Search Results for 'home care'

In-home care rules offered to curb abuse

In-home care rules offered to curb abuse

Anchorage Daily News http://www.adn.com/news/alaska/story/6704170p-6591217c.html

COSTS UP 900 PERCENT: Quarter of state payments may be in error.
By LISA DEMER Anchorage Daily News (Published: July 13, 2005)

Soaring costs and suspected abuses call for new controls in a state program intended to provide in-home help to Alaskans with severe disabilities or those who are elderly and frail, state officials said this week….
THE STATE IS OFFERING informational workshops and soliciting public comment on proposed new regulations affecting the personal care assistant program. The proposed regulations are available on the state Web site at: www.hss.state.ak.us/publicnotice/regulations.cfm.

Rising Gas Prices Strain Home Care Agencies

Sep 19, 2005 — MSNBC article reports that because of rising gas costs and Medicare reimbursement issues fewer people may be willing to do home care or drive to far-away patients, resulting in reduced access to home health services in some rural areas. http://msnbc.msn.com/id/9395670/

This is disturbing news as the availability of home care is scant, especially in rural areas where population density is low.

To subscribe to the RAC Health Listserv – click here to go to subscription form. The Rural Assistance Center has a valuable e-mail newsletter. See the RAC web site at http://www.raconline.org or call 1-800-270-1898


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A push for stay-at-home healthcare | csmonitor.com

A major concern for rural areas is the low population density (distance between caregivers and those needing care.)

http://www.csmonitor.com/2006/0103/p03s03-ussc.html?s=hns


Vermont’s senior citizens have more choices under a first-in-the-nation Medicaid option. By Sara Miller Llana | Staff writer of The Christian Science Monitor

….
Called Choice for Care, the new waiver program, which went into effect Oct. 1, sends 12 nurses across the state to assess the needs of Vermont’s elders. Those who prefer care at home or in residential care facilities receive support for their daily maintenance, such as help with bathing or grooming. They can also enroll in adult day care and emergency-response programs….

Kirby Dunn, of HomeShare Vermont, which pairs seniors with those looking for affordable housing, says that home care could actually cost more for some patients.

Under the new program, Vermont will spend the same amount of money for five years that it did under the former rules. Ms. Dunn, who supports the program, questions whether there will be sufficient caregivers to serve all seniors or if logistics, like travel time between seniors’ homes, will create hidden costs….

alaska : State limits rules for personal care in the home

http://www.adn.com/news/alaska/story/7261826p-7173658c.html

Published: December 5, 2005

The state is tightening rules for a program that provides personal care in the home for thousands of Alaskans who are elderly or have disabilities.

Changes adopted last week require caregivers to have prior approval from the state before delivering services. A doctor must certify the care is needed. Clients must undergo regular assessments by a state contractor to create a plan of care. Some services may be limited.

Regulators say they hope to save money and improve accountability in the state-funded program, which has gotten attention for soaring costs.

and more from Aotearoa/New Zealand here
This is a problem in the rural USA, too.

Rural Women New Zealand presented a petition signed by 18,000 people to Labour MP Steve Chadwick at Parliament yesterday.

It urges the Government to reimburse travel expenses and time for workers who have to drive more than 15 kilometres to look after elderly and disabled clients.

Some protesters dressed in 1920s garb and arrived in a vintage Studebaker car to illustrate how little had changed since 1928, when the Women’s Division of Federated Farmers first sent a delegation to Parliament to pursue the same cause.

Rural Women president Sherrill Dackers said rural home healthcare workers were leaving the sector in droves because they had to meet travel costs.

“Because workers are not paid as they drive between clients, rural caregivers may work up to 70 hours a week to receive 40 hours’ pay.”

Another resource for in-situ eldercare

I ran across this link from the state’s health and human services department. Unfortunately, I don’t know anything about it. The parent website isn’t helpful. It sounds like a health payment manager of some sort; sort of a personal Medicaid manager, maybe, authorized under contract to the state. It would certainly be a useful role for families or individuals looking for individual home health care. It doesn’t sound like it is an employer. It might be useful if a family member wishes to become a caregiver and receive Medicaid or insurance coverage for that service. I know there are other programs to train family members as caregivers (can’t remember the specific programs, sorry. However, the Yukon Kuskokwim Health Corp. once had training for personal care attendants, PCA)

The company homepage is almost no help.

“CDPC performs fiscal intermediary functions for the Consumer, including processing time sheets, billing Medicaid, and caregiver payroll. CDPC provides training for the Consumer and resources for caregiver training and also assists the Consumer in maintaining program compliance.”

The Arizona program description is a bit more helpful–

“What is Consumer-Directed Personal Care?
Consumer-Directed Care is available to individuals who need attendant care services in their home. Self-Directed care puts you in control, allowing you to arrange and direct your own services. You select, train and manage your caregiver who may be a trusted friend, neighbor or relative. Individuals must be capable of directing their own services or arranging for a representative to act on their behalf.”

Contact info for the Alaska program is http://www.consumerdirectonline.net/alaska/ Anyone have any experience with this group?

Invited by the state in 2001 to help develop the Consumer Directed Personal Care Services Program, we are proud to be part of communities across the state of Alaska by supporting and promoting self-directed personal care services. The program is specifically intended to allow individuals with health care needs to remain in their homes and communities avoiding placement in an institution. This program is designed for individuals who are capable of directing their own personal care services or appointing a Personal Representative to act on their behalf.

Alaska program requirements include:
* Eligibility for Alaska Medicaid
* The need for assistance with activities of daily
living such as:
– medication reminders – transfers
– bathing & hygiene – dressing & grooming
– ambulation – eating
– toileting, bowel & bladder care
* Authorization by a health care professional that assistance is necessary
* Completion of an assessment for placement in the program
* There is no age requirement in the state of Alaska

Contact a program coordinator at:
Anchorage
The Emerald Building
615 East 82nd Ave, Suite 101
Anchorage, AK 99518
Phone: (907) 222-2652
Toll free: 1- 888 – 966-8777
Fax: (907) 677-8777
infoAK AT ConsumerDirectOnline DOT net

Wasilla
Kenai
Kodiak


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