In-Home Services
In-home services can support individuals and provide the assistance needed to allow seniors, veterans, and individuals with disabilities to live independently for as long as possible.Services may include any of the following:
Homemaking
Personal Care
Home Delivered Meals
Chore
Respite
Escort (Transportation)
Home Repair
HCB Waiver
Home and Community Based (HCB) Waiver is an alternative to the traditional service delivery model under the Medicaid Waivers. As Case Managers, the Area Agency on Aging and Independent Living will provide services for individuals receiving traditional, participant directed services (PDS), and blended services (participant directing some services and receiving others from traditional providers). Once a member chooses to participant direct some or all of the waiver services, they will not receive case management services from a traditional waiver provider such as a home health agency.
The HCB waiver program is designed to allow clients to have more choice, flexibility and options regarding their in-home waiver services. Participant Directed is about freedom of choice, and person-centered planning. The program gives individuals the power of choosing who will provide services, what services are needed, how services will be provided, when services will be provided and where services will be provided.
Eligibility
The PDS service option is available to Medicaid waiver members of any age including children. The HCB Medicaid Waiver program operates under Kentucky Administrative Regulations 907 KAR 7:010
Homecare & Title III-B Services
Homecare and Title III-B services provide social and nutritional services in the homes of persons 60 years of age or older who have difficulties managing normal daily activities. Services are designed to assist them in maintaining their independence, in their home, for as long as possible.
Eligibility
A person must be sixty years of age or older and conditions determined by a formal assessment and reassessment at least every six months.
Cost for Services
Cost is based on a sliding fee scale. No one is ineligible due to excessive income, but they may be asked to pay more for services that a person with a lower income.
Veteran-Directed Care
Veteran-Directed Care (VDC) is a program Veterans Administration (VA) allowing veterans of all ages needing daily assistance to manage their own flexible budget for home-based care. It empowers veterans to hire caregivers, including family or friends, and purchase services to avoid nursing home placement, often targeting those with high-care needs or caregiver burden.
The program targets veterans of any age who are isolated, need help with daily activities, or have caregivers experiencing burden and it allows veterans to stay in their homes, offers choice, and increases independence.
Gateway provides assessment and case management services as a spoke agency of the Pennyrile ADD hub which coordinates directly with VA Medical Centers to accept referrals and provide financial management services.