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  Community Long Term Care

 

Community Long Term Care (CLTC) offers programs to help individuals who want to live at home, need assistance with their care, and are financially eligible for Medicaid.


Community Choices



CLTC can help individuals remain at home and avoid unnecessary or premature nursing home placement. CLTC services are available for persons age 18 years or older who are unable to perform activities of daily living such as bathing, dressing, and toileting due to illness or disability. In order to meet the qualifications to enroll into the Community Choices waiver the individual must meet the same level of care that is needed to enter a nursing facility. Services offered in the Community Choices waiver include:

Personal Care I Provides assistance with general household activities.
Personal Care II Helps with activities such as bathing, dressing, preparing meals, housekeeping, and observing health signs.
Attendant Care A client directed service to provide personal care assistance.
Companion Services that provide short-term relief for caregivers and needed supervision of clients.
Environmental Modification Pest control services and minor physical adaptation to the home.
Home Delivered Meals Regular or special diet meals delivered to the client's home.
Adult Day Health Care (ADHC) Medically supervised care and services provided at a licensed day care center. Transportation to and from the home is provided within 15-miles of the center.
ADHC Nursing Limited skilled nursing procedures as ordered by a physician may be provided by the ADHC nurse at the center
Respite Care Temporary relief for the client's caregiver by admission to an in-patient facility (nursing home or hospital) or community residential care facility (CRCF).
Personal Emergency Response System (PERS) Provides an electronic device which enables high risk individuals to secure help in the event of an emergency.
Limited Incontinence Supplies Provides limited supply of diapers and underpads.


HIV/AIDS



CLTC may be able to help individuals of any age who have HIV/AIDS and are considered to be at risk for hospitalization.

Personal Care I Provides assistance with general household activities.
Personal Care II Helps with activities such as bathing, dressing, preparing meals, housekeeping, and observing health signs.
Attendant Care A client directed service to provide personal care assistance.
Companion Services that provide short-term relief for caregivers and needed supervision of clients.
Environmental Modification Pest control services and minor physical adaptation to the home.
Home Delivered Meals Regular or special diet meals delivered to the client's home.
Private Duty Nursing Provides skilled medical monitoring, direct care and intervention in order for health care needs to be maintained through home support.
Foster Care Provides a supplemental payment based on the individual needs of children in DSS Foster Care diagnosed with AIDS.
Prescription Drugs Provides two additional prescription medications above State Plan limit per month.
Limited Incontinence Supplies and Nutritional Supplements Provides limited supply of diapers, underpads, and nutritional supplements.


  • HIV waiver document




  • Mechanical Ventilator Dependent



    This program can assist persons age 21 years or older who are dependent upon mechanical ventilation.

    Personal Care I Provides assistance with general household activities.
    Personal Care II Helps with activities such as bathing, dressing, preparing meals, housekeeping, and observing health signs.
    Attendant Care A client directed service to provide personal care assistance.
    Environmental Modification Pest control services and minor physical adaptation to the home.
    Private Duty Nursing Provides skilled medical monitoring, direct care and intervention in order for health care needs to be maintained through home support.
    Personal Emergency Response System (PERS) Provides an electronic device which enables high risk individuals to secure help in the event of an emergency.
    Prescription Drugs
    Institutional Respite Care Temporary relief for the caregiver by admitting the client to an inpatient facility (nursing home or hospital).
    In-Home Respite Care Provides temporary relief for the primary caregiver and maintains the client at home to avoid institutionalization.
    Specialized Medical Equipment and Supplies Medical supplies to assist with care at home.

    Children's Personal Care



    Personal Care services are available to eligible children from birth through the 20th year.

    Children's Nursing Service

  • Nursing services are available to eligible children who meet the criteria for nursing services from birth through the 20th year.


  • Palmetto Senior Care



    A program of the Palmetto Health Alliance that serves frail elderly (55+ who meet nursing home level of care).

    Mental Retardation or Related Disabilities



    Waiver services are available for individuals with mental retardation or a related disability, who meet the ICF/MR level of care. Those services include the following:

