Chapter 10: Personal Assistance and In-Home Services
Section 1: Personal Care and In-Home Services
Centers for Medicare and Medicaid Services - Medicare Home Health
7500 Security Boulevard
Baltimore MD
21244-1850
800-MEDICARE
Home health care includes skilled nursing care , as well as other skilled care services, like physical and occupational therapy, speech-language pathology (therapy) services. Services may also include medical social services, and assistance from a home health aide (when needed by people also receiving skilled care).
These services are provided by a variety of health care professionals in your home. The home health staff provides and helps coordinate the care and/or therapy your doctor orders. In support of your doctor's orders, home health staff develop a care plan, which is a written plan for your care. It tells what services you will get to reach and keep your best physical, mental, and social well being. You have a right to participate in planning your care and treatment. The home health staff keeps your doctor up-to-date on how you are doing and updates your care plan as needed. Home health agencies cannot make changes to the care your doctor orders for you without your doctor's knowledge and permission.
Medicare, Medicaid, and most private insurance plans cover some medically necessary home health care. If you meet certain conditions, Medicare covers part-time skilled nursing care, physical therapy, occupational therapy, speech-language therapy, home health aide services, medical social services, durable medical equipment (such as wheelchairs, hospital beds, oxygen, and walkers), medical supplies, and other services.
The Medicare Home Health benefit provides skilled nursing and some other health services in the home. To be eligible a person must be on Medicare. To receive home health visits:
- The doctor must approve and write a plan for your care at home;
- You must need intermittent skilled nursing, physical therapy, occupational therapy or speech-language pathology services;
- You must be homebound, that is, unable to leave home at all without great difficulty (usually medical trips, church and beauty shop are the only trips permissible); and
- The agency providing your home care must be approved by Medicare.
Oklahoma Department of Human Services - Aging Services Division
Sequoyah Memorial Office Building
2400 N. Lincoln Blvd.
Oklahoma City, OK 73105
Mailing Address:
P.O. Box 25352
Oklahoma City, OK
73125-0352
405-521-2281 Voice
405-521-2086 Fax
Services and resources aimed at supporting independence and protecting quality of life for older Oklahomans.
- Adult Protective Services (APS) - Information about the program that investigates reports of abuse, neglect or exploitation of vulnerable adults, including older persons and persons with developmental disabilities. Follow this link to DHS' Adult Protective Services website, http://204.87.68.21/aps/.
- Adult Day Services - Program helps participants stay in the community, allowing families and other caregivers to continue caring for an impaired member at home. Follow this link to DHS' Adult Day Services webpage, www.okdhs.org/programsandservices/aging/day/.
- ADvantage Waiver - Provides Medicaid services to help frail elders and adults who have physical disabilities stay at home instead of going to a nursing home. Follow this link to DHS' ADvantage Waiver webpage, www.okdhs.org/programsandservices/aging/adw/.
- Aging Services Division Programs and Services - Learn about the programs and services managed by this OKDHS division, download key forms or documents, view policy or find available publications. Follow this link to DHS' Aging Services Division Programs and Services webpage, www.okdhs.org/programsandservices/aging/.
- Area Agencies on Aging - Get information about services such as congregate and home delivered meals, health promotion, nutrition or in-home assistance for Oklahomans age 60 and older. Follow this link to DHS' Area Agencies on Aging webpage, www.okdhs.org/programsandservices/aging/aaa/.
- Food Stamps - Also known as the "nutrition safety net of the nation," these benefits help raise nutritional levels of low-income households. Follow this link to DHS' Food Stamps webpage, www.okdhs.org/programsandservices/food/.
- Housing - Gives older Oklahomans who need supportive assistance, wish to keep up a home in the community or prefer alternative living arrangements information about housing alternatives available in Oklahoma. Follow this link to DHS' Housing webpage, www.okdhs.org/programsandservices/aging/house/.
- Legal Assistance - Get legal referrals and information about assistance for elder rights, end-of-life issues and grandparents raising grandchildren legal rights. Follow this link to DHS' Legal Assistance webpage, www.okdhs.org/programsandservices/aging/legal/.
- Long-Term Care Ombudsman - Serves residents in Oklahoma's long-term care facilities, including nursing homes, assisted living centers and similar adult care homes. Follow this link to DHS' Long-Term Care Ombudsman webpage, www.okdhs.org/programsandservices/aging/ltc/.
- Pharmacy Connection Council - Information about how you can get better access to purchase medically necessary prescription drugs. Follow this link to DHS' Pharmacy Connection Council webpage, www.okdhs.org/programsandservices/aging/pcc/.
