Community Care Services Program (CCSP) helps Medicaid-eligible people who are elderly and/ or functionally impaired to continue living in their homes and communities. CCSP offers community-based care as an alternative to nursing home placement. The division of Aging and Services, a division of the Department of Human Resources, administers, CCSP.
The eligibility criteria for CCSP include the following:
Persons who receive Supplemental Security Income ( SSI) and are eligible for medical assistance automatically meet financial eligibility for CCSP. 2017 SSI limits are $735/ month for an individual and $1,103 for couples.
Persons who do not receive SSI may qualify for medical assistance under another Medicaid category. These participants may have to pay toward the cost of services. To qualify for CCSP a person may have a gross income of up to $2,205 per month, or set up a Qualified Income Trust if the income is over this amount.
A person’s monthly income determines how much they will pay towards the cost of services each month. The amount may be as high as all of the income over $735 per month for a single individual. However, the cost share amount could be different for a married couple as the CCSP Medicaid-eligible person may potentially be able to divert some of his or her income to a legal spouse who is neither in CCSP nor in an institution. The Department of Family and Children Services will determine the exact monthly cost share.
A single person may have up to $2,000 in resources and in addition may have up to $10,000 more if designated for burial (life insurance will count towards the burial amount). For a married couple, if a CCSP client has a spouse who is neither in CCSP nor an institution, the total combined assets of the individual and the spouse must be $121,220 or less. The CCSP client must transfer the assets in his or her name in excess of $2,000 to the community spouse within one year from the month Medicaid eligibility begins. If both persons in a couple are enrolled in CCSP and/or an institution, they may have only up to $3,000 in combined resources.
Medicaid Estate Recovery applies for individuals enrolled in CCSP who own their own home. Please call the intake unit at 404.463.3333 for more information or the Medicaid Estate Recovery office at 770.916.0328.
The phrase "long-term care" refers to the help that people with chronic illnesses, disabilities or other conditions need on a daily basis over an extended period of time. The type of help needed can range from assistance with simple activities (such as bathing, dressing and eating) to skilled care that's provided by nurses, therapists or other professionals.
Buying a long-term care insurance policy can be expensive, but there are steps you can take to make it more affordable and flexible.
Long-term care policies can pay different amounts for different services, or they may pay one rate for any service. Most policies have some type of limit to the amount of benefits you can receive, such as a specific number of years or a total-dollar amount. When purchasing a policy you select the benefit amount and duration to fit your budget and anticipated needs.
"Pooled benefits" allow you to use a total-dollar amount of benefits for different types of services. With this coverage option you can combine services that meet your particular needs.
To determine how useful a policy will be to you, compare the amount of your policy's daily benefits with the average cost of care in your area and remember that you'll have to pay the difference. As the price of care increases over time, your benefit will start to erode unless you select inflation protection in your policy.
This is the number of days that you have to pay until the insurance company pays benefits (like a deductible). Examples of choices range from 0, 20, 30, 60, 90, 100, 180, 365 or even 730 days. Some states won’t allow waiting periods longer than 180 or even 100 days to be offered. Patients receiving skilled care may be able to avoid out-of-pocket costs during the elimination period because regular health insurance may pay some skilled care for people under 65 and Medicare can approve up to 100 days for skilled care for people over 65.
The longer the elimination period, the greater the potential out-of-pocket costs. For example, someone with a 100-day waiting period who receives 30 days of skilled care reimbursed by private health insurance or Medicare, will be responsible for the 70 days of non-skilled care before the policy begins to pay. At a $140 charge per day, the out-of-pocket cost would be $9,800.
Check with us if your insurance provider will pay for Joynus services. We have the list of insurance providers who have paid to Joynus Care for its services.
When all options are exhausted, you may look for an option to pay cash. Call us now for a brief consultation to find if Joynus is right fit for you and your family. dfsdfdsf
Medicaid Waivers is created with an intention to allow people to choose to be in home or community instead of an institution or facility such as nursing home. There people can be in an environment where they are used to. This approach has been successful due to its economic efficiency, which saved taxpayers money. In Georgia under Medicaid Waiver, Home and Community Based Services, there are several programs. Among them, two of the largest programs are Service Options Using in a Community Environment (SOURCE) and Community Care Services Program (CCSP) are provided by Joynus Care.