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Medicaid Waivers for Those in Idaho

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Summary: An overview of Idaho's Medicaid and Elderly Waivers, including the Idaho Personal Care Services Program, Aged & Disabled Medicaid Waiver, and the Adult Developmental Disabilities Waiver.

Author: Regina Woodard exclusively for Assisted Living Directory

Regina is a regular contributor to Assisted Living Directory

The Gem State or the Potato State. Either way, many will know youre talking about Idaho, the 43rd state of the United States and land of potatoes and gems. The 39th most populous state, Idaho is also the 14th largest in the union and only the second place in which to find the star garnet gem. Idaho was one of the fastest growing retirement spots for those 65 and older, with the state ranking 2nd on Forbes best states to retire. An Overview of Idaho's Medicaid Waivers

For those in Idaho, there are several different Medicaid waivers that individuals and their families can take to help them with assisted living or medical help. All waivers are offered by the Idaho Home and Community Based Services or HCBS and are approved under the 1915 section of the Social Security Act.

Idaho Waivers

Idaho Personal Care Services Program

The Personal Care Services Program (PCSP) is for elderly and disabled residents that provides assistance with daily living activities, with the goal to help individuals maintain their independence and avoid institutionalization. PCSP allows individuals to self-direct their own care by providing responsibility for care requirements and hiring care givers for the necessary care. One of the great components of this is the ability for individuals to hire their family members as their caregivers.

Some of the services that available include assistance with daily activities such as bathing, grooming, and personal hygiene, assistance with taking prescription medicines, meal preparation, housekeeping, shopping, and transportation.

To be eligible for PCSP, individuals need to be qualified for Medicaid and are residing at home, with a written note form their doctor stating that they need personal care services for medical reasons. For those who may not meet the financial requirements, there is something called Medicaid planning, where excess income and assets are converted in to not-countable income.


Aged & Disabled Medicaid Waiver

The Aged & Disabled Medicaid waiver (also known as the Idaho Medicaid waiver) is for those individuals who are aged, blind, or disabled who do not want to reside in a nursing facility. This waiver also pays for services within assisted living communities.

One of the main factors of this waiver is the Participant Direction (also known as the Cash and Counseling and Consumer Direction program), which allows the individuals to choose who provides them with care. Participants select their own care provider, though they are required to use a 3rd party financial management organization. Some of the services provided are not subject to the direction of the individual, such as attendant care, homemaker and chore services and skilled nursing.

Like the PCSP waiver, friends or family members can be hired to provide services, as long as they are qualified and have passed background checks and screening by the administering agency.

To be eligible for the Aged & Disabled waiver, individuals must be legal residents of the state of Idaho and be 65 or older. Participants are also required to be financially eligible for the Idaho Long Term Care or Nursing Home Medicaid program; there is a difference between the Medicaid and Nursing Home financial guidelines. If the individual is disabled, the monthly income limit is $731, while those who need nursing home care, but are not disabled have a monthly limit of $2,163.


Adult Developmental Disabilities Waiver

The Adult Developmental Disabilities program is for adult individuals who have developmental disabilities. This program, which overheads several different projects, provides assistance in the form of behavioral consultation, chore services, community support employment, fiscal employment, home modifications, respite, home delivered meals, nursing services, and nonmedical transportation. Many of the programs that reside under this banner allow for individuals to have control over the choice of providers and keeping track of their finances, allowing for responsibility and keeping individuals within their home or to continue working if they so choose.

To be eligible for this waiver, individuals need to have a chronic medical disability, with that disability appearing before they turned twenty-two years of age, needs to have been caused by an impairment, such as intellectual disability, cerebral palsy, epilepsy, autism, or another condition that is closely related. Individuals must be limited in at least three major life activities, including self-care, learning, mobility, self- direction, or others.

With a growing population of seniors and retirees, Idaho is poised to seem a growth within their senior population. With that, those who are 65 and older are able to take advantage of the waivers that the state can provide them; this means that individuals who are covered by Medicaid or Medicaid eligible can put off some of their financial or personal reasons in regards to assisted living or nursing facilities. Idaho offers several different options which residents can utilize, with many of these having separate programs underneath the main to handle all individuals who meet the requirements.

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Responses to this article:

Sadie Wrote:

I commend your efforts to make this information more accessible and out there for the public. Most care sites don't like to include this stuff as there's no money in it. That's what I like about Assisted Living Directory. Keep up the great work!

8 September 2015 at 2:11 pm

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