- Oklahoma Senior Corps Program - Learn how you can volunteer to make a difference in the community, provide assistance to children with special needs, provide comfort and in-home assistance with daily living tasks to frail, homebound elderly persons. Follow this link to DHS' Oklahoma Senior Corps Program webpage, www.okdhs.org/programsandservices/aging/oscp/.
- State Plan Personal Care - Get information about this Medicaid service that helps older Oklahomans with their daily living activities at home. Follow this link to DHS' State Plan Personal Care webpage, www.okdhs.org/programsandservices/aging/sppc/.
- Transportation - Information about specialized public transportation services for the elderly and persons with disabilities. Follow this link to DHS' Transportation webpage, www.okdhs.org/programsandservices/aging/trans.
Oklahoma Department of Human Services - Developmental Disabilities Services Division (DDSD)
Sequoyah Memorial Office Building
2400 N. Lincoln Blvd.
Oklahoma City, OK 73105
Mailing Address:
P.O. Box 25352
Oklahoma City,OK
73125-0352
405-521-6267 Voice
405-522-3037 Fax
www.okdhs.org/divisionsoffices/visd/ddsd/
This division provides services to persons ages 3 and older who have a primary diagnosis of developmental disabilities (mental retardation, an IQ of 70 or below). Persons served may also have other developmental or physical disabilities in addition to developmental disabilities (mental retardation).
Community Waiver includes a comprehensive array of services including residential, employment and habilitation services and supports. The Community Waiver provides services appropriate to the individual's needs. To apply call the area in which you live:
- Area I - 800-522-1064 - is Oklahoma City to include areas north of Interstate 40 and west of Interstate 35, with offices in Enid, Okla., and Oklahoma City.
- Area II - 800-522-1075 - is the Tulsa Area to include areas to the north of Interstate 40 and east of Interstate 35, with an office in Tulsa, Okla.
- Area III - 800-522-1086 - is Pauls Valley to include areas to the south of Interstate 40, with an office in Pauls Valley, Okla.
In-Home Supports Waivers (IHSW) allow individuals and families to select services necessary for each individual to remain in his or her own home or family home. Individuals on the IHSW are assigned to OKDHS Developmental Disabilities Services Division (DDSD) case managers to assist them in locating, securing, and coordinating needed services.
Eligible children, ages 3 through 17, may receive up to $12,360 of services per year through the IHSW-Children. Eligible adults, 18 years or older, may receive up to $18,540 of services per year through the IHSW-Adult. These waivers are not cash payment programs and all services are provided through agencies contracting with the Oklahoma Health Care Authority. Follow this link to DHS' Community Services webpage that details Community Waivers and IHSW, www.okdhs.org/programsandservices/dd/commsvcs/.
Guardianship services are available for people receiving waiver services and for people who are residents of the Resource Centers (Northern Oklahoma Resource Center at Enid, the Southern Oklahoma Resource Center at Pauls Valley, or the Robert M. Greer Center). Services include assessment of the need for a guardian, assistance in locating a family member or volunteer to serve as guardian and vouchers for attorney's fees for the establishment of a guardian. Follow this link to DHS' webpage on guardianship, www.okdhs.org/programsandservices/dd/commsvcs/guard/default.htm.
Family Support Assistance payments - This is a cash payment program for families who are caring for children under age 18 at home. In this program, families can receive payments of $250-$400 per month depending on the number of children with disabilities in the home. Families who meet the income eligibility may choose this cash payment in lieu of the Medicaid Home and Community-Based Waiver (HCBW) Services. This program is funded through state dollars. Follow this link to DHS' webpage for the Family Support Assistance Payments, www.okdhs.org/programsandservices/dd/commsvcs/famsupp/default.htm.
Group Homes offer living arrangements for 6 to 12 people who share a home and receive up to 24 hours per day of supervision, support, and training in daily living skills. Group Home residents are 18 years of age or older and are provided community living services. Group Homes are single-family homes located in the community close to other services and activities. The home is owned or leased by a private agency. The agency receives reimbursement from OKDHS Developmental Disabilities Services Division (DDSD) for supervising and supporting the residents of the home. Follow this link to DHS' group home webpage, www.okdhs.org/programsandservices/dd/commsvcs/gphome/default.htm.
Cleaning for a Reason
211 S. Stemmons, Ste. G
Lewisville, TX 75067
Mailing Address:
P.O. Box 146
Lewisville, TX
75067
877-337-3348 Toll Free
972-767-5198 Fax
Any woman with cancer receiving chemotherapy treatments can get her house cleaned monthly for four months while she is in treatment.
