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Assistive Technology for Adults

Posted on: August 16th, 2017 by AtHomeYourWay

What It Is

Get help with assistive technology through Ability Unlimited.Who says that technology isn’t for adults or the elderly? Assistive technology (AT) is any service or tool that helps older adults or persons with disabilities perform activities that might otherwise be difficult or impossible.

For older adults, assistive technology may be items such as amplification devices to make sounds easier to hear. It could also be adapted utensils or a magnifying glass for someone who has poor vision.Those are, of course, only a few examples; AT is essentially anything that aids a person’s continued participation in daily activities.

AT allows many people to live independently without resorting to long-term nursing or home health care. For some, it is critical to the ability to perform simple activities of daily living, such as bathing, dressing, or cooking.

Getting Help Navigating Medicaid

The bad news is that most private insurance companies do not provide coverage for certain types of AT. The good news is that those on Medicaid waivers in the state of Virginia have a potentially valuable resource in helping to pay for their AT needs. However, Medicaid doesn’t always identify assistive technology exactly as such, which can make it hard for some to get coverage. Further, to get coverage of the cost of assistive technology, the typical requirement is that justifications may be required, including a doctor prescribing it as being “medically necessary.” This is a phrase rarely applied to things like handheld devices, unless a communication disorder is involved, but such devices are no less needed.

That’s why those seeking an AT device should get in touch with AT providers like Ability Unlimited. They know all the terms a Medicaid agency might use and can help with the process of requesting funding for assistive technology devices. Check out Ability Unlimited’s website for more info on what makes you eligible!

Can I Get Paid as the Caregiver of a Loved One?

Posted on: May 29th, 2017 by AtHomeYourWay
caregiver assisting medicaid patient
caregiver helping elderly woman with Alzheimer's
disabled child in wheelchair with caregiver

Can I Get Paid as the Caregiver of a Loved One?

If you are missing work, worried about medical bills piling up, and concerned about how you’ll make ends meet because you are the caregiver responsible for taking care of a loved one, you may be wondering if it’s possible to get paid for what you are already doing.

We get this question often.

If you’ve been caring for a family member, providing unpaid care without any support, you are probably well aware of the struggle more than 70 million people face each day concerning the time, energy and financial problems surrounding unpaid care. At Home Your Way is passionate about helping and developing systems that will improve your family’s quality of life. So, we are here to tell you…

Yes, depending on your circumstances, it is possible to become a paid caregiver for a member of your family.

You can not get paid to care for a person receiving consumer directed personal care if you are parents of minors, the spouse of individual, or the employer of record.

At Home Your Way can help you determine whether ESPDT or the VA Medicaid Waiver Program is the best route for your situation.

Whether it’s a Virginia Medicaid Waiver or the EPSDT program, we walk applicants through the application processes, advocate when needed, and offer guidance through appeals.

Additionally, we offer outside resources via our online newsletter, searchable resource list, and our employee’s community connections.

Once VA Medicaid has been established and your loved one has been enrolled into a Waiver or qualified for EPSDT, the process for getting you paid as a caregiver is very simple and At Home Your Way can help! We can be your Service Facilitation provider! We are available from 9 to 5 to answer your questions.

Call one of our Family Resources Specialists at (844) 828-5591 to help guide you through the process.

 


 

General Requirements

VIRGINIA MEDICAID

For adults and children (only those pursuing EPSDT personal care), Virginia Medicaid income requirements vary based on the individual’s circumstances such as family members residing in the home, income, assets, etc.

If the individual is a child and pursuing a Virginia Medicaid Waiver such as CCC Plus, FIS or CL (EPSDT is not included), their income, assets, etc. are assumed to be zero and will automatically meet Virginia Medicaid requirements.

WAIVER PROGRAMS

Waivers are Medicaid programs for the Elderly and people with disabilities who have a need for health-related services to improve or maintain their quality of life.

We are often asked if we can help people with the Medicaid application process. Our Family Resource Specialists will walk you through the entire process. We typically direct you to Social Services, but are happy to answer questions about the application itself. To set up waiver services for a loved one, there are a few steps you must take.

A simple overview of the Waiver requirements:

  1. Have Medicaid.
    Apply online (https://commonhelp.virginia.gov/access/) or at your local DSS (Bring a completed Financial Application for Adult Medicaid and Appendix D to your local Department of Social Services (DSS) and request a screening for Long Term Care.)
  2. Meet Waiver Screening Criteria.
    1. Functional – Does the person need help with activities and Instrumental Activities of Daily Living such as supervision or prompting with bathing, dressing, toileting; help using the phone, cooking, cleaning, shopping, etc.
    2. Medical – Multiple complex interrelated conditions, unable to self-assess or monitor, respiratory therapy, etc.
    3. Risk for nursing home placement
      1. Evidence that deterioration in individual’s condition or change in support prevents needs from being met.
        • Behaviors increasing
        • Medical condition worsening
        • Change in family situation (new child, deployment, new demands from other family members)
      2. No change in condition or support, but evidence that functional, medical or nursing needs are not being met.
        • Not able to potty train
        • Unable to manage all therapies

EPSDT

To qualify for EPSDT the individual receiving care must already have Medicaid, meet the Virginia Medicaid income requirements and be under the age of 21. We will help applicants with the EPSDT application by getting them the DMAS-7 (EPSDT screening form) to be filled out during a meeting with their doctor (this is quick and easy), and then set up the intake assessment to get them started.

   For personal care services individuals must also meet the following:

  1. Have medical need for services
  2. Have functional delays in three or more ADL’s (Activities of Daily Living)
  3. Have a doctor willing to verify that assistance is needed as a result of a medical necessity and not age.

 

Instructions for a Notice of “Discontinued Employment”

Posted on: April 12th, 2017 by AtHomeYourWay

PPL needs to know when an attendant is no long working for the following reasons:

  • To prevent incorrect payments;
  • For correct information on who is working for you or who has worked for you;
  • For unemployment hearings. PPL can communicate to the Virginia Employment Commission the last date of employment and reason.

You can find the form in the Employer of Record Information Packet Pg. 11, located here.

Hiring a New Attendant?

Posted on: April 12th, 2017 by AtHomeYourWay

Use PPL’s online application to get a pre-populated hire packet sent to you.

Check out At Home Your Way’s PPL & Aides Resource Page

Posted on: April 12th, 2017 by AtHomeYourWay

Click here for more information.

Alzheimer’s Assisted Living Waiver

Posted on: April 12th, 2017 by AtHomeYourWay

What makes someone eligible for the Alzheimer’s Assisted Living Waiver?

  • 55 years of age or older and who have a diagnosis of Alzheimer’s/related dementia
  • No diagnosis of a serious mental illness or intellectual disability.
  • Individual must be living in (or willing to move to) an assisted living facility instead of a nursing home,
  • Must be receiving (or be eligible to receive) an Auxiliary Grant.

**As with all Medicaid-funded services, there are also financial eligibility criteria.   Visit our Newsletter to find out more.