Aging Advocates Case Management Services - Let Us Advocate For You
Elderly HCBS Waiver
Explanation of Qualifications and Benefits
 Program:   Title XIX Home & Community Based Elderly Waiver
Intent:         Provide support for the Frail Elderly to remain in their own homes.
 1.      Over the age of 65;
2.      Meet Level of Care requirements (either Intermediate or Skilled Level of Care); if you have difficulty dressing, preparing meals, walking or thinking clearly, you may qualify; and
3.      A monthly income of less than $2,094.  There is also a limit to the amount of resources (savings accounts, annuities, etc.) a person may have.  The maximum amount of resources is $2,000 for an individual.  For a couple, the community spouse may retain one-half of the couples’ assets up to a maximum of $109,560 (resources for a couple totaling less than $24,000 do not count towards the institutionalized/elderly waiver spouse’s resources).  If both are on the waiver, maximum resources are $3,000.  House and car are not counted as resources.
NOTE:  These criteria are guidelines.  There are LEGAL EXCEPTIONS; (please check with your  Department of Human Services).
If you meet all of the above stated qualifications, you will receive:
A Title XIX card (Title XIX pays for medication, eye glasses, etc.); and
Service providers will be paid for services you may need, including:
  •       adult day care
  •        assistive devices (up to $110.00 per item)
  •        personal emergency response system
  •        home-delivered meals (includes liquid supplements)
  •        homemaker service
  •        home health aide
  •        mental health outreach
  •        nursing
  •        nutrition counseling
  •        respite (in-home & facility)
  •        transportation
  •        home & vehicle modification ($1,000 lifetime maximum)
  •        consumer directed attendant care (CDAC)
The total service dollars for all providers may not exceed $1,117 a month for Intermediate Level of Care or above $2,631 for Skilled Level of Care.  This program is provided to you through a cooperative effort between the Area Agency on Aging, Department of Human Services, and Iowa Foundation for Medical Care.  The Estate Recovery Law applies.  Please ask your local Department of Human Services Income Maintenance Worker for details.
What Should I Expect From This Program?
Aging Advocates case managers will do a home visit.  At that time they will explain the programs and do a thorough, confidential assessment designed to:
  • Identify strengths and needs.
  • Help clients define goals.
  • Work together to determine services that will enhance your independence.
After the assessment is completed your case manager will:
  • Review findings and discuss service options.
  • Make referrals as appropriate.
  • Work with medical staff and providers to coordinate services.
  • Assist with all applications and paperwork necessaary for services.
  • Maintain monthly contact and monitor services for Elderly Waicer or private pay clients.
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