The process to sign up starts at noon Central Time Monday through Thursday and accept a maximum of 50 applications each day Monday through Thursday, to Cleaning for a Reason Patient Application
and have the doctor fax a note confirming the treatment. Cleaning for a Reason will have a participating maid service in your zip code area arrange for the service. This organization serves the entire USA and currently has 547 partners to help these women.
Food Pyramid
On-Line Shopping
Tulsa, OK
877-933-3003 Voice
mypyramidonline.com/online_shopping.php
This grocery store takes on-line orders and will deliver to homes and businesses within the city limits of Tulsa, Broken Arrow and Jenks. Orders accepted are 24 hours a day, seven days a week and Pick-up or Delivery Schedule is twice daily Monday - Friday, except holidays. Customers can pick-up orders from 11:00 a.m. to 1:00 p.m. and 4:00 p.m. to 8:00 p.m. Pick-up at any of the following Tulsa locations:
- 41st & Peoria (3915 S. Peoria)
- 51st and Harvard (3328 E. 51st St.)
- 51st and Memorial (7990 E. 51st St.)
- 71st and Garnett (11214 E. 71st St. South)
- 81st and Yale (4818 E. 80th St. South)
- 101st and Memorial (10122 E. Memorial Drive)
Deliveries are from 11:00 a.m. to 1 p.m. and 5:00 p.m. to 7:00 p.m. The fees for Pick-up is $5 and for Delivery, it is $10.
Caregiver Guide to Senior Health Issues
Care.com
http://www.care.com/senior-care-p1142-caregiver-guide-senior-health-issues.html
Caring for elderly loved ones at home or in a nursing facility is commonplace, but figuring out how to do it well is a challenge faced by many families. Care.com's Caregiver Guide to Senior Health Issues offers expert advice to help you handle the everyday challenges caused by common senior illnesses and conditions.
Visiting Angels
700 W. 15th St., Ste. 5
Edmond, OK
73013
800-365-4189 Toll Free
Servicing Oklahoma City Metro area and the communities of Edmond, Guthrie and Jones. Some of the services provided include:
- Hygiene Assistance
- Meal preparation/Diet monitoring
- Light housekeeping
- Errands and Shopping
- Joyful companionship
- Live in, Live- out, sleep-over
- Mornings, mid-day, evenings
- Temporary or Long term
- Weekends, holidays
- Respite for family caregivers
Visiting Angels
1100 S Air Depot Blvd. #5
Midwest City,OK
73110
800-365-4189 Toll Free
Servicing the greater Oklahoma City area and south to Norman. Some of the services provided include:
- Hygiene Assistance
- Meal preparation/Diet monitoring
- Light housekeeping
- Errands and Shopping
- Joyful companionship
- Live in, Live- out, sleep-over
- Mornings, mid-day, evenings
- Temporary or Long term
- Weekends, holidays
- Respite for family caregivers
Visiting Angels
109 N. Birch St., Ste. 300
Owasso, OK
74055
800-365-4189 Toll Free
Servicing Owasso, Broken Arrow, Bixby and Jenks. Some of the services provided include:
- Hygiene Assistance
- Meal preparation/Diet monitoring
- Light housekeeping
- Errands and Shopping
- Joyful companionship
- Live in, Live- out, sleep-over
- Mornings, mid-day, evenings
- Temporary or Long term
- Weekends, holidays
- Respite for family caregivers
Visiting Angels
1638 S. Carson Ave., Ste. 1120
Tulsa, OK
74119
800-365-4189 Toll Free
Servicing the Tulsa Metro Area. Some of the services provided include:
- Hygiene Assistance
- Meal preparation/Diet monitoring
- Light housekeeping
- Errands and Shopping
- Joyful companionship
- Live in, Live- out, sleep-over
- Mornings, mid-day, evenings
- Temporary or Long term
- Weekends, holidays
- Respite for family caregivers
Visiting Angels
713 S. Mustang Rd.
Yukon, OK
73099
800-365-4189 Toll Free
Servicing Yukon, Bethany and other Canadian County Communities. Some of the services provided include:
- Hygiene Assistance
- Meal preparation/Diet monitoring
- Light housekeeping
- Errands and Shopping
- Joyful companionship
- Live in, Live- out, sleep-over
- Mornings, mid-day, evenings
- Temporary or Long term
- Weekends, holidays
- Respite for family caregivers
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Oklahoma Department of Rehabilitation Services
Public Information Office | Dana Tallon | Oklahoma
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