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Medicaid And Long Term Care

Where Is Custodial Care Provided?

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Custodial Care can be provided in several types of facilities and locations as follows:

Nursing Home (Assisted Living Facility, Retirement Home)

Nursing Home Care is care in a residential facility that provides a place to live, meals, round the clock personal care, and basic medical care. For Medicaid custodial care purposes, Medicaid will only pay for care in facilities which are licensed by the appropriate state agency as a board and care facility. It doesn't matter whether the facility calls itself Assisted Living, Nursing Home, or Retirement Home

It is worth noting that not all nursing homes accept Medicaid patients. However, once a person is in a facility, the facility is prohibited from discharging the person or offering less care if Medicaid starts paying the bills instead of private sources.

Home Care

Home Care is provided in a person's home. It is similar in function and range to the care provided in a Nursing Home

  • Medical and non-medical personnel visit regularly to check on the person's condition and help with activities of daily living ranging from administering medications to physical therapy to laundry and cooking.
  • Services may be utilized that provide meals in the home, such as Meals-On-Wheels.
  • Normally, a family member or roommate is the primary caregiver and coordinates the supervision of the patient with the assistance of the professional personnel.
  • Professional care in the home setting is never full-time care. It is only on a part time basis.

Adult Day Care

  • Adult Day Care provides exactly what it says: adult day care.
  • Adult Day Care is non-medical care at a center when supervision and minimal assistance are needed in a safe environment during the daytime. The staff provides at least one meal and supervises the administration of any needed medications
  • In addition to providing care while the primary caregivers may be working, adult day care also provides some exercise and use of motor skills as well as the chance to socialize with other people experienci





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