NURSING SERVICES > OLTC Requirements

Case Management

Our Options for Long Term care case managers assess those who require long term care, assess client functioning, arrange for and monitor services. Medicaid eligibility is a requirement. Services are accessed to allow these clients to stay in their own homes.

Programs Available

• HCBS EBD (elderly, blind and disabled)
• HCBS BI (brain injured)
• HCBS PLWA (persons living with AIDS)
• HCBS Childrens
• HCBS MI (mentally ill)
• HCA (home care allowance) - HCA is a program whereby the client hires their own provider to do personal care and/or home making and is given a cash allowance from DSS to pay their provider. The functional eligibility is also determined by the ULTC 100-2 assessment tool.
• Nursing home admission

NOTE: Must be functionally eligible as determined by the ULTC 100.2 and financially eligible as determined by Dept. of Social Services.

Basic Financial requirements :

• Income is less than $1500 per month
• Cash assets are less than $2000
• Client can own their own home & Car
• Client can own their land and home
• Client can own a car if used for Medical transportation purposes

Basic Functional Requirements

Must meet 2 of the following criteria:

• Requires hands on help with bathing in order to maintain safety
• Significant assistance to complete dressing or undressing
• Requires hands on assist with toileting, catheter or ostomy care, and/or is unable to clean self
• Needs regular assistance to ambulate between locations
• Needs regular assistance to transfer
• Needs regular standby assistance for frequent gagging, choking, swallowing problems, or history of aspiration with the need for medical attention

OR 1 of the following criteria:

• Exhibits inappropriate behaviors that put self, others or property at risk. The client requires more than verbal redirection to interrupt inappropriate behaviors.
• Requires consistent and ongoing reminding and assistance with remembering.
• Is unable to make safe decisions, or cannot make their needs known.

Last Modified: 4/11/06