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Case Management Is available to Consumers receiving:
Core Plus Benefit … is the benefit package which consists of the Core Home Care Services of nursing services, daily living services and skilled therapy services. It is designed to meet the needs of consumers eligible for Medicaid who require a combined total of more than fourteen hours of daily living and/or nursing services per week.
Home Care Waiver … is the benefit package which consists of the Core Home Care Services of nursing services, daily living services and/or skilled therapy services plus one or more waiver service such as; home modifications, home delivered meals, adult day health care, short-term relief, supplemental transportation, adaptive/assistive devices, and emergency response systems. It is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an intermediate or skilled level of care. Without the services available through the Waiver Benefit, these consumers are at risk for hospital or nursing home placement. Consumers approved for the Waiver benefit may receive care and services at home or they may choose to receive their care in a nursing facility.
Transitions Waiver … is the benefit package which consists of all of the services as listed above however it is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an ICFMR/DD (intermediate care facility for the mentally retarded/ developmentally delayed) level of care. This Waiver is not open to new enrollees. You must first be on the OHC Waiver and be “transitioned” due to level of care considerations.
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