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Posted by Positive Aging Community on 05/05/2023

Understanding Self-Directed Care


Join us for a live & interactive discussion with Mark Altieri of public partnerships to learn about a powerful choice that lets you or your loved one maintain control over your care. Self-directed care is a service model available throughout the country that empowers participants, who are Medicaid eligible with choice and control over the long-term services and supports that is needed to live at home.

Mark C Altieri 

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Questions Asked

  • miracles keep happening, thank you for sharing, what a miraculous beautiful story
  • can you please repeat the requirments for medicaid? THanks
  • in Massachusetts does self directed care program have to come through and be provided by ASAPS? The Area Services Access Points.
  • If a senior owns a home in DC but has low income, does home ownership disqualify the senior from qualifying for Medicaid?
  • well said, "Levels that get increasingly complicated and more and more complex to try to navigate ( and understand)"
  • did wages increase during COVID special pandemic rates?
  • What is the approximate compensation for the family/friend caregiver through Medicaid
  • can a family member who is also a professional provider get payment to provide care?
  • "Thank you sooo much! I am in my 80s trying to find good care options that will not take all my funds in a matter of months. I am happy to know there are options for me. Also, for my friends and family who are coming long too. Having been a health care worker myself, I REA:LY understand the problems involved when care workers are so poorly paid and given such little respect!!"
  • Does Medicaid send inspectors/case managers to the home to investigate the quality of caregiving or to detect fraud?

Chat Transcript

12:10:09     From  Steve Gurney - ProAging Community : https://www.publicpartnerships.com/

12:17:17     From  Steve Gurney - ProAging Community : New AARP Report Finds Family Caregivers Provide $600 Billion in Unpaid Care Across the U.S. https://www.aarp.org/caregiving/financial-legal/info-2023/unpaid-caregivers-provide-billions-in-care.html

12:18:43     From  Steve Gurney - ProAging Community : "Altieri, Mark C" <MAltieri@pcgus.com>

12:22:12     From  Steve Gurney - ProAging Community : Medicaid Eligibility https://www.medicaid.gov/medicaid/eligibility/index.html

12:25:12     From  Pam Mendelson : What do you do (in DC) if you have a low-income 80 yr old with the EPD waiver and has had in-home aide at max hours for a few years, but needs more care, but refuses to leave home for a low-income institutional provider?

12:25:48     From  Steve Gurney - ProAging Community : Who is Eligible for the Katie Beckett Program? 

Katie Beckett allows children under the age of 19 who have complex medical needs or long-term disabilities to become eligible for Medicaid coverage. This enables children to receive care in a home setting rather than an institution. Only the child’s income and resources (NOT the parents’) are used to determine eligibility.

12:27:54     From  Steve Gurney - ProAging Community : Area Agencies on Aging https://eldercare.acl.gov/Public/About/Aging_Network/AAA.aspx

12:28:38     From  Kitchie McBride   to   Hosts and panelists : Is the self-directed care program only for the disabled? What about the medically needy? Or is it more associated with long term services and supports?

12:29:28     From  Steve Gurney - ProAging Community : State Waivers List https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/index.html

12:31:09     From  Steve Gurney - ProAging Community : "Altieri, Mark C" <MAltieri@pcgus.com>

12:34:28     From  Wendy Berger   to   Hosts and panelists : Triple A?  The auto insurance company?

12:34:42     From  Wendy Berger   to   Hosts and panelists : Thank you!!!

12:34:57     From  Steve Gurney - ProAging Community : Area Agencies on Aging https://eldercare.acl.gov/Public/About/Aging_Network/AAA.aspx

12:36:11     From  Wendy Berger   to   Hosts and panelists : I was wondering about long term care insurance.  It’s prohibitively expensive and we have no idea if we be getting the care we need after pouring all that money into a long term care insurance plan.

12:37:00     From  Steve Gurney - ProAging Community : Public Partnerships https://www.publicpartnerships.com/

12:44:36     From  Pam Mendelson   to   Hosts and panelists : Thank you for the EPD Waiver answer and I will follow up. A rehab discharge meeting is scheduled for next Tuesday and I would love to connect before that, if at all possible.

12:45:32     From  Steve Gurney - ProAging Community : Long-Term Care Insurance: Live & Interactive Discussion https://www.retirementlivingsourcebook.com/videos/long-term-care-insurance-live-interactive-discussion

12:46:36     From  Steve Gurney - ProAging Community : What is Veteran Directed Care? https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp

12:47:31     From  Steve Gurney - ProAging Community : Anonymous Attendee 12:45 PM 

well said, "Levels that get increasingly complicated and more and more complex to try to navigate ( and understand)"

12:47:43     From  Wendy Berger   to   Hosts and panelists : I don’t see the link you referred to for long term care

12:48:20     From  Wendy Berger   to   Hosts and panelists : Okay

12:50:39     From  Steve Gurney - ProAging Community : corrected link for Long-Term Care Insurance: Live & Interactive Discussion https://www.retirementlivingsourcebook.com/videos/long-term-care-insurance-live-interactive-discussion

12:54:05     From  Puru Puru : Wages is one of the issue apart from skills as per Recruiters statement for the paid care givers

12:55:57     From  Sean Spencer : So true many agency are short staff

12:59:50     From  Leslie McTyre : Maybe have him again?  This was soooo helpful!!

12:59:51     From  Steve Gurney - ProAging Community : Anonymous Attendee 12:59 PM 

Thank you sooo much! I am in my 80s trying to find good care options that will not take all my funds in a matter of months. I am happy to know there are options for me. Also, for my friends and family who are coming long too.

Having been a health care worker myself, I REA:LY understand the problems involved when care workers are so poorly paid and given such little respect!!

13:03:21     From  Jeanne Smith : Thanks so much !!

13:03:29     From  Elizabeth Nolte : This was excellent. Thank you

13:03:38     From  Kitchie McBride   to   Hosts and panelists : Thank you so much

13:03:46     From  Carla DuBois : Thank you for the information


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