HOBBIES ARE GOOD FOR YOUR HEALTH

Do you have a hobby? Hobbies can give meaning and purpose to your life in retirement. As Robert Putnam points out in his book, Bowling Alone, it’s easy to discount the importance of hobbies and social engagements. Putnam details the widespread decline in civic engagement, from PTA memberships to neighborhood potlucks and bowling leagues. Over a couple of generations, Americans have misplaced the concept of free time.

SPECIAL PLANS FOR YOUR SPECIAL PEOPLE

Lily is a beautiful, active and full of personality toddler who happens to have Down syndrome. Lily’s parents and I have been friends for years and I have the continuing pleasure of watching Lily and her siblings grow up. While Lily is becoming a physical therapy rock star and hitting all her milestones in a timely fashion, her parents have started planning for the future.

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WHY WE ENJOY OUR HOBBIES

The Merriam-Webster dictionary defines a hobby as “a pursuit outside one’s regular occupation, engaged in especially for relaxation.” Hobbies include anything from playing a musical instrument to gardening, bird watching or sewing. A hobby is a way of focusing on something you enjoy just for the sake of that enjoyment. It may also be a way to clear your mental palette. You could be stressed out by a situation at work or the challenges of raising children and need an escape.

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AVAILABLE MEDICAID WAIVERS FOR LONG TERM CARE AND COMMUNITY SUPPORTS

Acquired Brain Injury

Provides adult day training, case management, respite, supported employment, behavioral services, counseling, group counseling, occupational therapy, specialized medical equipment, speech therapy, community guides, goods and services, assessment services, community living supports, environmental and minor home mods, and supervised residential care for individuals with brain injuries who are 18 years and older.


Acquired Brain Injury - Long Term Care

Provides adult day health, adult day training, case management, nursing supports, occupational therapy, respite, supported employment, physical therapy, specialized medical equipment, speech therapy, community guide, financial management services, goods and services, assessment services, behavioral services, community living supports, counseling, environmental and minor home modifications, family training, group counseling, and supervised residential care for individuals with brain injuries who are 18 years and older.


These two waivers allow persons who have brain injuries from accidents or disease to continue living as normally as possible in their communities.   

KY HCBS Transitions

Provides adult day health, case management, homemaker services, personal care, respite, supported employment, specialized medical equipment, occupational therapy, physical therapy, speech therapy, community guides, goods and services, attendant care, environmental and minor home adaptations, family training, and supervised residential care for aged individuals who are 65 and over and for individuals with a disability, physical or otherwise, who are ages 18-64.


This waiver enables people to have the services necessary to transition to their maximum level of independent living.


Michelle P

Provides adult day health, case management, community access, day training, personal assistance, respite, shared living, supported employment, occupational therapy, physical therapy, speech therapy, community guides, goods and services, transportation, assessment services, community transitions, consultative clinical and therapeutic service, environmental accessibility adaptation services, person centered coaching, positive behavior supports, specialized medical equipment and supplies, vehicle adaptation for individuals of all ages who have intellectual disabilities and developmental disabilities.


This waiver allows children and adults with a severe disability to receive supports in their home and community.


Model Waiver II

Provides skilled services by a licensed practical nurse, skilled services by a registered nurse, and skilled services by a respiratory therapist for individuals of all ages who are dependent on technology.


Supports for Community Living

Provides conflict free case management, consultative clinical and therapeutic services, day training, personal assistance, residential support, respite, shared living, supported employment, community guides, financial management services, natural supports training, community access, community transition, environmental accessibility adaptation services, goods and services, person centered coach, positive behavior supports, specialized medical equipment and supplies, and technology assisted residential, transportation, and vehicle adaptations for individuals ages three and over with intellectual disabilities and developmental disabilities.1


Who is eligible for Medicaid waiver services?

Waiver services are so named because they are Medicaid services in which the individual must meet all Medicaid qualifications except that of residing in an institutional facility. This one requirement is waived, and the services are provided in the community.


For waiver services that address the needs of older persons, one must be 65 years of age or older and have physical, intellectual, or developmental disabilities, blindness, be ventilator-dependent, or have an acquired brain injury.


One must have written certification by a physician that if waiver services are not available, the person would be admitted to a nursing care facility in the immediate future. Thus, the person satisfies the nursing home level of care criteria.


Lastly, all the financial qualifications for Medicaid must be met.2


Financial Requirements for Medicaid Waivers

Resources are cash or assets or any other personal or real property that may be converted to cash that could be used for maintenance and support. Medicaid waiver programs use specific resource rules to determine how many resources may be retained for the person to still be eligible for Medicaid.


These limits are different than for someone applying for nursing home Medicaid coverage.  The calculations are also different depending on whether the person receiving services is single or married and an asset spenddown may be required.3


For additional information and to determine if you or a loved one may qualify for Medicaid Waiver Services, please consult your Elder Law Attorney or the Kentucky Department for Community Based Services.



Endnotes:


  1. https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/KY    
  2. MAP-418 Commonwealth of Kentucky Cabinet for Health and Family Services Department for Medicaid Services: Kentucky Medicaid Waiver Services Fact Sheet (Rev.02/2021)
  3. 907 KAR3 907 KAR

120 N. Mill St., Ste. 201 Lexington, KY 40507

Call Today: 859-281-0048 www.bgelderlaw.com

Amy E. Dougherty

PARTNER

Carolyn L. Kenton

MANAGING PARTNER

Mary Ellis Patton

SR. ASSOCIATE ATTORNEY

Katherine E. Finnell

ASSOCIATE ATTORNEY

Medicaid, which was originally authorized by federal law in 1965, is a program of combined federal and state services. Over the years since original authorization, each state has developed home and community-based service waivers to help meet the needs of those who prefer to get long term care services and supports in their homes or community rather than residing in an institution such as a nursing home.


These waivers are based on Federal guidelines with State specific requirements.  Kentucky offers several waiver programs to assist those wanting to stay in their home but needing care. These target specific populations of vulnerable, elderly, and disabled persons.


HCB (Home and Community Based)

Provides adult day health, conflict free case management, specialized respite, participant directed coordination, attendant care, environmental and minor home adaptation, goods and services, home and community supports, home delivered meals, respite for people with physical disabilities or other disabilities from birth to 64 years old, and individuals ages 65 and older.


This waiver often allows families to continue with employment and other normal activities while still providing for their disabled loved one.