Alzheimer's homebound status

AlzWife2023

Am I correct here? Medicaid pays for 35 hours of home care for people who are homebound and people with Alzheimer's who are a wandering risk are considered homebound. Please correct me if you think I've misinterpreted this. Here are my references:

From Google AI:

Yes, wandering can qualify for Medicaid homebound if it meets certain requirements: 

• Level 3A person must need full assistance in at least three of the following eight areas: wandering, adaptation, awareness, danger to self or others, demands on others, judgment, memory, or orientation. 
• In-home care Medicaid will pay for in-home care if the person would need nursing home care without it. 

Medicaid can also provide assisted living waivers for people with Alzheimer's or dementia. These waivers can help people continue living in the community instead of moving to a nursing home. You can search online by state at medicaid.gov or call 1-800-633-4227 for more information on Medicaid eligibility. 

https://www.alz.org/documents/national/Medicaideligibilityissues.pdf https://www.cms.gov/outreach-and-education/american-indian-alaska-native/aian/outreach-and-education/pdf/medicare-and-medicaid-benefits-for-people-with-dementia_909455-n.pdf

Jgirl57

I recently read this too but I do not recall where. The CMS website can be daunting but may have some answers . ( Centers for Medicaid /Medicare services= CMS)

AlzWife2023

https://alzconnected.org/discussion/comment/223559#Comment_223559

thanks. I’ll keep digging.

jfkoc

this varies from state to state….

M1

In our state, there’s coverage for up to 35 hours, but usually it’s far less than that, determined by time estimates for completing ADL’s, with maximum allotments that are barely adequate ( for example, 30 minutes a day maximum for toileting). Safety monitoring ( meaning someone just to be there ) is Not covered in most cases. It sounds much better in theory than is usually the case in practice. Many slots are simply not filled right now because the agencies can’t find workers willing to take the low pay and irregular hours. But, it does vary by state.

SDianeL

as M1 said, each state controls Medicaid. The person has to financially qualify and then be assessed to see what care if any the person needs. There is a document called CARES that they use that I saw online. I’ll see if I can find the link to it.

SDianeL

Search for elder affairs for your state and look for the CARES info ie Comprehensive Assessment and Review for Long-Term Care Services (CARES) Program