STEP 1: Call our Information and Referral Dept. and the specialists will talk to you about your individual circumstances and your options for care. If needed, they will make a referral for in-home services and will explain the procedure.
Once the required paperwork (and perhaps a waiting list time period), are done, then:
STEP 2: An Options Counselor will come to your home to do an assessment of your needs. If they determine that you qualify for the services, then…
STEP 3: The person needing services and the Options Counselor decide together which needs to work on first. The Options Counselor will authorize in-home services through a home health agency of your choice.
STEP 4: You will then have a case manager who will monitor the services to make sure they are appropriate for your circumstances. Your needs are re-assessed at least once a year.
Options Counselors and Care Managers are trained professionals who assist in obtaining quality services through in-home visits. They keep client information confidential.
INFORMATION NEEDED TO MAKE A REFERRAL FOR IN-HOME SERVICES
- Patient’s Full Name
- Address and phone number
- Birth Date
- Social Security Number
- Medicaid Number (if applicable)
- Monthly Income
- Assets (bank accounts, 401K, stocks/bonds, trusts, CDs)
- Monthly Medical Expenses
- Cost of Medicare Part B and D
- Do they receive Extra Help through Medicaid to pay for Parts B&D?
- Cost of a Medigap policy
- Monthly out of pocket expenses for prescription drugs
- Monthly expenses for overdue medical bills
- Monthly cost of Psychiatric Care
- Monthly cost for private pay In-Home Services
- Out of pocket costs for over the counter medications, supplements and incontinence products
- Medical Diagnosis and primary care physician name
- Date of most recent hospital or nursing facility stay
- Name, address and phone numbers for family member, caregiver, and/or emergency contact person – especially if the person has dementia
- The types of things that the patient cannot do for him/herself, such as their ability to bathe, to feed themselves, to transfer from bed to standing/chair, to dress themselves, etc. There will be a complete assessment done of these abilities or disabilities.
Download a PDF version of a helpful chart. 
PDFs require Adobe Reader to Open/Read/Download.
Contact the Information and Referral Department to make the referral for in-home services.