III. PLACEMENT SERVICES
DOMICILIARY CARE (Dom Care)
The Domiciliary Care Program offers a protected, community-based living
arrangement for adults (age 18 and over) who are unable to live independently due to a
physical, visual, or any mental limitation. A Dom Care Home is a private residence, with
a family-like atmosphere, inspected and approved by Agency care managers, that
provides room, board, personal care services and a supportive environment. Agency
Dom Care staff monitor homes through visits to assure that the quality of care and
satisfaction of the consumer is preserved. Placement into a Dom Care Home is based on
the consumer’s specialized care needs. State funding may be available to assist with the
payment of room and board.
PLACEMENT ASSISTANCE FOR PERSONAL
CARE AND NURSING HOMES
A Personal Care Home (PCH) is a community residential setting where room,
board, and personal care services are provided by the owner to four or more adults who
are not related to the owner. PCH’s are licensed and monitored by the Department of
Public Welfare.
AAA care managers can assist persons seeking PCH placement finding a home
and arranging a relocation. Special state funds may be available to assist with the
payment of room and board.
PRE-ADMISSION(LEVEL OF CARE) ASSESSMENT
The Pre-admission or Level of Care Assessment provides a comprehensive
medical and social assessment of individuals who are unable to live independently.
Any individual, age 18 and older, who can no longer live alone and would require
financial assistance to maintain placement can receive this assessment at no charge. All
individuals applying for Domiliciary Care or the Personal Care Supplement must be
evaluated through this process.
OBRA ASSESSMENTS
The Federal law, known as the Omnibus Budget Reconciliation Act of 1987
(OBRA), requires that each State establishes a Pre-admission Assessment program for
any nursing home facility participating in the Medicare and Medical Assistance Program.
The purpose of conducting this assessment is to determine whether individuals,
regardless of their income and/or resources, who are diagnosed as either mentally ill,
mentally retarded or having other related conditions, require nursing facility services. If
the applicant is diagnosed with one of these conditions and requires nursing facility
services, it also determines whether he/she will require special treatment for their
condition.