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Home & Community Care

 

Services for Elderly and Persons with Disabilities

The Home and Community Care programs are designed to support elderly and people with disabilities in their efforts to remain living as independently in the community as possible.  There are several different programs that are targeted to specific age groups and targeted to specific types of disabilities.

The first step to access services is a call to Scott County Long Term Care Intake at 952-496-8556.  Over the phone we will explore with you what you think you might want or need; what types of services may be available; review eligibility criteria for various options; review the types of supports you may already have in place; and then determine together if a home visit to conduct a Long Term Care Consultation (LTCC) is of interest.  Intake for assessment will be completed at this time.

 

Services and Programs Provided by Scott County Long Term Care:

Long Term Care Consultation (LTCC)

WHAT IS A LONG TERM CARE CONSULTATION?

A Long Term Care Consultation (LTCC) can help people make decisions about long-term needs.  This service helps people stay in their homes and receive help through alternatives to nursing facilities.

Long-term care consultations help people to choose services and supports that meet the needs of the individuals and their family.

A Long Term Care Consultation incorporates the expertise of both social workers and public health nurses.

WHAT HAPPENS DURING THE LONG TERM CARE CONSULTATION (LTCC) VISIT?

The social worker or public health nurse will visit you and family members at a face-to-face meeting in your home.  We will talk about your general health, your ability to take care of routine daily activities, your home environment, and any help you may receive from family and friends.  You will also talk about your social needs and what type of supports and services are available in your community.  Topics which may be discussed at a visit may include the following:

  • Stay in your own home or apartment.
  • Moving from a long-term care facility.
  • Understanding your choices in services.
  • Choosing services you prefer/need such as home care, equipment, assistance and support for caregivers, home delivered meals, homemaking and more.
  • Developing a plan to meet your needs.
  • Accessing programs that help you pay for services if you are eligible.
  • Ultimately the choice of what you do is yours.

HOW DO I PAY FOR SERVICES?

Some people pay privately for services.  At the Long Term Care Consultation visit we can discuss insurance or other payment sources which would help with the cost of services.  Other people are eligible for assistance with part or all of the cost of services through state and federal-funded programs administered through Scott County, such as Alternative Care (AC), Elderly Waiver (EW), Community Alternatives for Disabled Individuals Waiver (CADI), Community Alternative Care (CAC) and Brain Injury Waiver (TB).  IF you are eligible for one of the programs through Scott County, our social workers or public health nurses can provide the care coordination once you are on the program.

 

Elderly Waiver (EW)

Home and community-based services as an alternative to institutionalization that promotes the optimal health, independence, and safety of a person who would otherwise require the level of care provided in a nursing facility.

  • Eligibility: age 65 or older, current Medical Assistance recipient, and qualifies for supportive services through LTCC.
  • Includes: homemaker, home health aide, adult day services, respite care, services coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment and help with housing options.  Other services may be available.

Alternative Care Program (AC)

State-funded program designed to provide home and community-based services to Minnesotans who are at risk of nursing home placement and are not yet financially eligible for Medical Assistance.

  • Eligibility: age 65 or older, eligible financially, and qualifies for supportive services through LTCC.
  • May require a monthly premium.
  • Includes: homemaker, home health aide, adult day services, respite care, services coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment.  Other services may be available.

Community Alternatives for Disabled Individuals Waiver (CADI)

Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who would otherwise require the level of care provided in a nursing facility.

  • Eligibility: under age 65, current Medical Assistance recipient, certified disabled by Social Security Administration or State Medical Review Team (SMRT) process and qualifies for supportive services through LTCC.
  • Includes: homemaker, home health aide, adult day services, respite care, services coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment and help with housing options.  Other services may be available.

Community Alternatives Care Waiver (CAC)

Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who is chronically ill or medically fragile and who would otherwise require the level of care provided in a hospital.

  • Eligibility: under age 65, current Medical Assistance recipient, certified disabled by Social Security Administration or State Medical Review Team (SMRT) process and qualifies for supportive services through LTCC.
  • Includes: homemaker, home health aide, respite care, services coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment and help with housing options.

Brain Injury Waiver (BI)

Home and community-based services necessary as an alternative to institutionalization that promotes the optimal health, independence, safety and integration of a person and who would otherwise require the level of care provided in a specialized nursing facility or neurobehavioral hospital.

  • Eligibility: under age 65, current Medical Assistance recipient, certified disabled by Social Security Administration or State Medical Review Team (SMRT) process, documented diagnosis of traumatic or acquired brain injury and qualifies for supportive services through LTCC.
  • Includes: homemaker, home health aide, adult day services, respite care, services coordination, personal care, home delivered meals, lifeline, skilled nursing, special supplies and equipment and help with housing options. Other services may be available.

Personal Care Assistance (PCA)

Program provides services to individuals of any age who require additional care to meet their day-t-day activities in their home and community.  PCAs help people with activities of daily living, health-related procedures and tasks, observation and redirection of behaviors and instrumental activities of daily living for adults.

Participants must be on Medical Assistance.  The recipient must be able to direct their own care or have a responsible party who is able to do so on their behalf.

A county public health nurse will complete a PCA assessment to determine if PCA services are appropriate and to determine the amount of time needed to assist the care receiver.

 

For more information or to request an assessment call: Scott County Long Term Care Intake at 952-496-8556

Contact Information
County Main Number
(952) 445-7750
(952) 496-8170 (TTY)
Related Links
The MAAA assists individuals to age successfully and develops the capacity of communities to care for an aging population.
A one stop shop for Minnesota Seniors.
1-800-333-2433
Resources for Minnesotans with disabilities or chronic illnesses and their families or representatives.
1-866-333-2466
1-888-LinkVet
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