Long Term Care Options
Eligibility Criteria
The earliest a person can be referred to the Aging and Disability Resource Center for options counseling and/or be screened for adult Long-Term Care services is 17.5 years of age. Referrals are usually made by High Schools, Children's Services Case Managers, parents or directly from the person requesting services.
The person needs to be a resident of Menominee, Shawano or Oconto county.
The person needs to have a documented physical and/or developmental disability. Examples of developmental disabilities include: Intellectual Disability (this does not include learning disabilities, ADHD or Mental Illness), Cerebral Palsy, Epilepsy, Autism, Brain Injury, Prader-Willi Syndrome or other neurological conditions, "closely related to an Intellectual Disability requiring treatment similar to that required for people with Intellectual Disabilities".
The person's disability needs to have a substantial negative impact on their level of functioning. This is determined by an assessment called the Long-Term Care functional screen.
In addition to having enough care needs to qualify for services, a person also needs to be financially eligible for Medicaid to be able to enroll in Long-Term Care programs.
Family Care is an innovative program that provides a full range of long-term care services, all through one flexible benefit program. Members of Family Care enroll in a managed care organization to receive their services. The Department of Health Services provides the managed care organization with a monthly payment for each member. The managed care organization uses these funds to provide and coordinate services for all of its members. These services include:
Receive interdisciplinary care management
Receive services to live in their own home whenever possible
Participate in determining the services they receive
Choose service providers from a comprehensive network
Receive the services they need through one program
Receive services that best achieve the results they desire
Include, Respect, I Self-direct is a program that allows you to direct your own services and supports. IRIS recognizes that you are the decision-maker in your life, including determining your daily activities and types of support or assistance you need to met your long-term care needs. IRIS is grounded in the core values of self-determination. These values include:
Freedom to decide how you want to live your life
Authority over a specific budget
Support to organize resources in ways that are life enhancing and meaningful to you
Responsibility for the wise use of public funds and recognition of the contribution you make to your community
Confirmation of the important role of self-advocates