Home Care Services

Program for All-Inclusive Care of the Elderly (PACE) is a program available as an alternative to nursing home care.   PACE is a program for older adults and people over age 55 living with disabilities.  This program provides community-based care and services to people who otherwise need nursing home level of care.

Project Out is a temporary short-term Medicaid and state-funded intervention and assistance program that helps consumers overcome the barriers to living independently in the community.

The contact person for these two programs is Linda Flynn, Home Care Services Program Manager.

 

Home Health is a Medicaid program that provides nursing or therapy services to persons in their homes under a physician's plan of care. 

Hospice is a Medicaid program that provides care to terminally ill patients delivered in their home under a physician's order. 

The contact person for these two programs is Daphne Filbert, Clinical Manager for Long Term Care.

 

Home and Community Based Service Waivers

Two Medicaid programs provide community services to Medicaid eligible persons who meet Nursing Home level of care and also meet financial eligibility.  Linda Flynn is the contact person for these programs.  If you would like to see the list of waiver service providers available in each county, please view the Waiver provider list. (See Waiver Resources below.)

 

The two types of Home and Community Based Service waiver programs under the Home Care Services Unit are:

Long-Term Care Home and Community Based Service Waiver

Services under this waiver include the following: 

Case Management:  Assistance to identify an individual's needs; and to locate, coordinate and monitor social and medical services to meet the needs.

Personal Care:  A certified nurse aide assigned to care for the client in the home, providing help with activities of daily living such as bathing, dressing, meal preparation and grocery shopping.

Respite Care:  Care that is provided for a short period of time to relieve a regular care-giver.  If the care is provided in the home it is provided by a certified nurse aide.

Home Delivered Meals:  One or two meals delivered to a client's home or to a day care facility on a scheduled basis.

Personal Emergency Response System:  An electronic alarm system that a client wears which summons help in an emergency.

Non-Medical Transportation:  Transportation service provided to non-medical activities that cannot be arranged by any other means.

Adult Day Care:  A structured program in a licensed setting that provides a variety of health, social and related support services for part of the day, but less than 24 hour care.

Skilled Nursing:  Services which are within the scope of Wyoming's Nurse Practice Act that will prevent institutionalization and are not covered by home health.

Consumer Directed Care Option:  This option allows qualified waiver participants to obtain, hire and fire their own personal care attendant. With this option the client serves as the employer of their own personal care attendant. Services under this option are:

Care Coordination:  Under this option, this service replaces case management.

Self Help Assistant: Under this option, this service replaces personal care.

Fiscal Management:  Fiscal management services provides payroll and tax reporting activities for the Self Help Assistant.

Assisted Living Facility  Home and Community Based Service Waiver

Services under this waiver include the following: 

Case Management:  Assistance to identify an individual's needs; and to locate, coordinate and monitor social and medical services to meet the needs.

Daily Care:  Assisted living facilities receive a daily rate at one of three levels of reimbursement which are based on  a client's LT101 score.

 

* ELIGIBILITY IS NOT DETERMINED BY THE HOME CARE SERVICES OFFICE.  Please contact the Medicaid Long Term Care Eligibility Unit at 1-855-203-2936 or by email at ltcunit@wyo.gov. 

WHAT'S NEW - BULLETINS, PUBLIC NOTICES, ETC.

• More information coming soon! 

Waiver Resources

ALF/LTC Waiver Program Application Packet - This link takes you to the Assisted Living Facility/Long Term Care Waiver Program application page.  It provides an application and  information to submit to the ALF or LTC waiver programs for consideration.  

Assisted Living Facility Waiver Provider List - This is a list of all Assisted Living Facility Home and Community Based Service Waiver Providers.  It includes where they are located (with their full address), pertinent numbers, and services each provider provides.

LTC Waiver Provider List - This is a list of all Long Term Care Home and Community Based Service Waiver Providers.  It includes where they are located (with their full address), pertinent numbers, and services each provider provides.

Waiver Forms Order Form -  As of April 17, 2012 forms for the LTC and ALF Waivers are located on the Forms webpage.  They can be downloaded from there or hour can complete the order form and mail or fax it in.  PHN will continue using the order form for Service Care Plans and Denial Notice forms, the form used to order LTC and ALF Forms through the Waiver Program.   LT101 Assessment Forms are ordered through the Fiscal Agent.

Forms -  This page has all available forms for the LTC and ALF waiver programs.

Manuals - This page has all available manuals for the LTC and ALF waiver programs.  

 

 Medicaid Service Liaisons

Linda Flynn, Home Care Services Program Manager - Phone: (307) 777-7366   Email: linda.flynn@wyo.gov.  This position manages the Long Term Care and Assisted Living Facility Home and Community Based Service waivers, the Nursing Facility Transition Program (Project Out) and the Program for All-Inclusive Care for the Elderly (PACE). 

Anita Fox, Health Program Specialist - Phone: (307) 777-8230 Email: anita.fox@wyo.gov.  This position is the Participant Support Manager for the Long Term Care and Assisted Living Facility Home and Community Based Service waivers programs, the Nursing Facility Transition Program (Project Out) and the Program for All-Inclusive Care for the Elderly (PACE).

Alice Preheim, Quality Assurance Specialist - Phone: (307) 777-7861 Email: alice.preheim1@wyo.gov.  This position is the Provider Oversight Manager for the Long Term Care and Assisted Living Facility Home and Community Based Service waivers programs, the Nursing Facility Transition Program (Project Out) and the Program for All-Inclusive Care for the Elderly (PACE).

Marvel Krix, Records and Data Management Specialist - Phone: (307) 777-5029  Email:  marvel.krix1@wyo.gov.   This position provides technical and statistical support for the Long Term Care and Assisted Living Facility Home and Community Based Service waiver programs, Nursing Facility Transition Program (Project Out) and the Program for All-Inclusive Care of the Elderly (PACE) and the LT101 referral process.

Daphne Filbert, RN, Clinical Manager for Long Term Care - Phone: (307) 777-1913.  Email: daphne.filbert@wyo.gov.  The Clinical Manager manages the LT101 assessment process, Medicaid Home Health and Hospice.  The LT101 is Wyoming Medicaid’s Assessment of Medical Necessity for the following long term care programs: Nursing Home, Long Term Care Home and Community Based Services Waiver, Assisted Living Facility Home and Community Based Waiver and Program for All-Inclusive Care of the Elderly (PACE).  She is the contact person for any questions or concerns related to the LT-101 assessment process.