Long Term Care Options

Eligibility Criteria

  • The earliest a person can be referred to the Aging and Disability Resource Center for options counseling and/or be screened for adult Long-Term Care services is 17.5 years of age. Referrals are usually made by High Schools, Children’s Services Case Managers, parents or directly from the person requesting services.
  • The person needs to be a resident of Menominee, Shawano or Oconto county.
  • The person needs to have a documented physical and/or developmental disability. Examples of developmental disabilities include: Intellectual Disability (this does not include learning disabilities, ADHD or Mental Illness), Cerebral Palsy, Epilepsy, Autism, Brain Injury, Prader-Willi Syndrome or other neurological conditions, “closely related to an Intellectual Disability requiring treatment similar to that required for people with Intellectual Disabilities”.
  • The person’s disability needs to have a substantial negative impact on their level of functioning. This is determined by an assessment called the Long-Term Care functional screen.
  • In addition to having enough care needs to qualify for services, a person also needs to be financially eligible for Medicaid to be able to enroll in Long-Term Care programs.

Family Care is an innovative program that provides a full range of long-term care services, all through one flexible benefit program. Members of Family Care enroll in a managed care organization to receive their services. The Department of Health Services provides the managed care organization with a monthly payment for each member. The managed care organization uses these funds to provide and coordinate services for all of its members. These services include:

  • Receive interdisciplinary care management
  • Receive services to live in their own home whenever possible
  • Participate in determining the services they receive
  • Choose service providers from a comprehensive network
  • Receive the services they need through one program
  • Receive services that best achieve the results they desire

Include, Respect, I Self-direct is a program that allows you to direct your own services and supports. IRIS recognizes that you are the decision-maker in your life, including determining your daily activities and types of support or assistance you need to met your long-term care needs. IRIS is grounded in the core values of self-determination. These values include:

  • Freedom to decide how you want to live your life
  • Authority over a specific budget
  • Support to organize resources in ways that are life enhancing and meaningful to you
  • Responsibility for the wise use of public funds and recognition of the contribution you make to your community
  • Confirmation of the important role of self-advocates

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