Programs/Services

Assisted Living Choices | Overview

Application Process

It is preferred that applications be made at the DHS County Office in the county where the assisted living facility is located. However, the application can be made in the county of residence and transferred to the county where the facility is located, allowing the application to be made at any DHS county office.
The DHS County Office Eligibility Worker will determine financial eligibility and will send a referral to the DAAS RN
DAAS will simultaneously collect information for submission to DMS OLTC for medical/nursing home admission and level of care eligibility determination and will complete an assessment and service plan
DHS County Office will make the final eligibility determination and open the Medicaid case
Client eligibility is reassessed annually

Role of the Assisted Living Waiver Registered Nurse

DAAS Employee
Collects information for submission to DMS OLTC for medical/nursing home admission level of care eligibility determination
Completes the Comprehensive Assessment and Establishes the Tier of Need
Completes the Plan of Care — Updates the Plan of Care annually and at times of significant change

Services

1. Assisted Living Services include:

Attendant Care - Assistance with ADLs: mobility & transferring, toileting or incontinence care, eating & drinking, etc.
Therapeutic, Social and Recreational Activities
Medication Oversight to the extent permitted under State law
Medication Administration
Periodic Nursing Evaluations
Limited Nursing Services
Non-Medical Transportation specified in the plan of care

2. Pharmacist Consultant Services

3. Extended Prescription Drug Coverage:

Three prescription drugs beyond the Medicaid State Plan Pharmacy Program's monthly benefit limit and extension of that monthly benefit limit
This is for only those who are eligible for Medicaid
Participants dually eligible for Medicaid and Medicare are not eligible for Extended Prescription Drug Coverage

Reimbursement

Medicaid reimbursement to Living Choices Assisted Living Waiver "assisted living services" providers is a daily rate that corresponds to the tier of need in which the DAAS RN places a waiver participant.
- The determination of the tier of need is based on comprehensive assessment.
- There are four tiers of need.
- The daily rate pays for all direct care services in the waiver recipient's plan of care.
DAAS will set the assisted living recipient's tier of need and rate for the waiver services in MMIS
Medicaid reimbursement for pharmacist consultant services is a daily rate
Persons approved for Assisted Living Waiver services may not receive Medicaid State Plan Personal Care
Reimbursement is for services only; room and board (rent) are to be paid by the client or his or her legal representative.

Other (nearly) Essential Links

Questions?

If you have questions, contact the Division of Aging and Adult Services

Phone: 501-682-2441
TDD: 501-682-2443
Fax: 501-682-8155
or Call toll-free 1-866-801-3435 (8 to 4:30 M - F)