    Personal Care I Provides assistance with general household activities.
    Personal Care II Helps with activities such as bathing, dressing, preparing meals, housekeeping, and observing health signs.
    Private Duty Nursing Provides skilled medical monitoring, direct care and intervention in order for health care needs to be maintained through home support.
    Adult Day Health Care (ADHC) Medically supervised care and services provided at a licensed day care center. Transportation to and from the home is provided within 15-miles of the center.
    Psychological Services Mental health services that are designed to serve the needs of the disability population.
    Behavior support A mental health service that identifies problem behaviors and with the use of appropriate interventions and supports prevent or reduce the problem behavior.
    Institutional Respite Care Temporary relief for the caregiver by admitting the client to an inpatient facility (nursing home or hospital).
    Non-Institutional Respite Care Provides temporary relief for the primary caregiver and avoids institutionalization.
    Residential Habilitation Assistance with acquisition, retention, or improvement in skills related to the activities of daily living.
    Day Habilitation Assistance with acquisition, retention, or improvement in self-help, socialization and adaptive skills that take place in a non-residential setting.
    Prevocational Habilitation Services are aimed at preparing an individual for paid or unpaid employment, but are not job-task oriented.
    Supported Employment Services that consist of paid employment for persons for whom competitive employment at or above the minimum wage is unlikely, and who, because of their disabilities, need intensive ongoing support to perform in a work setting.
    Adult Companion Services that provide short-term relief for caregivers and needed supervision of clients.
    Environmental Modification Physical adaptations made to the clients home to ensure health, safety, and welfare and enable the waiver client to have greater independence while residing in the home.
    Private Vehicle Modification Modifications made to privately owned vehicles driven or used to transport MR waiver recipients to enhance independence in the community.
    Specialized Equipment Equipment provided to MR waiver clients to ensure health, safety and welfare and/or increase independence in the home and community.
    Specialized Supplies Supplies covered by the MR waiver include but are not limited to incontinence supplies, Hearing Aids, wipes, etc.
    Personal Emergency Response System (PERS) Provides an electronic device that enables high-risk individuals to secure help in the event of an emergency.
    Prescribed Drugs MR waiver clients are eligible for two extra prescriptions above the Medicaid state plan limit.
    Vision Services MR waiver clients are eligible for vision services including glasses.
    Therapy Services MR waiver clients are eligible for Speech, Physical, Occupational Therapy and Audiological services.
    Dental Services MR waiver clients are eligible for routine and emergency dental services.

    Head and Spinal Cord Injury



    Services for individuals ages 0 - 65 with head and/or spinal cord injuries and meeting the nursing facility or ICF/MR level of care. Services in the Head and Spinal Cord Waiver include:

    Attendant Care A client or company directed service to provide personal care assistance.
    Private Duty Nursing Provides skilled medical monitoring, direct care and intervention in order for health care needs to be maintained through home support.
    Psychological ServicesMental health services that are designed to serve the needs of the disability population.
    Behavior support A mental health service that identifies problem behaviors and with the use of appropriate interventions and supports prevent or reduce the problem behavior.
    Institutional Respite Care Temporary relief for the caregiver by admitting the client to an inpatient facility (nursing home or hospital).
    Non-Institutional Respite Care Provides temporary relief for the primary caregiver and avoids institutionalization.
    Residential Habilitation Assistance with acquisition, retention, or improvement in skills related to the activities of daily living.
    Day Habilitation Assistance with acquisition, retention, or improvement in self-help, socialization and adaptive skills that take place in a non-residential setting.
    Prevocational Habilitation Services are aimed at preparing an individual for paid or unpaid employment, but are not job-task oriented.
    Supported Employment Services that consist of paid employment for persons for whom competitive employment at or above the minimum wage is unlikely, and who, because of their disabilities, need intensive ongoing support to perform in a work setting.
    Environmental Modification Physical adaptations made to the clients home to ensure health, safety, and welfare and enable the waiver client to have greater independence while residing in the home.
    Private Vehicle Modification Modifications made to privately owned vehicles driven or used to transport HASCI waiver recipients to enhance independence in the community.
    Specialized Equipment Equipment provided to HASCI waiver clients to ensure health, safety and welfare and/or increase independence in the home and community.
    Specialized Supplies Supplies covered by the HASCI waiver include but are not limited to incontinence supplies, Hearing Aids, wipes, etc.
    Personal Emergency Response System (PERS) Provides an electronic device that enables high-risk individuals to secure help in the event of an emergency.
    Prescribed Drugs HASCI waiver clients are eligible for two extra prescriptions above the Medicaid state plan limit.
    Therapy Services HASCI waiver clients are eligible for Speech, Physical, Occupational Therapy and Audiological services.
    Health Education for Consumer Directed Care A service that prepares and assists capable individuals who desire to manage their own personal care to identify and manage their own medical needs. A registered nurse provides education in bowel care, skin care, substance abuse issues, etc.
    Peer Guidance for Consumer Directed Care This service is done by a trained Peer Supporter who provides information, advice and encouragement to help a person with spinal cord injury/severe physical disability in recruiting, training and supervising primary and back-up attendant care/personal assistance providers.