Homecare Planning Solutions guides patients that are seeking home care through all the phases of qualifying and applying for services. We recognize that discharge planning presents unique challenges and we have incorporated protocols as well as devoted resources within the scope of our services to address these needs. If you are a discharge planner in New York City seeking help for a patient, please feel free to call us and see how we can help you.
The following is a list of our services:
Medicaid Applications
Pooled Income Trusts
Medicaid Troubleshooting
Home Care Arrangements for Clients with Medicare
Home Care Arrangements for Clients with Medicaid
Medicaid Pending Home Care Arrangements
Private Pay Home Care Arrangements
Medicaid Applications
Discharge planning is hard enough before discovering that a patient does not have adequate coverage for the care they need to go home. We see these types of situations as our moments to shine. We will contact the patient or his/her family member immediately to begin working on a Medicaid application. When appropriate, one of our case workers will come down to the facility to obtain the necessary paperwork for the application. Don’t be intimidated by issues such as excess income or a patient needing Medicaid pending services. Give us a call to see how we can help.
Pooled Income Trusts
Undoubtedly, many of your patients that need Medicaid have income above the Medicaid limit. But that should not stop them from getting Medicaid. Setting up a pooled income trust is great way for someone who needs home care to access Medicaid benefits without having to “spend-down” their excess income. We make the process simple and we are there for the patients and their family members every step of the way.
Medicaid Troubleshooting
There is a myriad of issues that can come up with Medicaid. It is often necessary for us to speak with the Medicaid office directly to clarify a given case. If your patient is having a Medicaid issue, we may be able to assist in diagnosing the cause of the issue and getting it resolved. Please feel free to give us a call.
Home Care Arrangements for Patients with Medicare
If your patient has Medicare (or managed Medicare – also known as Medicare Advantage) and needs home care, we can assist with obtaining care covered by insurance. We are contracted with a number of Certified Home Health Agencies (CHHAs) and are often able to make arrangements even for difficult cases. The Medicaid assistance we offer can often be a key tool in arranging a discharge, even for patients who at the time of discharge only have Medicare.
Medicare services tend to be limited both in terms of the amount of services provided and their duration. However, they can be helpful for someone who needs help adjusting at home after a hospitalization or stay in a rehab. Additionally, they can help bridge the waiting period for someone who needs long-term home care and is working on a Medicaid application.
Home Care Arrangements for Patients with Medicaid
The process for obtaining home care services for patients who have Medicaid or are dual-eligible (meaning they have both Medicare and Medicaid) has become more difficult and cluttered with red-tape than ever. We are contracted with a number of Certified Home Health Agencies (CHHAs) and are often able to make arrangements even for difficult cases. Additionally, we are contracted with most Managed Long-Term Care (MLTC) plans, an often overlooked option that can sometimes be a true lifesaver when arranging a patient’s discharge.
Medicaid Pending Home Care Arrangements
If your patient needs significant home care immediately upon her return home, you may want see if she can receive services Medicaid pending. This means that an agency would provide your patient with Medicaid level home care services while her application is being processed. Eligibility for Medicaid pending services is determined on a case-by-case basis, and not everyone who qualifies for Medicaid will be approved for Medicaid pending. That being said, in many cases it can be a real lifesaver.
You may have heard that Medicaid pending is no longer available. This is inaccurate. While it has gotten harder to get approval, Medicaid pending is still very much available.
We have successfully arranged Medicaid pending home care services for many clients. If you would like your patient to receive Medicaid pending services, give us a call to see if we can help.
Private Pay Home Care Arrangements
Within a care plan, our initial goal is to get the patient home care that is covered by insurance. For any home care that is not covered, we can arrange private pay services. Give us a call today for a consultation and quote.
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