1 Jackson Hill Dr., P.O. Box 1798 Rome, GA 30162-1798
Phone: 1-800-759-2963
Fax: 1-706-802-5508
NWGRC.org/services/area-agency-on-aging
1 Jackson Hill Drive, P.O. Box 1798 Rome, GA 30162
NWGRC.org
2 Peachtree St., Atlanta, GA 30303 1-866-552-4464
GeorgiaADRC.com
Home & Community-Based Services (HCBS) are helpful services offered under the Older Americans Act. These services are administered by Area Agencies on Aging throughout the nation and help older Georgiansto live safely, healthfully, and independently in their homes and communities.
Services include:
• Home delivered meals to the temporarily or permanently homebound
• Congregate meals in a group setting
• Health promotion/wellness
• In-Home Services such as homemaker, home modifications, and personal care
• Caregiver Programs such as kinship care programs, respite care, and adult day health
• HCBS case management
• Georgia legal services
• Alzheimer’s services and dementia services (any age)
• Consumer Directed Services
Who is eligible?
• Individuals aged sixty and over are eligible.
• There are no income limits.
• Greatest emphasis is placed on those most in need of the services, beginning with the frail elderly.
• Additional eligibility criteria may apply for each individual program or service.
• A cost-share may apply and is determined at the provider level.
HCBS Case Management is a service offered to individuals who may be at risk of nursing home placement, long-term placement, or are at high risk for re-hospitalization. Individual needs are linked to community resources that provide assistance with activities of daily living allowing individuals to remain in their homes longer.
An HCBS case manager will schedule a visit with the client and their family to assess individual needs.
Information about available community resources
Information about the client’s primary diagnosis and medications
A personal care plan
Home visits (or telephone visits when appropriate)
NOTE: Waiting lists may apply; private-pay options available immediately.
Community Care Services Program (CCSP*) is a Medicaid Waiver Program (The Elderly & Disabled Waiver Program – EDWP) that assists eligible individuals to remain in their homes and communities as they age—an alternative to nursing home or long-term care placement. Through a detailed one-on-one evaluation, a care consultant identifies and establishes a personal plan of action. Based on individual needs, qualified individuals may benefit from one or more of the following community care services:
Adult day care services are available, especially for older adults who cannot be home alone during the day due to a physical, social, or cognitive impairment. The service offers an ideal alternative by providing daytime care by trained professionals who nurture, stimulate, and care for individuals while providing respite for caregivers—especially those who are employed outside the home.
Aging adults who are unable to live independently in their own home may find an alternative residence, such as a Personal Care Home, to be a good option for residence. Here, clients receive twenty-four-hour supervision, medically-oriented personal care, periodic nursing supervision, and health-related support services in a state licensed residential setting.
For older adults with documented health issues, safety needs, and mobility limitations, a twenty-four-hour emergency communication link is available to connect with assistance outside of the home.
This program provides assistance with household tasks such as cleaning, laundry, shopping, running errands, and planning and preparing meals. Home health aides also assist with personal care tasks such as dressing, bathing, grooming, and following special diets.
This option gives those in need of assisted care the ability to hire and supervise workers of their choice. Caregivers will assist with kitchen chores, housekeeping, running errands, and other services. In-home aides will also provide respite care. Consumer-Directed Personal Support does, however, require a Financial Management Services provider to issue paychecks and adhere to federal and state tax laws.
A family member living with someone needing assisted care will work with an SFC provider’s health coach. These coaches will educate, support, and oversee on behalf of family members to maximize independence through necessary care and support.
When it’s time for the primary caregiver to have some alone time at home, there are approved twenty-four-hour supervision facilities that will gladly help.
Home Delivered
Delicious and nutritionally balanced meals delivered straight to the home. Frozen, hot, or shelf-stable, these meals will be appreciated by those temporarily or permanently homebound.
Home Delivered Services
Those that are homebound will appreciate skilled services delivered right to their living room. Services may include skilled nursing, medical social services, home health aide assistance, personal care, assistance with meals, as well as physical, speech, and occupational therapies.
