Community Services

 
We’re entering a time when Medicaid itself is being redesigned, meaning how care is coordinated– and what it will pay for – will be vastly different than what we’re used to. Heritage Christian Services is adapting and innovating so it can always provide services to people in need.
 
For example:
•    HCS now offering greater choice and flexibility in things like respite, supporting people in meaningful day activities and in building skills in their own homes.
•    For people with disabilities who would like something outside of a traditional group home, the agency created a housing option that’s tailored to the number of hours of staffing each person needs and allows for more flexibility in the number of people at each site.
•    Through the Nursing Home Transition Diversion Waiver – which is designed to keep adults who would traditionally be referred for nursing home care in their own homes – Heritage Christian can provide environmental modifications, moving assistance, community transitional services, positive behavioral interventions and supports and independent living skills training.
•    The agency soon will begin offering nursing and personal care to people of all abilities.
Focusing on the person
 
As Medicaid continues to change, it will stop offering support to people with disabilities in a one-size-fits-all package. Instead, people will have the option of choosing what supports are most important and which agency they would like to work with. HCS has already built the infrastructure for the new way Medicaid will be doing business with agencies.
 
In the graphic below, we’ve outlined the route a person can take to receive traditional services, if there are opportunities available, and the route to creating a self-directed or individualized plan.
 
 

Our work in practice

•    One gentleman lives in an apartment where staff is on call when he needs them. He meets with someone one time each week to work on building social skills, attends a day program two times a week to work on technology skills, is learning to use public transportation and is taking adult education classes, where he can learn more about some of his hobbies. Health and fitness are important to him, so he uses a portion of his budget for a gym membership.
•    One woman lives at home with her family but could not find a nearby day program that could support her physical needs and provide the kind of intellectual stimulation that she craves. Through her individualized plan, she has direct care staff for 40 hours a week, can travel to see occupational and physical therapists, swim at a community pool and visit the library, where she learned about technology that allows her to get books on a USB drive and have them read to her.
 

Brokers in detail

What are the roles of the different brokers? A startup broker supports families in creating a customized plan to meet the annual needs of their loved ones. The startup broker also supports the family with identifying what’s called a financial management service provider, which is an agency like Heritage Christian that helps manage the Medicaid money that’s associated with an individual’s plan for services. Then, a different broker – a support broker – is charged with helping families and individuals carry out the plan.
 
How will that be different than what I’m used to? People with disabilities, along with their support circles, will be in the driver’s seat, actively making decisions for their lives and directing their services. Heritage Christian has always worked toward treating people with dignity and encouraged as much independence as possible. This process helps standardize that.
 
How do I get started? Contact your Medicaid service coordinator. The service coordinator will complete a referral for you. Once the referral is approved, you will be given a list of startup brokers and financial management services providers to choose from and partner with to begin your customized plan.