Finding A Care Facility That Is Right For Your Loved One

Finding a long term care facilityDeciding on the right type of long-term care for a family member or loved one may be overwhelming. There is a lot to consider throughout the process and in deciding which is the best level of care necessary for that particular individual. The following are different types of care available that may suit an individual’s needs: Continue reading “Finding A Care Facility That Is Right For Your Loved One”

Veteran Benefits

Veteran Benefits for CaregiversThrough the United States Department of Veterans Affairs, veterans are entitled to a wide range of benefits even if they are not yet retired from the military or have suffered injuries in the line of duty. The improved pension benefit, otherwise known as the Aid and Attendance Pension, through the Department of Veteran’s Affairs (VA) is one of those benefits that is often not taken advantage of. Continue reading “Veteran Benefits”

Protect Yourself With Long Term Care Insurance

With changing healthcare and increased longevity, it is important to acquire long term care insurance, because both State and Federal budgets are threatening certain Medicaid benefits. An adequate estate plan should include measures to protect against devastating healthcare costs. One solution is long term care insurance. Continue reading “Protect Yourself With Long Term Care Insurance”

Compensation Available for Family Members Acting as Caregivers

In the United States, the elderly population who require the assistance of a caregiver will grow substantially by 2018. In the future, the number of elderly persons may even begin to exceed the number of available caregivers. There have been efforts made throughout the United States to retain a dwindling number of caregivers who have been leaving the field. For many individuals who cannot afford a caregiver, the responsibility may fall on a family member or friend that is close to the elder. This responsibility can have physical, emotional and financial effects on the individual caring for their loved one. Continue reading “Compensation Available for Family Members Acting as Caregivers”

Common Long-Term Care Planning Misconceptions

Many people share common concerns as they reach retirement age: Will they have the ability to remain independent in their homes without intervention from others? Are they going to be able to maintain good health and receive adequate health care? Will they have enough money for everyday needs and not outlive their assets and income? Despite the fact that thousands of Americans are concerned with these aspects of aging, many have failed to develop adequate long-term care plans that specify which services they will need and how they will pay for them. Unfortunately, many Americans also share common misconceptions about long-term care planning that may be factors in why individuals fail to establish a properly executed long-term care plan prior to when they need the services. Continue reading “Common Long-Term Care Planning Misconceptions”

Medicare at a Glance

Medicare is a federal program, and as such the law in New York should be same the as in any other state. Medicaid is a federal state cooperative program, where each state can choose different benefits for its residents; as such, each state may have different benefit levels and requirements. Continue reading “Medicare at a Glance”

New York Implements New Home Health Aide Law

On December 2, 2016 Governor Cuomo signed a bill which will increase the level of care that the nearly 300,000 home health aides across the state will be able to provide. If a home health aide completes additional training, they will be able to administer medications and monitor equipment for people in need of professional care at home. With the need of home health aides continuing to grow, the possibility of further advancement may encourage more people to enter the profession. Continue reading “New York Implements New Home Health Aide Law”

Are Your Long-Term Care Expectations Realistic? Separating Fact from Fiction

Many Americans have taken the information provided by programs like Medicare as a catch-all to answer their financial questions, but are they right in assuming programs like these will take over the majority of their loved ones’ financial burden? Continue reading “Are Your Long-Term Care Expectations Realistic? Separating Fact from Fiction”

What is Managed Long-Term Care and What are My Available Options?

Managed long-term care is an option utilized by those who are disabled or chronically ill and need assistance with activities of daily living (ADL), but wish to remain within their homes and communities. Managed long-term care can be provided through the Program of All-Inclusive Care for the Elderly (PACE) and managed long-term care plans.

PACE is a little-known Medicaid and Medicare program that provides comprehensive health care services to eligible members 55 years and older who are otherwise eligible to be admitted to a nursing home. PACE is available through 110 programs in the United States, eight of which are located in New York State.

According to AARP, PACE provides coverage of in-home care, checkups, doctor and dental services, hospital and nursing home stays, as well as prescription medication and some transportation. PACE is open to those enrolled in Medicaid and/or Medicare; some may need to pay a monthly premium based on coverage. All applicants are screened by a team of doctors, therapists and nurses who will determine whether an individual’s level of health and disability requires the level of care typically provided in a nursing home.

Managed long-term care plans provide long-term care services, such as home health care, nursing home care, ancillary and ambulatory services and are funded through Medicaid. Medicaid members can use their Medicaid and/or Medicare cards to pay for services rendered by their primary physicians. To be eligible for a managed long-term care plan, the individual must qualify for nursing home admission. Most enrollees must be 65 years or older to qualify for a managed long-term care plan; however, there are several plans in New York State that will accept younger applicants.

P&P Medicaid provides assistance to those who are seeking a home care program to meet their needs or the needs of their loved ones. We offer a comprehensive in-home assessment conducted by our case manager, who, with the assistance of a nurse, can help determine program eligibility. Together, the case manager, the client and their family caregivers can develop a comprehensive long-term care strategy that is reassessed on a regular basis.

For those seeking qualification for Medicaid, P&P Medicaid will handle the entire application and document acquiring process and appear on the applicant’s behalf for all interviews with the Department of Social Services (Medicaid). For more information about home care evaluation, Medicaid application or any of our other services, please call us at (516) 541-4770 for a consultation.

Geriatric Care Services Industry Projected to Exceed $1.1 Billion by 2023

As more baby boomers shift into retirement age, the emphasis on geriatric care services to meet the elder population’s growing needs becomes greater. According to a statement released by Global Market Insights, Inc., the geriatric care services market size is estimated to see revenues of $1,101,800,000 by 2023. The elder care industry reached $684 billion in 2015, and will steadily increase over the next couple of years due to the increase in the retirement-age population, in conjunction with growing disposable incomes.

The largest contributor in the geriatric care services market is Medicaid’s institutional care centers, which reached $279 billion in revenue in 2015. Medicaid is a federally funded program administered by the states that provides medical coverage and long-term care to middle-to low-income persons, including the disabled and the elderly.

Institutional care centers covered by Medicaid are residential facilities and around-the-clock, comprehensive elder care services. Medicaid coverage may include hospital and physician care, prescriptions, home care, nursing home care and other health-related expenses. Medicaid eligibility is based on income and resource restrictions and, although anyone may submit an application, an individual’s criteria must be reviewed and approved through the application process.

P&P Medicaid assists clients in the preparation of Medicaid applications for eligibility. Our company also provides a full range of geriatric care management services to help individuals and their families make decisions about and supervise their long-term care needs. Please contact P&P Medicaid Consulting, Inc. at (516) 541-4770 for more information.