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What are Community-Based Services?
As part of long term care, many communities provide services and programs to help seniors and people with disabilities with a variety of personal activities. These services include
Meals-on-Wheels, transportation services, personal care, chore services, adult
day care and a variety of activities in senior centers. These services are
usually free or at low cost to individuals who qualify. Local organizations,
called Area Agencies on Aging, coordinate these services to promote the
independence and dignity of older adults.|
Your State Medicaid program may pay for home health services including skilled
nursing care, home health care, personal care, chore services, and medical
equipment. You must qualify for Medicaid to receive these services.
The following community-based services may be available in your community:
Adult day care services provide health, social, and recreational
activities in a supportive setting for adults who have functional and/or
cognitive impairments that do not need 24-hour care. Some programs offer
services in the evenings and on weekends, in addition to standard business
hours. Programs may provide services for individuals with specific
impairments such as Alzheimer's or mental illness.
Services include health monitoring - blood pressures, food or liquid
intake, weight; assistance with walking, toileting or taking medications;
social activities mental simulation; meals and snacks; exercise activities;
safe and secure environment; personal care - bathing, shampoo or shaving;
Alzheimer's or dementia care; transportation to facility and activities.
State Medicaid programs may pay for health care that is provided in State
licensed facilities, including therapy services, mental health services,
administration of medications, psychological evaluations, dressing of
wounds, and assistance with feeding. Private long-term care insurance may
also pay some of these costs, but Medicare will not.
Senior centers are located in many communities to provide a wide range of
services to you. The Administration on Aging, U.S. Department of Health and
Human Services estimates that there are from 10,000 to 16,000 senior centers
located throughout the U.S. Senior centers provide a varying array of
services, including nutrition, recreation, social and educational services,
wellness and fitness activities, information and program referral services,
and Internet training. Most of the services are provided free or at low cost
- Financial management
Transportation services are available in many communities through aging
services programs, regional mass transportation systems, and private
sources. These services may include door-to-door taxicab services, public
bus transportation, or vans with wheelchair accessible transportation.
Medicare does not pay for any transportation services except ambulance
services, but Medicaid may pay for transportation services to get you to a
medical appointment if you are eligible. Fees for transportation services
are generally small and often people pay out-of-pocket for transportation
- Meals On Wheels
- Telephone reassurance
Individuals who live alone and have medical or other health needs may
fear that they would not be able to summon help in an emergency. Several
types of emergency telephone response systems address this concern.
Emergency response systems use the telephone to check on an individual on a
regular basis. A family friend, relative, or professional service may make a
daily call at one or more set times throughout the day. This telephone
reassurance program may be free to you because a family member or friend
provides this service or it is provided by your state or local aging
If you did not answer the phone, the check-in caller would be alerted to a
possible problem. If the caller detected a change in condition or voice
based on regular contact with you, the caller would take appropriate action.
Commercial emergency response systems may also available. These services
require that you wear a beeper on your wrist or around your neck. If you
have a fall or other emergency, the press of a button would alert the
24-hour response system. This system requires that you pay an initial fee
and a monthly fee of $25 to $40 for this service.
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