Health and Wellness Services
This service provides community-based long-term maintenance or supportive services.
What is Adult Day Health Care (ADHC)?
This specialized service provides medical equipment and supplies to help members increase their ability to perform daily activities.
What is Assistive Technology (AT)?
This service provides relief for unpaid primary caregivers, addressing the emotional and physical stress of caregiving.
What is Respite Care?
This service involves physical adaptations to a member’s primary residence to ensure health, safety, and welfare.
What is EM?
This service assists members transitioning from institutional settings to private residences.
What are Transition Services?
This service facilitates transportation for members to access adult day health care.
What is Adult Day Health Care Transportation?
This system allows members to call for help in emergencies, connecting them to a monitoring center.
What is Personal Emergency Response System (PERS)?
This service provides skilled nursing care simultaneously to three or fewer members who reside in the same primary residence.
What is Congregate Skilled Private Duty Nursing (PDN)?
This service provides maintenance for existing modifications to enhance a member’s independence.
What is Environmental Modification Maintenance (EMM)?
This is the maximum total cost limit for transition services available to a member.
What is $5,000 per lifetime?
This service offers skilled nursing care to members with complex health care needs in their homes.
What is Private Duty Nursing (PDN)?
This service ensures assistive devices are maintained properly, including necessary repairs and adjustments.
What is Assistive Technology Maintenance (ATM)?
Members may receive this maximum number of hours of respite care services in a fiscal year.
What is 480 hours?
The combined costs for Environmental Modifications and Maintenance cannot exceed this annual limit.
What is $5,000.00?
Members seeking specialized care services, including those needing complex care for tracheostomy or ventilator support, are covered under this service.
What are Specialized Care Services?
This service provides assistance with activities of daily living (ADLs) to help members remain in their homes.
What is Personal Care, Aide?
This service can include medication monitoring and is not authorized as a standalone service.
What is Personal Emergency Response System Nursing/Medication Monitoring (PERS)?
This service is not permitted when there is a legally responsible individual providing personal care services.
What is Respite Care Aide?
These types of adaptations are excluded from coverage under Environmental Modifications.
What are routine home maintenance and adaptations not of direct medical benefit?
This type of facility provides custodial care for individuals with intellectual disabilities but is not covered under MLTSS participation.
What is Intermediate Care Facility/Individuals with Intellectual Disabilities (ICF/IID)?
This service is designed to provide care for individuals during the final stages of illness.
What are Hospice Services?
This evaluation is required to determine the need for assistive devices tailored to individual members.
What is a Professional Evaluation for Assistive Technology?
This assessment must be completed to initiate Respite Care Aide services.
What is the VA LTSS Comp Assessment?
This documentation is required to justify a request for environmental modifications.
What is a VA LTSS Comp Assessment?
Members may request this type of service to support their needs in a community setting following an institutional stay.
What are Transition Services?