SERVICES
IN HOME
In-home services (IHS) are designed to provide necessary assistance to persons with regards to their daily living tasks. This allows for the person to remain in their own home--the least restrictive environment.
These services consist of personal care, nursing services, housekeeping, respite, and adult day care services.
CDS
Consumer-directed services (CDS), although similar in nature to in-home services, are provided to persons with a physical disability and do not include any task performed by a licensed professional. A participant of CDS must be able to direct the care planning process and hire an attendant. In general, CDS consists of personal care (bathing, cleaning, and meal preparation).
PRIVATE DUTY NURSING
Private duty nursing is
the provision of individual and continuous
care (in contrast to part-time or intermittent
care) provided according to an individual
plan of care approved by a physician, by
licensed nurses acting within the scope of the
Missouri Nurse Practice Act. Services within
the MO HealthNet private duty nursing program include:
(A) Shift care by a registered nurse (RN);
(MFAW) Medically Fragile Adult Waiver Eligibility
private duty nursing through the HCY Program.
(HCY) HEALTHY CHILDREN AND YOUTH
The HCY Program provides service coordination and authorization for medically
necessary in-home services for MO HealthNet recipients with special health care
needs from birth to age 21. Service coordination includes assessment through home
visits and links to services and resources that enable individuals to remain safely in
their homes with their families. Authorized services may include personal care,
nursing care, and skilled-nursing visits.
Structured Family Caregiving Waiver
The SFCW was developed to provide an option for individuals ages 21 and older diagnosed with Alzheimer's or a related disorder who wish to live at home in the community and would otherwise require institutionalization in a nursing facility to remain in the community. This waiver is unique in that it requires both the primary caregiver and participant to reside in the same home, whether it be the private home of the primary caregiver or the participant. The primary and substitute caregivers may be a non-family member, a family member or a legal guardian, which would include the spouse.
SFCW allowable activities include: homemaker and attendant care services related to activities of daily living (ADLS) medication oversight (to the extend permitted under State law), escorting to necessary appointments such as doctor appointments and community activities that are therapeutic in nature or assist with maintaining natural supports, and or supportive and health-related attendant and homemaker services that substitute for the absence, loss, diminution or impairment of a physical or cognitive function.