Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 20 - Division of County Operations › Rule 016.20.07-004 - Form DCO-777 - Long Term Care Application for Assistance

Current through Register Vol. 49, No. 6, June, 2024
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The following programs are available for facility and
				non-facility care for individuals with long-term medical needs. These programs
				have common income and resource requirements.
Income Limit
The income limit for all of the following programs is three
				times the current SSI Standard Payment Amount (SPA) for an individual. The
				income limit for 2007 is $1,869. The income limit increases at the first of
				each calendar year. Only the income of the applicant is counted toward this
				limit. In some categories, if there is a non-institutionalized spouse, the
				spouse may be eligible to keep all or a portion of the institutionalized
				individual's income.
Resource Limit
The resource limit for the covered individual is $2,000. In
				some programs, if the covered individual has a spouse, the spouse may be
				eligible to keep all or a portion of the total spousal resources. See Resource
				Rule.*
Nursing Facilities
Institutions that provide medically necessary care 24 hours per
				day for residents who require skilled nursing care, rehabilitation services or
				health-related care and services above the level of room and board and not
				primarily for the care and treatment of mental diseases. Recipients receive the
				full range of Medicaid benefits. Medicaid also pays all or a portion of monthly
				facility vendor payment depending on the monthly income to be
				considered.
Individuals in Nursing Facilities with income over the current
				limit may become eligible for Medicaid by establishing an Income Trust. The DHS
				caseworkers have information about Income Trusts.
Non-institutionalized spouses of Nursing Facility recipients
				are eligible for the division of spousal resources and income.
In addition to being income and resource eligible, the Nursing
				Facility resident must be aged, blind or disabled and require medical care of a
				certain level, determined by the Office of Long Term Care.
Assisted Living Facilities Level
				II
Facilities that provide assistance with activities of daily
				living to individuals in a residential setting. Living units and common space
				are provided to address all activities of daily living on a 24-hour basis.
				Individuals in Level II Assisted Living Facilities are eligible for the full
				range of Medicaid benefits. Room and board cost are not included in the waiver
				coverage.
Individuals with income over the current limit may become
				Medicaid eligible by establishing an Income Trust. Non-institutionalized
				spouses of Assisted Living Facility recipients are eligible for the division of
				spousal income and resources.
Assisted Living Facilities Medicaid requires an Intermediate
				Level of Care as determined by the Office of Long Term Care. Individuals
				requiring Skilled Care are not eligible for this program.
ElderChoices
(
Alternative Community Services Program for the
				Aged)
Home-based care for individuals aged 65 and over. ElderChoices
				provides homemaker services, chore services, home delivered meals, Personal
				Emergency Response System, Adult
Day Health Care, Adult Foster Care, Respite Care, Adult Day
				Care and Adult Companion
Services. ElderChoices provides the full range of Medicaid
				benefits.
Applicants with spouses living in the community are eligible
				for the division of spousal resources, but not for spousal income as the
				recipient does not contribute income to his or her care.
Individuals eligible for ElderChoices require an Intermediate
				Level of Care as determined by the Office of Long Term Care. Individuals
				requiring Skilled Care are not eligible.
Alternatives for Adults with Physical
				Disabilities (AAPD)
Home and community based care for physically disabled
				individuals aged 21 to 64 as an alternative to institutionalization. AAPD
				provides Attendant Care and Environmental Accessibility Adaptation Services and
				the full range of Medicaid benefits.
Individuals eligible for AAPD require an Intermediate Level of
				Care as determined by the Office of Long Term Care. Individuals requiring
				Skilled Care are not eligible.
PACE - (Program of All-Inclusive Care for the
				Elderly)
A comprehensive health and social services program that
				provides and coordinates primary, preventive, acute and long term care services
				for individuals 55 years of age or older who need nursing facility care.
				Services are provided in PACE Centers, in the home and in inpatient facilities.
				Individuals eligible for PACE must live in an area served by a PACE program and
				be able to live in a community setting without jeopardizing their health or
				safety.
PACE applicants with income over the income limit may become
				eligible for Medicaid by establishing an Income Trust. DHS caseworkers have
				additional information regarding Income Trusts. PACE participants with spouses
				living in the community are eligible for the division of spousal income and
				resources.
Individuals eligible for PACE require a nursing home Level of
				Care as determined by the Office of Long Term Care. The PACE program is
				expected to begin soon and will be available to individuals in the Jonesboro
				area.
DDS Waiver
Home and community based care for individuals with
				developmental disabilities who would otherwise require an ICF/MR Level of Care
				in an institution. DDS Waiver provides the full range of Medicaid benefits as
				well as other specialized services. Contact DDS at 501-682-8662 for information
				about this program.
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