You might have heard of the term Medicaid (also known as ALTCS in Arizona), but you may be looking for more details on what exactly the benefits of applying and enrolling in the program are. On this webpage, you can find more information on the basics of ALTCS/Medicaid and what in-home, assisted living, and memory care means. A compassionate attorney could help you as you transition to the next stage of life.
Basics of ALTCS
Medicaid is a federal program that provides health coverage to many eligible low-income adults, and is jointly funded by the national and state governments. As a result, the Arizona-specific Medicaid program is known as ALTCS, the Arizona Long Term Care System. ALTCS/Medicaid is a type of health insurance for Arizona residents 65 and older who require nursing home-level care. Just remember ALTCS is Medicaid; Medicaid is ALTCS. In addition, many people confuse Medicare with Medicaid. Most of us will automatically be eligible for Medicare, upon turning 65 years of age. Medicare usually pays for our RX Drug plan, Doctor’s visits, Surgeries, etc.
However, Medicare generally does not cover long term care like assisted living or memory care. Thus, contrary to popular belief, no one is automatically entitled to Medicaid at 65, since the program only applies to those who have qualifying disabilities or medical conditions and who qualify financially. For Medicaid, you have to apply and pass strict guidelines. Our knowledgeable lawyers in Tempe can help you navigate the often-confusing process of applying for Medicaid.
Nursing Home Level Care: Programs and Options
As mentioned earlier, in order to qualify for ALTCS/Medicaid an applicant must you must demonstrate that they are both financially needy and has a qualifying disability or medical condition that necessitates a certain level of care, which means that applicants must go through a medical evaluation as part of the process. While the process may seem daunting, the financial aid granted is pretty substantial, and an elderly loved one can receive the level of care they need. Here is what some of the benefits of in-home care, assisted living, and residential care are:
In-home care is exactly what it sounds like: elders receive help with everyday chores and tasks while in their homes, and not in a separate living facility or retirement home. Elders opt for this for many reasons, such as deep attachment to their home or community, a desire to maintain their independence, or financial reasons. In-home care recipients are assisted with not only ADLs (activities of daily living), including cleaning, cooking, bathing, and eating, but also companionship and transportation. It is important to note, however, the person caring for the elder does not provide medical care or therapy.
Assisted Living is quite different from in-home care, as it is a type of housing provided for those who require different levels of personal or medical care. This housing can range from apartments to shared quarters and is generally maintained under the same assisted living facility. These facilities generally provide one to three meals a day, monitor medication, handle laundry, and have emergency care available, not to mention social or recreational activities for the seniors. These facilities help families know that their elderly loved one is taken care of and that their level of need is addressed. Some important things to consider if you are interested in assisted living is whether the facility is licensed, the costs involved, and what visitation policy is like, since every assisted living provider is different.
Memory care facilities are institutions that provide intensive mental health care for elderly citizens with conditions such as Alzheimer’s disease or Dementia. These facilities generally have a safe and structured routine that helps those with memory-related care needs navigate everyday life with a memory disorder. In addition to assistance with activities of daily living, staff are also generally trained in combating issues that arise with long-term memory diseases, such as preventing wandering. With a memory care facility, consider the floor plan and its ease of navigation, the cleanliness of the facility, and the attitudes of the staff and patients.
Contact a Tempe ALTCS Attorney Today
If this process seems confusing you are not alone, it has been estimated many of the first-time applications people apply on their own are denied. If any of these programs sounds like something that you, or a loved one would require, but would financially struggle in providing such care, then ALTCS may be the program for you. However, having a qualified and experienced Tempe ALTCS Lawyer can help you contend with the lengthy, and sometimes confusing, application process. Contact the Law Offices of Brandon White today for a free ALTCS strategy session.