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SOURCE

SOURCE (Service Options Using Resources in Community Environment) is a statewide Primary Care Enhanced Case Management Service under the Elderly and Disabled Waiver that links primary medical care with many long-term health services in a person‛s home or community setting to prevent unnecessary emergency room visits and hospital stays and avoid institutionalization. 

What services are available through this program?

  • Emergency Response Services (ERS) -- In-home electronic support system providing two-way communication between isolated persons and a medical control center
  • Home-Delivered Meals (HDM) -- May receive service only in addition to another CCSP service.
  • Home Delivered Services (HDS) -- Skilled nursing services include physical, speech & occupational therapy, home health aide, and, medical social services.
  • Personal Support Services (PSS) -- Provides assistance: light housekeeping, running essential errands, and, basic personal care needs (feeding, dressing, bathing, toileting, and transferring). Respite care for the full time caregiver.
  • Consumer-Directed PSS Option (CD-PSS) -- Eligible consumer hires and supervises worker(s) of choice; enrolls also in Financial Management Services.
  • Out-of-Home Respite Care (OHRC) -- Provides caregiver with respite by providing out of home consumer overnight care in an approved facility with 24-hour supervision.
  • Adult Day Health (ADH) -- Community-based group day program for functionally or cognitively impaired consumers; provides planned therapeutic activities, personal care services, nursing care, special therapeutic services, dietary services, social work services, and, transportation.
  • Alternative Living Services (ALS) -- State licensed personal care homes; services include 24-hour supervision, medically-oriented personal care, periodic nursing supervision, and, health-related support services 

Who is eligible for SOURCE?

  • Have full Medicaid such as SSI 
  • Meet State’s nursing home level of care criteria
  • Need assistance with Activities of Daily Living

SOURCE serves aged, blind and disabled Georgians who are SSI/Medicaid eligible.

An assessment helps to determine how  much care a participant needs. An individual care plan is designed based on the need for medical monitoring and assistance with functional tasks. Family members and other informal caregivers as well as staff from support agencies participate in care plans. In addition to the core services, SOURCE offers home delivered meals, adult day health care, personal care home and 24-hour medical access.

CCSP

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. 

What services are available through this program?

  • Emergency Response Services (ERS):   In-home electronic support system providing two-way communication between isolated persons and a medical control center
  • Home-Delivered Meals (HDM):   May receive service only in addition to another CCSP service.
  • Home Delivered Services (HDS)  Skilled nursing services include physical, speech & occupational therapy, home health aide, and, medical social services.
  • Personal Support Services (PSS): Provides assistance: light housekeeping, running essential errands, and, basic personal care needs (feeding, dressing, bathing, toileting, and transferring). Respite care for the full time caregiver.
  • Consumer-Directed PSS Option (CD-PSS):  Eligible consumer hires and supervises worker(s) of choice; enrolls also in Financial Management Services.
  • Out-of-Home Respite Care (OHRC):  Provides caregiver with respite by providing out of home consumer overnight care in an approved facility with 24-hour supervision.
  • Adult Day Health (ADH):Community-based group day program for functionally or cognitively impaired consumers; provides planned therapeutic activities, personal care services, nursing care, special therapeutic services, dietary services, social work services, and, transportation.
  • Alternative Living Services (ALS):  State licensed personal care homes; services include 24-hour supervision, medically-oriented personal care, periodic nursing supervision, and, health-related support services.

Who is eligible for CCSP services?

The eligibility criteria for CCSP include the following: 

  • Functional impairment caused by physical limitations that includes Alzheimer’s and dementia.
  • Unmet need for care
  • Approval of care plan by applicant’s physician
  • Services fall within the average annual cost of Medicaid reimbursed care provided in a nursing facility
  • Approval of an intermediate level of care certification for nursing home placement
  • Medicaid-eligible or potentially eligible after admission to CCSP
  • Individual chooses community-based, rather than institutional service
  • Health and safety needs can be met by CCSP
  • Participation in no other Medicaid Waiver program at the same time

What is the financial eligibility Requirements?

Supplemental Security Income (SSI)

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.

Medical Assistance Only

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.

Cost Share

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.

Resource Limit

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

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.

Long Term Care Insurance

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.

Factors to consider:

  • Your age and health
  • The premiums
  • Your income
  • Your support system
  • Your savings and investments
  • Your taxes

Long-Term care policy sources:

  • Individual plans
  • Employer-sponsored plans
  • Plans offered by organizations
  • State partnership programs

Policy coverage amounts and limits

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.

Waiting and elimination periods

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.

Insurance

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.

Private Pay

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 

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.