MEDICAID PATIENTS

PCS Eligibility and Application

To qualify for PCS, an individual must have a medical condition, disability
or cognitive impairment, and demonstrates unmet needs for:

• Three of the five ADLs with limited hands-on assistance
• Two ADLs, one of which requires assistance at the full dependence level

PCS program eligibility is determined by an independent assessment conducted by NC Medicaid or its designee, and is provided according to an individualized service plan.

To be considered, the individual’s primary care or attending physician, physician assistant, or nurse practitioner must make the referral for the individual to be assessed for PCS using the Request for Independent Assessment for Personal Care Services Attestation of Medical Need Form (Form 3051).

The state will do an assessment and the patient is given a list of all the agencies in town.

https://medicaid.ncdhhs.gov/request-services-and-instructions-dhb-3051/download?attachment

MEDICAID PATIENTS CAN FILL OUT A DMA 3051 AND Fax NC LIFTSS PCS at 833-521-2626 (toll free).

Expedited Assessment Process Info: Contact NC LIFTSS at 1-833-522-5429.

Questions: Call NC LIFTSS at 1-833-522-5429.

How to make a CAP/DA referral?

Contact a local CAP/DA case management entity in the county of residence of the applicant to request a CAP/DA referral.

If you are a CAP/DA case management entity or a qualified home-and community-based provider, a referral can be completed in the e-CAP system.

A referral may also be made by calling 833-522-5429 or faxing the completed referral form to 833-470-0597.

https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda

Please also see the attached fact sheet https://medicaid.ncdhhs.gov/fact-sheet-how-make-cap-referral/download?attachment

Medicare Advantage Patients

If you have patients that have the following Medicare Advantage Policies attached we are now in network with Helper Bees. A new referral can contact their medicare advantage plan to see if we are in our network. Currently we are in network with Medicare Advantage Policies the following : North Carolina Aetna, Alignment, Curana, Humana, Isaac Health, Longevity

You can call the number on your medicare advantage card to see what you qualify for.

To sign up for Medicare Advantage or find out more please click this link https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan

INQUIRE HERE-   https://www.thehelperbees.com/contact-us/

Dementia Patients

Project Care offers respite vouchers and works with families who need extra care. 

 To be eligible for care consultation, the care recipient has been diagnosed with Alzheimer’s or other related dementia(s) and the adult caregiver recognizes they can benefit from case management. 

Attached is a brochure for families. 

My direct contact is Amanda Biggs @ abiggs@accog.org-  (252)414-3230

*Please note they cannot be on Medicaid to be approved for voucher.

TO FIND OUT MORE PLEASE CLICK THIS LINK-  https://www.ncdhhs.gov/divisions/aging/project-care-caregiver-alternatives-running-empty

THE SUNSHINE CENTER

Resource Info from the Eastern NC Division of the Alzheimer's Association. Peer support groups https://ccseniorservices.weebly.com/sunshine-center.html
Please call Alissa at (252) 638-1790 if you need help with any other resource info.

Memory Cafe

A unique Alzheimer’s/Dementia Support Group experience for caregivers and their loved ones. Session begins in a café style setting with dinner provided at 4:00 pm. Break away session begins shortly after dinner.  Caregivers attend the support group while trained staff members provide supervision to loved ones as they interact with their peer group during games and activities.

Sessions meet the 1st Monday of each month from 4-6:30 pm. Reservations are required for attendance. The next regularly scheduled meeting has been rescheduled to 4pm on September 9th. 

Reservation deadline is the last Friday of the prior month by noon. For more information contact us at 252 638-1790. The Memory Café is a part of Craven County Senior Services at 811 George Street, New Bern, NC.

​You are not alone, we hear caregivers say they are looking for support from people who "really understand because they've been there, too." The Memory Cafe offers just that – a safe environment for caregivers, family and friends of persons with dementia to meet and develop a mutual support system.

It's a place to:

Exchange information on caregiving problems and possible solutions
Talk through daily challenges and ways of coping
Express anxieties, needs and concerns
Discover resources available in our community

COMMUNITY BLOCK GRANT PROGRAM

The Community Services Block Grant (CSBG) provides funds to state and local agencies to support efforts that reduce poverty, revitalize low-income communities, and lead to self-sufficiency among low-income families and individuals. Community Services Block Grant is a movement that was derived from the legislation of the Economic of Opportunity Act of 1964, also known as the “War on Poverty.” This act launched during the Presidential Administration of Lyndon B. Johnson. Low income individuals were empowered by serving in decision-making roles to eliminate the causes of poverty by promoting economic self-sufficiency, responding to immediate needs and advocating for the most valuable populations.

North Carolina General Statute 143B-181.1(a)(11) establishes a Home and Community Care Block Grant (HCCBG) for Older Adults to be administered by the North Carolina Division of Aging and Adult Services (DAAS).

The Home and Community Care Block Grant, effective July 1, 1992, is comprised of funding for in-home and community based services currently available through the DAAS as well as a portion of funding targeted for in-home and community based services previously administered by the North Carolina Division of Social Services.

For more information about this program contact Tonya Cedars at 252-638-3185 x3009 (email:  tcedars@eccog.org)

FOR MORE INFORMATION INCLUDING MEALS ON WHEELS AND SENIOR ACTIVITIES PLEASE VISIT THE SENIOR CENTER SITE 

 @ https://ccseniorservices.weebly.com/ Activities

The senior center hosts a variety of activities and exercise programs for older adults. 

• Arts and Crafts
• Coffee and social time
• Computer Aid and Wifi
• Oil Painting
• Billiards
• Tai Chi
• Cards
• Chair Exercise
• Yoga and Chair Yoga
• Puzzles, books, audio books and board games
• ​Chair Volleyball
  
• Bingo and more!

PRIVATE PAY RATES

$26/HOUR M-F

$27/HOUR S&S

3 HOUR MINIMUM

* WE ALSO ACCEPT LTC POLICIES THROUGH GENWORTH, GE, JOHN HANCOCK, AND BANKERS LIFE

VETERANS

What is Veterans Home Care?

Veterans home care is a program designed to help veterans live independently in their own homes while receiving assistance with daily activities. In-home care services may include personal care, such as bathing, grooming, and dressing, as well as household chores, meal preparation, and medication management.

We’re honored  to serve you

 Click HERE TO SEE IF YOU QUALITY -  https://www.aidandattendance.com/  At Accommodating HomeCare in New Bern, NC we're committed to providing exceptional Veteran home care services to Veterans, surviving spouses and their families.Veterans home care is a program designed to help veterans live independently in their own homes while receiving assistance with daily activities.

FOUR WAYS YOU MAY QUALIFY FOR HOME CARE BENEFITS THROUGH THE VA

HOMEMAKER AND HOME HEALTH AIDE:

This benefit is for eligible Veterans who need personal care services and help with activities of daily living. . *Homemaker and Home Health Aide benefits can only be used in combination with Aid and Attendance Pension benefits. Only available to Veterans, not to spouses. Learn more.

AID AND ATTENDANCE PENSION:

This is a benefit paid by the VA to eligible Veterans, their spouses or surviving spouses in addition to a veteran’s basic pension. This can be used to cover home care services, including assistance with daily activities like bathing, eating, dressing, memory care, and support for disability or illness. Learn more. Use VA Form 10-10EZ if you’re a Veteran and want to apply for VA health care. You must be enrolled in VA health care to get care at VA health facilities or to have us cover your care at a community care provider (an approved non-VA provider). 

https://www.va.gov/vaforms/medical/pdf/VA%20Form%2010-10172.pdf