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A - Z Browse

- Basic Needs   - Understanding Long-Term Care
  - What is Long-Term Care?
  - Long-Term Care Pathfinder
  - Who Needs Care?
  - How Much Care Will You Need?
  - Who Will Provide Your Care?
  - Where Can You Receive Care?
  - Finding Local Services
  - Who is in Charge? Radio PSAs
- Costs & Who Pays   - Overview
  - Who Pays for Long-Term Care?
  - Costs of Care
  - What is Covered by Health & Disability Insurance?
  - What is Long-Term Care Insurance?
  - Paying Privately
- Medicare, Medicaid & More   - Overview
  - Medicare
  - Medicaid
  - Veterans Affairs Benefits
  - Other State Programs
- Housing   - Where You Live Matters
  - Staying in Your Home
  - Living in a Facility
- Legal Steps   - How to Decide
  - Advance Care Plan Considerations
  - Will I Need a Lawyer?
  - Legal Steps for Medical Well-being
  - Legal Steps for Financial Well-being

Welcome to

LongTermCare.gov

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            -  LTC Home 
            -  Basic Needs 
            -                   Where Can You Receive Care?              

# Where Can You Receive Care?

## Basic Needs

                    -  Understanding Long-Term Care 
                    -  What is Long-Term Care? 
                    -  Long-Term Care Pathfinder                        -  Planning Ahead Before Age 50 
                      -  Planning Ahead Between the Ages of 51 and 64 
                      -  Planning Ahead After Age 65 
                      -  Planning for Dementia 
                      -  Planning for LGBT Adults 
                      -  Already Receiving Long-Term Care 
                    -  Who Needs Care? 
                    -  How Much Care Will You Need? 
                    -  Who Will Provide Your Care? 
                    -  Where Can You Receive Care? 
                    -  Finding Local Services 
                    -  Who is in Charge? Radio PSAs 

Most long-term care is provided at home. Other kinds of long-term care services and supports are provided by community service organizations and in long-term care facilities.

Examples of **home care services** include:
                  - An unpaid  caregiver  who may be a family member or friend
                  - A nurse, home health or home care aide, and/or therapist who comes to the home

**Community support services** include:
                  - Adult day care service centers
                  - Transportation services
                  - Home care agencies that provide services on a daily basis or as needed

Often these services supplement the care you receive at home or provide time off for your family caregivers.

Outside the home, a variety of **facility-based programs**offer more options:
                  - Nursing homes  provide the most comprehensive range of services, including nursing care and 24-hour supervision
                  - Other facility-based choices include  assisted living, board and care homes, and continuing care retirement communities.  With these providers, the level of choice over who delivers your care varies by the type of facility. You may not get to choose who will deliver services, and you may have limited say in when they arrive.

## **BRIGHT IDEA**

For many, a **blended** approach to long-term care works best. Most consumers want to remain in their homes for as long as possible and delay facility care until they need it. Plan early and look for flexible options that give you more say.

**Participant Directed Services**are a way to provide services that lets you control what services you receive, who provides them, and how and when those services are delivered. They provide you with information and assistance to choose and plan for the services and supports that work best for you including:
                  - Who you want to provide your services (can include family and friends)
                  - Whether you want to use a home care service agency

In **facility-based services**you generally don't have the option to hire someone independently, but you should have choices about:
                  - Which staff members provide your care
                  - The schedule you keep
                  - The meals you eat

In **home and community-based settings**, you should have the ability to participate or **direct the development** of a service plan, provide feedback on services and activities, and request changes as needed.

## **GOOD TO KNOW**

Many publicly funded programs that provide home and community services, such as Medicaid, are using this approach because it is more what people want.

*Last modified on 02/18/2020*

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