice are available to individuals age 65 and older and disabled adults age 18 and older.
To be eligible for either CAP/DA or CAP/Choice, client must
- Be Medicaid eligible,
- Need a level of care equivalent to that of a skilled nursing facility, and
- Have a home situation in which his or her health, safety and well-being can be assured.
Additional requirements must be met for CAP/Choice eligibility.
CAP/DA and CAP/Choice Enrollment
- To make a referral, an individual calls Senior Services. The client or responsible person must also call to discuss their interest in the program.
- Referral information is processed to determine client eligibility for assessment.
- Client information forms are mailed to the client to be completed and returned.
- The client must be eligible for Medicaid. At the appropriate time, the client is referred to the Department of Social Services to apply for Medicaid.
- Required documentation is completed by the client’s physician and submitted for level of care approval. An in-home assessment is then completed by a nurse and a social worker, and a plan of care is developed.
- CAP/DA/Choice services begin after the plan of care is approved.
For more information on CAP/DA/Choice, please call (336) 725-0907.