The Journey to Community Housing with Supports

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FUNDING SOURCES

MEDICALLY ORIENTED SUPPORTS

HEALTH HOME

SKILLED NURSING

ASSISTED LIVING

Health Home refers to how medical, behavioral and mental health issues are all interconnected when implementing a robust plan of care. A health home addresses all issues concurrently in the context of health and wellness. The various medical practitioners work in coordination with all interdisciplinary team members to develop a comprehensive treatment plan for the person with special needs. Health Homes are Medicaid reimbursable and have been piloted in New Jersey in several counties. For more information visit WWWNPAONLINEORGWEBSITE ARTICLEASPID .

Skilled Nursing Care or Nursing Homes are licensed facilities regulated by the state’s Department of Health. They provide skilled nursing for those who require intense medical care. Such facilities provide 24 hour per day nursing care to frail or medically complex residents on a long or short-term basis. Individuals with disabilities require a Pre-Admission Screening and Resident Review (PASRR) prior to entering a Medicaid certified nursing facility to determine the appropriateness and identify any in-home or community placement alternatives. MLTSS must be approved for long-term care by the MCO/HMO.

Assisted living serves adults who are elderly or have disabilities and do not require skilled nursing care. These facilities provide a combination of personal supports, assistance with activities of daily living and health care. Residents are encouraged to maintain as much independence as possible, pursue personal interests and sustain relationships with family, neighbors and friends. The individual must be approved for MLTSS and can only receive services from one waiver at a time.

Supports vary depending upon a person’s needs, desires and the amenities offered at each location. Typically, services include staff assistance, meals, transportation, housekeeping, medication administration, nursing and medical care as well as social and recreational activities. Costs and insurance reimbursements vary according to the facilities. The New Jersey Department of Health licenses and inspects assisted living facilities.

Note: Assisted Living cannot be funded through a New Jersey Department of Human Services Home and Community Based Services Waiver.

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