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Long-Term Services & Supports

What Home Care Services are covered in CHOICES?

Here are some of the kinds of home care covered in CHOICES. Some of these services have limits. Your MCO will help you to determine what services below will meet your needs.

  • Personal care visits - Short visits of no more than 4 hours when someone will help you do things like get out of bed, take a bath, get dressed, fix and eat meals, or use the bathroom.
  • Attendant care - The same kinds of help you get with personal care visits, but for longer periods of time.
  • Home-delivered meals – Nutritious meals that can be delivered fresh each day or frozen in bulk.
  • Personal Emergency Response System - A call button you can use to get help in an emergency.
  • Adult day care - A place that provides supervised care and activities during the day.
  • In-home respite care - Someone to stay with you in your home for a short time so your caregiver can get some rest.
  • In-patient respite care - A short stay in a nursing home or assisted care living facility so your caregiver can get some rest.
  • Assistive technology - Certain low-cost items that help you do things more easily or safely in your home like grabbers to reach things.
  • Minor home modifications - Changes to your home that will help you get around more easily and safely like grab bars or a wheelchair ramp.
  • Pest control - Spraying your home to take care of an infestation such as for bugs or mice.
  • Community-Based Residential Alternatives - places to live that offer care and support for someone who can no longer live alone that include the following:
    • Assisted Care Living Facility – A place you live that helps with personal care needs, homemaker services, and taking your medicine. You must pay for your room and board.
    • Critical Adult Care Home – A home where you and no more than 4 other people live with a health care professional that takes care of special health and long-term care needs. Under state law, this is available only for people who are ventilator dependent or who have traumatic brain injury. You must pay for your room and board.
    • Companion Care – Someone you hire who lives with you in your home to help with personal care or homemaker services whenever you need it. This is available only for people in consumer direction who need care throughout the day and night that can’t be provided by unpaid caregivers. And only when it costs no more than other kinds of home care that would meet your needs.

Some of these services can be provided through Consumer Direction.

Consumer Direction is a way of getting some of the home care you need that offers more choice and control over WHO gives your home care and HOW your care is given than receiving CHOICES services and not consumer directing. You actually employ the people who provide some of your home care services - they work for you (instead of an agency). This means you must be able to do the things that an employer would do - like hire, train, and schedule workers.

You can hire a family member, friend, neighbor, or other person you know to provide care in Consumer Direction, but there are some limitations. We want to support, but not replace, care already provided by family and friends. You'll find out more if you sign up for CHOICES.