In-Home assistance is provided to adults living in their own homes and may include bathing, dressing, personal hygiene, shopping, housekeeping and transportation. The following Medicaid programs provide these services to eligible adults:
C.O.P.E.S.
(Community Options Program Entry System)
Persons eligible for COPES are aged, blind, or disabled and meet medical and
Medicaid income and resource requirements.
For adults who would otherwise require Medicaid services in a nursing facility,
COPES offers in-home personal care, assistance with essential household tasks,
case management, Adult Family home care, Assisted Living and Congregate Care.
Adult Day Health and Home Health care may be included in the COPES service plan.
COPES In-Home Personal Care can be provided by an Individual Provider (IP) or
a contracted Home Care Agency. ALTC contracts with five Home Care Agencies to
provide COPES Personal Care:
COPES In-Home Agency Providers include:
• Senior
Life Resources Northwest - Home Care Services - Clarkston, Ellensburg, Kennewick,
Sunnyside, Walla Walla, and Yakima.
• Res Care Home Care
- Yakima, Kennewick, Walla Walla, Sunnyside, Clarkston
• Addus Healthcare
- Yakima, Kennewick, Walla Walla, Lewiston
• Chesterfield
Services, Inc. - Yakima, Kennewick, Walla Walla
• Alternative Nursing Services (ANS) - Lewiston, Kennewick
COPES Out-of-Home Providers include:
• Day Break Adult Day Care - Yakima
• Respite Adult Day Center - Yakima
• Benton Franklin Elder Services - Kennewick
• Walla Walla Adult Day Center - Walla Walla
COPES Waiver Services:
A. Environmental Accessibility Adaptations (Environmental Modifications): minor
physical adaptations to the client’s own home which are authorized in
the client’s service plan; necessary to ensure the client’s health,
welfare, and safety; enable the client to function with greater independence
in his/her home; are of direct medical or remedial benefit to the client; are
in accord with applicable state or local building codes.
Minor physical adaptations may include the installation of ramps and grab-bars,
widening of doorways, modification of bathroom facilities, or installation of
specialized electric and plumbing systems which are necessary to accommodate
the medical equipment and supplies which are necessary for the welfare of the
individual. Excluded are those adaptations or improvements to the home which
are of general utility, and are not of direct medical or remedial benefit to
the individual, such as carpeting, roof repair, central air conditioning, etc.
Adaptations which add to the total square footage of the home are excluded from
this benefit.
B. Personal Emergency Response System Installation and Service (PERS): an electronic
system whereby an individual can secure help in an emergency through an electronic
device that is connected to the individual’s phone and programmed to signal
a response center, staffed by trained professionals who will immediately summon
help for the client. This service provides for system installation and on-going
monitoring for emergencies; it does not include such services as medication
reminders, well-checks, or any other enhancements available from the contractor.
C. Home-Delivered Meals: nutritionally balanced, flavorful and attractive meals
delivered to eligible clients residing in their own homes, as authorized in
the clients’ service plans, but not to exceed one unit of service per
day. One unit of service equals one (1) meal. Liquid meals or supplements are
not covered under this benefit and can not be provided as a substitute for a
home-delivered meal. Liquid meals are a covered item under the Medicaid State
Plan and can be obtained through the client’s physician when medically
necessary.
D. Skilled Nursing: nursing service activities that are
1) within
the scope of practice of the Contractor’s license and in compliance with
the rules in WAC 246-840 for registered nursing, and licensed practical nursing,
and 2) beyond the amount, duration or scope of Medicaid-reimbursed home health
services as provided under WAC 388-551-2100.
E. Recipient Training:
Services
that:
1. Teach Clients a variety of independent living skills, including the use of
special or adaptive equipment or medically related procedures, required to maintain
them in a home or community based setting, and essential to fulfill therapeutic
goals included in the Client’s Service Plan and identified in an assessment
or a professional evaluation; and
2. Achieve the therapeutic goals in the client’s Service Plan, such as
adjustment to serious impairment; management of personal care needs; development
of skills to deal with care providers; and
3. Are performed within the scope of practice of the Contractor’s license
and in compliance with professional rules, as defined by law or regulation;
and
4. Are provided in a manner consistent with protecting and promoting the client’s
health and welfare, and appropriate to the client’s physical and psychological
needs.
F. Adult Day Care: a supervised daytime program in accordance with WAC
388-71-0702 through 388-71-0774 which provides a set of core services that are
appropriate for adults with medical or disabling conditions and do not require
the intervention or services of a registered nurse or licensed rehabilitative
therapist acting under the supervision of the client’s physician.
Core
services are:
1. personal care;
2. social services;
3. routine health monitoring;
4. general therapeutic activities that an unlicensed person can provide or that
a licensed person can provide with or without a physician's order;
5. general health education that an unlicensed person can provide or that a
licensed person can provide with or without a physician's order;
6. a nutritional meal and snacks;
7. supervision and/or protection;
8. assistance with arranging transportation to and from the program; and
9. first aid and provisions for obtaining or providing care in an emergency.
G.
Transportation Services: transportation to essential community services and
resources in accordance with a therapeutic goal in the client’s service
plan. The client’s personal care attendant is allowed to accompany the
client at no extra cost if the client needs assistance during the trip or at
the destination. The transportation is not merely diversional in nature and
does not replace the transportation services to medical care provided under
the Medicaid transportation brokerage.
I. Specialized Medical Equipment: durable
and non-durable medical equipment and supplies which include devices, controls,
or appliances, authorized in a client’s service plan, which enable individuals
to increase their abilities to perform activities of daily living, or to perceive,
control, or communicate with the environment in which they live.
Medicaid Personal Care
Eligible persons may receive help with tasks such as bathing, dressing,
personal hygiene, shopping, housekeeping, and transportation through Personal
Care Services. These services are provided to clients living in their own
homes, Adult Family Homes, or Congregate Care Facilities. Personal Care
Services are funded by Medicaid and eligibility is based on income and resources
as well as care needs.
S.C.S.A. Personal Care Services
(Senior Citizens Service Act)These services are the same as the Medicaid funded personal care program; however, the SCSA funded program will provide service only to people age 60 and over who are not eligible for like services provided through another source. Services based on a sliding fee scale. Services available in all eight counties.
