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Long Term Care Guide Elderly and Disabled Home and Community-based Waiver Program

This program is operated by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) and provides individuals who qualify for the Medicaid Nursing facility program with an alternative to going into a nursing facility. An individual applying for this program must require a skilled or intermediate level of care as defined by Delaware Medicaid criteria. In other words, the individual must require the level of care provided by a nursing facility.

The Elderly and Disabled Waiver program allows an individual to remain in his/her own home comfortably and safely by providing special community-based services. Those who are eligible for this program can receive, as needed, all regular Medicaid services and also additional Waiver services that Medicaid normally does not cover. These special Waiver services include:

  • Case Management - The DSAAPD case manager is available to help with identifying and obtaining the services necessary for the individual to remain in his home comfortably and safely.
  • Homemaker Services - A homemaker aide will help with personal care such as bathing and dressing, and can also help with household chores such as light housekeeping and laundry.
  • Medical and Social Day Care - For this service, an individual goes to a Day Care Center near where he lives during the day. The staff there would provide meals and snacks, nursing services, supervision and recreational and/or medical therapy.
  • Respite Care - This service allows an individual to have an aide come to his home to take care of him for short periods of time when his primary caregiver has to be away form the home. Short-term respite care in a nursing facility is also available.
  • Emergency Response System - This is a mechanical device that is worn clipped to clothing or on a cord around the neck. If an individual falls and cannot get up, or if there is a fire or other emergency, there is a button which, when pressed, signals the police and fire company that help is needed.
  • Orthotics and Prostheses

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