Medicaid

Overview
Cooperative Home Care provides the following service funded by Medicaid (Missouri HealthNet) through the Missouri Department of Health and Senior Services Home and Community Based Program.

Services

• Personal Care
• Advanced Personal Care (any care required for an altered body function)
• Household Chores
• Respite Care (to provide relief for primary caregivers)
• Nursing Visits

Who Is Eligible?
The Home and Community Based Program (HCB) services are available to individuals who meet qualifying criteria. You or your family members are eligible for HCB services if you or they,

• are 63 years of age or older, and
• have a monthly income at or below the current limit ($1,088 as of January 1, 2007)
• need the level of care that would be provided in a nursing facility
• meet other eligibility requirements outlined under "Missouri HealthNet for the Aged, Blind and Disabled"

Special Provision for Married Couples
In the case of a married couple, both living in their own domicile, where one spouse wants HCB program services and the other spouse does not, there is a special provision that protects a portion of the couple’s assets for the spouse that does not want HCB program services. This provision is covered in the "Prevention of Spousal Impoverishment" section in "Missouri HealthNet for the Aged, Blind and Disabled."

Eligibility Assessment

Cooperative Home Care will help you with the details of eligibility assessment for HCB programs. In general, you or your family members will be assessed for both financial and functional (physical and health status) eligibility for HCB assistance.

* Financial eligibility—the Missouri Family Support Division determines financial eligibility for any Medicaid (Missouri HealthNet) funded programs. Income limits may be adjusted annually and there is a “spend down” provision that helps some individuals qualify whose incomes are higher than the income limit.
* Functional eligibility—an evaluation must be completed to determine if you or your family members meet the physical, health status and functional requirements to qualify for the HCB program that best meets your needs. Some programs require medical documentation to support your assessment.

Call 1-800-HOMECARE (in MO) for assistance.

DMH

Cooperative Home Care & The Department of Mental Health

Cooperative Home Care is an approved and contracted provider with the Missouri Department of Mental Health (DMH).

Eligibility

The Lopez Waiver Program, MR/DD Comprehensive Waiver Program, MR/DD Community Support Waiver and the Home and Community-Based Waiver Program all require the following eligibility:

-  Developmental disability incurred prior to the age of 21.

-  Medicaid (MO HealthNet) eligible.

-  Would otherwise require placement in a facility.

-  Other criteria may apply for individual programs.

-  Services provided under these waivers are provided as an alternative to the level of care in a
facility or to allow an individual to be discharged from the facility into the community.

Department of Mental Health Funded Services

Services provided by Cooperative Home Care for DMH funded patients include:

-  Personal Assistant

-  Personal Assistant – Medical/Behavioral Challenge

-  Developmental Habilitation Training

-  Nursing

-  ISL – Individualized Support Living

-  Attendant Service

Cooperative Home Care is one of the largest, independent providers of in-home services for the Missouri Department of Mental Health in the St. Louis area. We have significant experience and success in supporting this population.

Call 1-800-HOMECARE (in MO) for assistance.

HCY

Cooperative Home Care & The Healthy Children and Youth Program

Cooperative provides home care services for children under the age of 21 through the Healthy Children and Youth (HCY) Program, funded by the Missouri Bureau of Special Health Care Needs (BSHCN).

About the Program

This program offers medically related services designed to meet the maintenance needs of children with a chronic, stable health condition.

Available services include basic and advanced personal care services and authorized nurse visits. The purpose of the authorized nurse visit is to provide increased supervision to the personal care aide, intensified health care assessment of the recipient and in some cases, certain nursing services that would not meet the requirements for reimbursement under either the Medicare or Medicaid Home Health Programs. The authorized nurse visit is used for advanced personal care plan development, on-the-job training for the advanced personal care aide and monthly evaluation of advanced personal care recipients.