Home and Community Based Care
Three home-based programs offered by the Bureau of Elderly and Adult Services, that provide services and supports to assist people to live as independently as possible in safety and with dignity, are funded through the Older Americans Act, Social Services Block Grant, and the Medicaid Choices for Independence Waiver program.
Older Americans Act Title III Home Health Services
Home Health Services are provided through a statewide network of licensed home health agencies that contract with BEAS. Services are provided to individuals ages 60 and older, living in the community, who has the greatest economic and social need. Services provided include nursing, assistance with personal care, homemaking, home delivered meals, congregate meals services. Contact the ServiceLink Resource Centers for information on these services.
Social Services Block Grant Community Based Supports
The Social Services Block Grant (SSBG) is funded under Title XX of the Social Security Act and provides home and community-based services targeting elderly (age 60 and older) and younger adults between age 18 and 60 who have a chronic illness or disability. SSBG services, also known as Title XX services, are provided to promote independence, prevent unnecessary institutionalization and protect individuals from abuse, neglect and exploitation. These services may include:
- Adult Medical Day Services
- Adult In-Home Care
- Essential Services (Chore, Emergency Support, Respite)
- Home-Delivered Meals
- Homemaker Services
Monthly Income Limit for Title XX Services - Effective January 1, 2024, the monthly income limit for Title XX (Social Services Block Grant) services is $1,561.20 per person. The income limit is used for both initial determinations and annual redeterminations of Title XX service eligibility.
For more information on these services, please contact the ServiceLink Resource Centers.
The Medicaid Choices for Independence Waiver Program
The Choices For Independence Program (CFI) is available for seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care provided in nursing facilities.
- Choices for Independence (CFI) Waiver 2017 – 2022
- Choices for Independence (CFI) Waiver Renewal for 2022 - 2027
- Consumer Guide
- CFI Case Management Information Sheet
- CFI Program Waiver Request Form
- He-E 801 Choices for Independence Program Administrative Rule
- CFI Provider Notice Manual: Participant Directed and Managed Services (PDMS) and Financial Management Services (FMS)
- CFI PDMS and FMS Frequently Asked Questions
- Summary of CFI Trainings
- General Memo 23-26 - October 1, 2023 CFI Service Rate Increases
- CFI Policy Release of Provider Notice Manual for CFI Specialized Rate - PR 23-21
- CFI Provider Notice Manual: CFI Specialized Rate Requests - PR 23-21
- CFI Specialized Rate Request - BEAS Form 3790
- General Memo 23-28 - November 8, 2023 CFI Rate Increase-PDMS
Administered by the Bureau of Elderly and Adult Services, the program provides a wide range of service choices that help seniors and adults with chronic illnesses to continue living independently in their own homes and communities.
The Choices for Independence brochure provides introductory information about the program.
People who wish to apply for the program may contact the ServiceLink Resource Centers for assistance with the application process.