Division of Statewide Community-Based Services
Madeleine Nobles, Director
Federal regulations require pre-admission screenings for mental illness or intellectual disabilities for all applicants entering nursing facilities that receive state and federal funding. In order to establish the applicantâ€™s need for nursing facility services, the Medicaid program has developed admission review policies and procedures. They are designed to evaluate the medical necessity for nursing facility care, the level of care required by the individual and preadmission screening of all nursing facility applicants to determine mental illness or intellectual disabilities.
Medicaid programs are provided through joint state and federal funding, and authorize the state to provide care in the individualâ€™s home, in a community setting such as an assisted living facility or adult day care center, or in an institutional setting such as a nursing home or other skilled nursing facility. These Medicaid programs provide consumer independence and a choice of care settings, with a goal of reducing the cost of care.
Most of these services are provided by not-for-profit agencies and local governments under contract through the stateâ€™s 11 Area Agencies on Aging. Contracted programs include the federally funded Older Americans Act (OAA), Emergency Home Energy Assistance for the Elderly (EHEAP), and Food and Nutrition Services programs, as well as the state-funded Community Care for the Elderly, Alzheimerâ€™s Disease Initiative, and Home Care for the Elderly programs.
These services include the Adult Care Food Program, Elder Farmersâ€™ Market Nutrition Program, Memory Disorder Clinics, brain bank, and the Senior Community Service Employment Program. The division also approves Alzheimerâ€™s disease training providers and training curricula for specified staff of nursing homes and assisted living facilities and other long-term care facilities.
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