Nursing Home

Alternative Wavier

ElderChoices Waiver

Independent Choices Program

Residential Care Facilities

Hospice

Choosing long-term care options for you or a loved one can be an emotionally and physically traumatic experience. This section is dedicated to providing information that will help you make the best decision regarding long-term care.

Navigate through this section to learn about the various program options, and feel free to contact your Regional Ombudsman to ask specific questions.

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Copyright © 2000 AR Division of Aging and Adult Services 

 

 

Nursing Home

Nursing homes are primarily designed to meet the needs of people recuperating from illness or to provide long-term care nursing supervision for persons with chronic medical problems.

Nursing homes provide different levels of care.  In Arkansas nursing homes contract with the State to provide differing levels of care to residents depending upon their medical needs.  These four levels of care are:

Skilled: Resident requires constant assessment of needs and plan of care.  Requires heavy care i.e., Tube Feeding, IV Therapy, Ventilator, Stage III or IV Pressure Sore.

Intermediate I: Resident is totally dependent in three areas of Activities of Daily Living (ADLs):  ambulation, toileting, and feeding.

Intermediate II: Resident requires moderate assistance in ADLs, but can be totally dependent in one or two areas. 

Intermediate III: Resident requires minimum assistance with ADLs, generally needs supervision for protection. 

Nursing homes try to maintain the appropriate staff ratio for the varying levels of care, by not taking too many residents within any one particular care level.  It is important to inquire how many other residents the nursing home has at the level of care that your loved one will require.  This will help you to identify if the nursing home has enough  staff to receive another resident.  It is also a good time to ask what the staff ratio is on the wing your loved one will reside.

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Alternative Waiver

This is a Medicaid Waiver program that serves adults with physical disabilities.  Persons eligible for assistance on this waiver are individuals who have income of no more than  300% SSI; have a physical disability; and are 21 to 64 years of age and meet the requirements for intermediate level nursing home placement criteria.  Services provided include attendant care and environmental adaptations.

An individual choosing attendant care services must agree and be capable of recruiting, hiring, training, supervising, terminating, and approving payment by completing service logs and time sheets for an attendant.  To find out more information contact the Division of Aging and Adult Services at 1-800-981-4457.

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ElderChoices Waiver

ElderChoices is Arkansas’ Medicaid home and community based waiver designed for persons  65 years of age or older.  Persons eligible for services are individuals who, due to physical, cognitive or medical reasons require assistance that would have to be provided in a nursing facility if these services were not used in the home.

 Services available include: Homemaker, Chore, Home Delivered Meals, Personal Emergency Response System, Adult Day Care, Adult Day Health Care, Adult Foster Care and Respite. To apply for these services, contact your county Department of Human Services office.

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Independent Choices Program

This Robert Wood Johnson Foundation grant provides funding for the “Cash and Counseling Demonstration Project” known in Arkansas as Independent Choices.  The purpose of this grant is to allow individuals the opportunity to self direct their care needs at home.  Participants may hire friends, relatives and neighbors to assist them with daily personal care services.  Funds may also be used to purchase other services or items related to the general category of personal care.  Because of its grant status, there are controls established regarding this program.  To learn more about this program contact the Division of Aging and Adult Services at the toll free number 888-682-0044.

www.choicesinliving.ar.gov

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Residential Care Facilities

These facilities are licensed by the State and provide services 24 hours a day to individuals older than 17 who are not capable of living independently and  may require assistance and supervision.  Individuals interested in this residential level of care must be independently mobile, capable of responding to reminders and guidance from staff, and capable of self administration of medication.  Your Regional Ombudsman  located in Area Agencies on Aging throughout Arkansas can provide information regarding specific residential care facilities and the admission process.

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Hospice 

 Hospice care is available for all age groups, including children, adults and the elderly during their final stages of life. The goal of hospice is to provide comfort care for the patient and family, but not to cure the illness. Services available include medical and support services, including nursing care, medical social services, doctor services, counseling, homemaker services and other types of
services. These services can often be provided in your own home, but are also available in hospitals, hospice facilities, or nursing homes.

The physician initiates the process by certifying that the individual is terminally ill and probably has less than six months to live. Even if the individual lives
longer than six months, hospice care will continue as long as the physician recertifies that the individual is terminally ill.

Both Medicaid and Medicare provide payment for hospice services. Contact your personal physician for a hospice referral.

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