Talk of The Villages Florida - View Single Post - Very interesting idea about a different kind of nursing home.
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Old 11-23-2021, 06:47 PM
ThirdOfFive ThirdOfFive is offline
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Originally Posted by Taltarzac725 View Post
Could the Pandemic Transform Nursing Homes? | Next Avenue

This is quite an different approach to nursing home care.
I'm not sure of the funding for this Mustard Seed Project but this type of service has been available nationwide for decades under the Title XIX (federal funding). The names have changed over the years but the services in essence haven't. The one specifically for elderly people used to be called the E.W. (Elderly Waiver), one of several federal Waivers designed to supply enhanced services to people who qualify, enabling them to receive what is essentially a residential facility - level of care while living in their own homes or apartments. See the following:

SMMC LTC is designed to provide home and community-based services to Medicaid recipients who are 65 years of age or older, or age 18 or older and eligible for Medicaid by reason of a disability; and determined to require nursing facility level of care. Created by Florida Legislature in 2011, SMMC LTC is a way to receive long-term care services, including nursing home and in-home care services, in a managed care setting. Managed care is a term for the process of how health care organizations manage the way their enrollees receive health care services. Managed care organizations work with different health care providers to offer quality health care services to ensure enrollees have access to the health care providers they need. "

The rules of the game may have changed somewhat from when I was playing it, but in general they probably still work like this. Getting such services is not a slam-dunk. First you have to be screened as eligible for the service (usually done through a public-health nursing service) which may include psychological testing, a physical exam, etc. as well as being financially eligible (meaning qualifying for Medicaid). That done, people's names are placed on a waiting list, which is not ranked by date of application but by level of need. If one is awarded a waiver slot, then various medicaid services (community support, in-home help, etc. etc.) become available.