The Family Care program provides services that meet member’s long-term care outcomes. You and your care team will work together to develop a cost-effective care plan. The plan will involve natural supports along with paid services from our extensive provider network.
The program does not cover physician and medical services, hospitalizations or pharmacy service. Your Medicaid or Medicare benefits or personal insurance will cover these. All services require an authorization prior to receiving the services.
Services that you may receive include:
||Adult Day Care
- Adult day health centers ideal for people who are not home-bound but still need guidance and oversight. Members may go to an adult day health center every day or a few times a week to participate in programs designed to encourage socializing and interaction with others.
||Counseling Services and Education
- Alcohol and Other Drug Abuse Services (except those provided by a physician or on an inpatient basis)
- Counseling and Therapeutic Resources
- Mental Health Services (except those provided by a physician or on an inpatient basis)
- Housing Counseling
- Vocational Futures Planning
- Education and Training
- Communication Aids and Interpreter Services
- Consumer Education and Training
- Daily Living Skills Training
||Employment and Community Services
- Pre-vocational Services
- Supported Employment
||Medical Supplies and Equipment
(This refers to Medical supplies and equipment that is approved in your care plan.)
- Adaptive Aids (general and vehicle)
- Durable Medical Equipment (except for hearing aids and prosthetics)
- Specialized Medical Supplies
- Home Modifications
- Occupational Therapy, Physical Therapy, and Speech Therapy in all settings (except for inpatient hospital)
- Residential Care Apartment Complex (RCAC)
- Community Based Residential Facility (CBRF)
- Adult Family Home (AFH)
||Support and Care Services
- Homemaker Services
- Personal Care
- Personal Emergency Response System Services
- Supportive Home Care
- Respite Care for Family or Unpaid Caregivers
- Financial Management Assistance
- Home Meal Delivery
- Self-Directed Supports – The option to personally take responsibility for hiring some or all of your care services as determined in your care plan.
- Home Health
- Nursing facility including nursing homes and Intermediate Care Facilities for Individuals with Intellectual and Developmental Disabilities (ICF/IID) and Institutes for Mental Disease (IMD). Inpatient services are not covered for IMD residents between the ages of 21 and 64, with limited exceptions.
- Nursing Services (except for inpatient hospital stays)
- Transportation to medical appointment if family and friends are not able to transport you.
- Transportation to the community services and activities in your care plan if family and friends are not able to transport you.
You, your family and your care team work together to ensure the services you receive are coordinated and delivered. You will meet with your care team at least once every six months to review your care plan and ensure the services you are receiving meet your needs and support your outcomes. Your team will update your care plan if your condition changes or whenever they determine that the service you are receiving does not meet your needs or support your outcomes.