Community based services are long-term support services for people who need assistance with activities of daily living in their own homes and communities outside of state institutions or nursing homes. Personal assistance services for people of any age who require help with activities of daily living and health maintenance. Case management, including comprehensive assessments and care planning. Day programs, including activity centers, habilitation, adult skills programs and adult day care. Vocational services including supported employment, vocational evaluations, job training and job placement.
Family supports and services aimed at keeping the family member at home.
According to Newcomer, et al. Universal screening may not be effective resulting in unnecessary nursing facility placements, and is exacerbated by the lack of available community based services. Medicaid income eligibility is kept low in the Community Care Program, and the Program has not kept pace with the proportionate increased need for service slots. State-only funded programs do not maximize federal matching dollars but allows the state to restrict expansion of critical programs as a cost saving measure. Alternatives to institutional care are not maximized.