Homecare/Title III Programs

Homecare Program

The Homecare program for the elderly was established to assist eligible individuals to receive in-home services. The program is designed to help individuals remain in their own homes for as long as possible and to prevent premature placement in a long-term care facility. Homecare is not available for individuals who qualify for the same or similar services through other programs. All services require an assessment, person-centered plan of care and ongoing case management.

The Homecare program requires a person:

(1) Be at least sixty (60) years of age, and

(2) Not eligible for the same or similar services through Medicaid, and

(3) Meet level of care based on needs.

Eligibility shall be determined by an Independent Care Coordinator (ICC) for the following inhome services:

(a) Personal Care – Services directed toward maintaining, strengthening or safeguarding the functioning of a person in the home; includes helping a person with the activities of daily living, such as bathing, eating, dressing, grooming, transferring, and toileting;

(b) Homemaking – General household activities, including but not limited to, nonmedical personal care, shopping, meal preparation, and routine household care, provided by a trained homemaker when the person regularly responsible for these activities is temporarily absent or unable to manage the home and care for himself or others in the home;

(c) Chore – The performance of heavy housecleaning, minor household repairs, yard tasks, and other activities needed to assist in the maintenance of a functionally-impaired elderly person in his own home;

(d) Escort – The accompaniment of a person who requires such assistance for reasons of safety or protection to or from his physician, dentist, or other necessary services;

(e) Home-delivered meals – The provision of a nutritionally-sound meal that meets at least one third of the current daily recommended dietary allowance to a functionally-impaired elderly person who is homebound by reason of illness, incapacity, or disability;

(f) Respite – Care provided by an approved caregiver for a designated time period because of absence or need for relief of a primary caregiver;

(g) Home Repair – The provision of minor home adaptations, additions, or modifications to enable the elderly to live independently or safely to facilitate mobility including, where appropriate, emergency summons systems.

The Homecare program strives to provide quality, affordable services to an individual that are offered based on eligibility and a fee scale. The applicant shall be screened and prioritized based on need by the ADRC prior to being placed on the waiting list. If an applicant is eligible for Homecare services but funding is not available, they shall be placed on a waiting list for services. An applicant on the waiting list will be mailed a resource packet and phoned by the ICC.

Title III Program

Assistance either in the form of access or care coordination in circumstances where the older person and/or their caregivers are experiencing diminished functioning capacities, personal characteristics, or other characteristics which require the provision of services by formal service providers. Activities of assessment/ case management include: assessing needs, developing care plans, authorizing services, arranging services, coordinating the provision of services among providers, following-up and re-assessment as required.

Under the Title III program, any person age 60 or older is eligible for the program and there are no income guidelines. However, the program is limited by the amount of federal funding it receives in a given year. The following services are case managed by the Area Agency on Aging for the Title III-B Program:

(a) Personal Care – Services directed toward maintaining, strengthening or safeguarding the functioning of a person in the home; includes helping a person with the activities of daily living, such as bathing, eating, dressing, grooming, transferring, and toileting;

(b) Homemaking – General household activities, including but not limited to, nonmedical personal care, shopping, meal preparation, and routine household care, provided by a trained homemaker when the person regularly responsible for these activities is temporarily absent or unable to manage the home and care for himself or others in the home;

(c) Chore – The performance of heavy housecleaning, minor household repairs, yard tasks, and other activities needed to assist in the maintenance of a functionally-impaired elderly person in his own home;

(d) Respite – Care provided by an approved caregiver for a designated time period because of absence or need for relief of a primary caregiver.