Medical/Home Care Services
The Department of Social Services is responsible for the needs assessment, programmatic eligibility determination and authorization of a wide range of medical/home care services to Medicaid recipients.
What are Home Care Services?
All home care services are designed to insure the health and safety of elderly, infirm, or disabled individuals by providing a range of home based services which assist in maintaining the recipient at home. Home care services are physician ordered and supervised by a registered nurse. Licensed providers under contract with and monitored by Department of Social Services, are responsible for service delivery.
What kinds of Home Care Services are available for Medicaid Recipients?
- Personal Care Services provide assistance with the activities of daily living: personal hygiene, dressing and feeding, household tasks and nutrition. They may be combined with other services such as visiting nurse or hospice.
- Long Term Home Health Care Program (LTHHCP), also known as Nursing Home without Walls, is a coordinated plan of care and services provided at home to individuals who are medically eligible for placement in a health related facility or nursing home. It is a financially capitated program.
- Consumer Directed Personal Care Assistance Program (CDPAP) enables the individual who can recruit, hire, and train their personal care aide, to manage the delivery of their own home care.
- Comprehensive Care Management (C.C.M.) provides a pre-capitated program of coordinated health care through the NY State Comprehensive Care Management Program. The individual who is most appropriate for this program is frail and elderly with a complex medical profile and nursing home eligible. Patients receive all their medical care through Eddy Senior Care located in Schenectady and attend their day program.
- Assisted Living Program (ALP) serves individuals who are medically eligible for residential health care facility placement but whose needs could be met in a less restrictive setting. Care needs are met by combining the services of an adult home or enriched housing program with supportive home care services.
- Certified Home Health Services (CHHA) are health services such as nursing services, physical therapy or home health aide services provided at home rather than in a hospital or nursing home.
- Personal Emergency Response System (PERS) is a telephone electronic monitoring device that summons emergency assistance to homebound individuals. This device is used in conjunction with Personal Care or Long Term Home Health Care Services.
- Care-at-Home is a program designed to enable parents to care for their severely physically disabled child at home by providing medical assistance, case management, and respite care services to children aged 0-18 who would be Medicaid-eligible if institutionalized.
How can I apply for Home Care Services?
Eligibility for all home care programs is determined by the Office of Long Term Care, 107 Nott Terrace, Suite 206, Schenectady, NY 12308.
What if I need Nursing Home Care?
Chronic Care Medical Assistance is a financial service available to meet the cost of nursing home care. The medicaid staff conduct eligibility interviews at 797 Broadway, Schenectady, NY; documentation is gathered and reviewed for a financial eligibility determination. Applications can be obtained and appointments made by calling 518-388-4445.
What are Medical Transportation Services?
These services are provided under the Medicaid program to SSI and Medicaid eligible individuals for the purpose of accessing medical care.
What are the modes of Medical Transportation?
Bus, taxi, ambulette, ambulance, and mileage for private cars are usual.
Who determines the correct mode of transportation?
Determination is made by the patient's physician and/or medical practitioner in conjunction with prescribed guidelines. Medical Answering Services provides all Medicaid Transportation for Schenectady County DSS.
Who chooses the providers of medical transportation?
Schenectady County DSS subcontracts transportation to Medical Answering Serivces.
What is the process for those enrolled in Managed Care Plans?
Medical transportation is available to managed-care members through their Medicaid case. The managed-care participant must contact Medical Answering Services.
Family Health Plus participants may access emergency transportation only through their individual health plan. Non-emergency transportation is not available.
How do I get approval for medical transportation?
Medical transportation is obtained through Medical Answering Services at 1-855-852-3291.