Case Management
Georgia SHIP (State Health Insurance Assistance Program) provides free, unbiased information and assistance to Medicare beneficiaries and their caregivers with health and drug plans. Georgia SHIP helps people with Medicare understand their benefits so they can make informed decisions about their healthcare coverage options.
Assistance is available for health insurance related issues, including:
Prescription drug assistance
Financial assistance programs
Long-term care insurance
Through a detailed one-on-one evaluation, a care manager will identify and establish a plan of action—a process which includes assessing, implementing, coordinating, monitoring, and evaluating options and services required. Referrals will be made as needed. Other services may be available as determined in coordination with a care manager and doctor.
How to be Considered for CCSP?
• Contact the Area Agency on Aging at 1-800-759-2963.
• If eligible, a CCSP registered nurse will meet with you face-to-face to develop an individualized care plan.
You can speak to a Georgia SHIP counselor for Medicare assistance by calling 1-866-552-4464 and selecting Option 4.
• A cost-share may apply and is determined by the Department of Family & Children Services based on income. An estimated cost-share will be provided during the initial screening.
• Due to the popularity of the CCSP, a waiting list may apply. However, private-pay options are available immediately.
Meet nursing home level of care for both physical limitations and functional impairment
Have an unmet need for care
Meet income and resource requirements (cost-share may apply)
NOTE: Additional criteria may be considered.
Home delivered meals are available to the temporarily or permanently homebound.
To ensure proper nutrition, meals are offered in group settings at more than eighteen locations throughout the region. You might be surprised at how abundant and accessible social, recreational, physical, and other wellness programs are at your local senior center(s).
Senior Farmers Market Nutrition Program
Eligible participants receive vouchers to purchase fresh produce from local farmers.
Nutrition Education Programs
Individual nutrition counseling is provided by a registered dietitian and a variety of nutritional presentations are provided throughout the year.
This program is designed to increase the self-confidence of each participant by actively maintaining their health and managing their chronic health conditions. Chronic health conditions may include hypertension, arthritis, heart disease, stroke, lung disease, diabetes, depression, anxiety, pain, and more.
Designed to reduce the risk and fear of falling, this program improves the participant’s self-management of balance and promotes positive physical activity.
Tai Chi for Arthritis/Fall Prevention
Participants are guided in practicing slow, gentle movements and breathing techniques to improve balance, strengthen muscles, and increase awareness of surroundings.
What is MDSQ Options Counseling?
Options Counseling is an important service whereby options counselors provide information to help nursing home residents and their families make informed decisions regarding services in the community that support quality of life.
What do Options Counselors do?
The role of the Options Counselor is to:
Visit the nursing home to speak with residents and their support system
Assist in facilitating a transition back into the community (if feasible)
Work in a person-centered manner to gather and share information
Support the decision-making Process and assist residents with choosing services
Make referrals to appropriate community programs
Who can make the referral?
Nursing home staff members
Family members
Community members
Other professionals
This program provides caregivers the ability to access and use community resources, improve personal coping skills, and strengthen individual self-care behaviors.
The Virtual Dementia Tour is a powerful, patented, evidence-based method of building a greater understanding of dementia through awareness and empathy in individuals caring for people with dementia. SecondWind.org
The goal of this program is to help community members understand key messages about dementia, how it affects people, and how each of us can make a difference for people living with dementia. DementiaFriendsUSA.org
This program assists individuals who are returning to the community from a nursing home, inpatient facility, hospital, or an immediate care facility. Our expert case managers help families and clients make informed decisions based on capabilities and accommodations.
Must be in a nursing home/nursing facility for at least 60 consecutive days.
Must apply and receive at least one day of nursing home Medicaid.
Must have community Medicaid.
Must enroll in Medicaid Waiver.
Must be in a nursing home/nursing facility for at least 20 consecutive days. Must be 55 or over.
Must be a U.S. citizen or have legal status (documentation is required). Income must be below $6,175 per month.
Transitional services that may be available are peer support, household furnishings, household goods and supplies, moving expenses, utility deposits, security deposits, transportation, equipment and supplies, environmental modifications, etc.
