Long-Term Home and Community-Based Services
This program, also known as Home and Community-Based Care, offers an option to remain in your own home or an assisted living facility instead of going to a nursing facility. To apply for this program, you need to need a certain level of care, based on Delaware Medicaid rules. If you have been diagnosed with AIDS or are HIV-positive with two associated symptoms and require a hospital level of care, you may also be eligible.
If you are eligible, you can receive, as needed, all regular Medicaid services, and some special services that Medicaid normally does not cover.*
These special services include:
| Service Name | Service Description |
|---|---|
| Case Management | A case manager is available to help you identify and obtain services necessary to remain in your home comfortably and safely. |
| Personal Care Services | An aide will help with personal care such as bathing and dressing and can also help with household chores such as light housekeeping and laundry. |
| Medical and Adult Day Services | A day care center near your home would provide meals and snacks, nursing services, supervision and recreational and/or medical therapy. |
| Respite Care | An aide visits your home for short periods of time when your primary caregiver must be away from the home. Short-term respite care at a nursing facility is also available. |
| Emergency Response System | Amechanical device clipped to clothing or worn as a necklace calls for help in an emergency such as a fire or fall. |
| Cognitive Services | This service assists in the diagnosis, assessment of needs and treatment of certain conditions that resolve from a brain injury, including behavioral therapy. |
| Assisted Living | A residential care option that provides support in a homelike setting with more independence than nursing home care. Support usually includes personal services and light medical or nursing care. |
| Mental Health Services | Treatment, rehabilitation and support designed to help you maintain life in the community. Services such as psychological evaluation, psycho-social assessment, individual counseling/psycho-educational services help you obtain relief from AIDS-related psychiatric and neurological symptoms, appropriate psychiatric and substance abuse treatment services and self-help support groups. |
| Supplemental Nutrition | Routinely considered for those diagnosed with HIV/AIDS to ensure proper treatment of weight loss, wasting, malabsorption and malnutrition. Oral nutrition supplements are offered to those who meet AIDS Waiver requirements and who are at nutritional risk. |
* This program does not arrange for or pay housing or other living expenses.
Division of Developmental Disabilities Services Lifespan Waiver
This program, administered by Delaware’s Division of Developmental Disabilities Services (DDDS), offers those who may otherwise qualify for the Medicaid Nursing Facility Program the alternative of living in the community with special community-based services. To apply for this program, you must have an intermediate level of care for persons with disabilities. If eligible for this program, you can receive Medicaid services outlined in the State Plan, as well as: {table}
- Case management – The DDDS case manager will help you determine and obtain services needed to promote a safe environment in the community
- Habilitation services – specialized training and supervision in certain residential settings such as group homes, adult family living homes and foster training homes, neighborhood homes, supervised apartments and staffed apartments
- Prevocational services – focus on preparing those who are not expected to join the general workforce for paid or unpaid employment that is not task-oriented.
- Supported employment services – services to enable paid employment in a variety of settings in which persons without disabilities normally work
- Day habilitation services – reinforce skills and lessons taught in school and therapy to help individuals attain maximum functional levels.
- Respite services – short-term services where there is no caregiver or where the caregiver is in need or relief.
Clinical support – these services might include, but are not limited to, psychological, nursing, occupational, physical and speech therapies
Long Term Acute Care Program
Long Term Acute Care Hospitals focus on patients with complex medical needs, such as ventilator-dependent care or pain management. These patients are often transferred from an intensive or critical care unit to a long-term acute care hospital and, on average, stay more than 30 days.
