Aging and Disability Services Division

Transcription

1 STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN Aging and Disability Services Division Information Booklet 2014 Brian Sandoval Governor Romaine Gilliland Director Department of Health and Human Services Jane Gruner Administrator Aging and Disability Services Division A G I N G A N D D I S A B I L I T Y S E R V I C E S D I V I S I O N

2 TABLE OF CONTENTS ADSD CARSON CITY ADMINISTRATIVE OFFICE... 3 MISSION STATEMENT... 3 AGING AND DISABILITY RESOURCE CENTER (ADRC)... 4 ASSISTIVE TECHNOLOGY (AT) FOR INDEPENDENT LIVING (IL) PROGRAM... 5 AUTISM TREATMENT ASSISTANCE PROGRAM (ATAP)... 6 COMMUNICATION ACCESS (CAC)... 7 COMMUNITY SERVICE OPTIONS PROGRAM FOR THE ELDERLY (COPE)... 8 ELDER PROTECTIVE (EPS)... 9 FAMILY SUPPORT FAMILY PRESERVATION PROGRAM JOBS AND DAY TRAINING LONG TERM CARE OMBUDSMAN PROGRAM (LTCOP) SERVICE COORDINATION SUPPORTED LIVING ARRANGEMENT (SLA) NEVADA EARLY INTERVENTION (NEIS) HOME AND COMMUNITY BASED WAIVER (HCBW) FOR ASSISTED LIVING (AL) HOME AND COMMUNITY BASED WAIVER (HCBW) FOR THE FRAIL ELDERLY COMMUNITY BASED CARE HOMEMAKER PROGRAM PERSONAL ASSISTANCE (PAS) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 2

3 SENIOR AND DISABILITY RX PROGRAM TAXI ASSISTANCE PROGRAM (TAP) TRAUMATIC BRAIN INJURY PROGRAM (TBI) MISSION STATEMENT The mission of the Aging and Disability Services Division (ADSD) is to provide leadership and advocacy in the planning, development and delivery of a high quality, comprehensive support service system across the lifespan to allow all of Nevada s elders, children and adults with disabilities or special health care needs, to live independent, meaningful and dignified lives to the greatest extent possible. ADSD CARSON CITY ADMINISTRATIVE OFFICE 3416 Goni Road, Suite D-132 Carson City Phone (775) Fax (775) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 3

4 AGING AND DISABILITY RESOURCE CENTER (ADRC) The Aging and Disability Resource Center (ADRC) program provides information, assistance and access to a wide variety of programs and services to support Nevada s elders, individuals with disabilities and caregivers in meeting their long-term care needs. The mission of the ADRC program is to maintain or enhance the quality of life of Nevada consumers and communities in a respectful, efficient, and fiscally responsible way. Persons 60 years and older Individuals with a disability at any age Caregivers Individuals planning for long-term services and supports The ADRC program provides an array of information and assistance to consumers in the community. Services are broken down into three levels of service. All three include a follow up component: Information & Referral: ranges from basic information about a direct request to detailed information about a community service. Referrals are made when the Information and Referral Specialist has given the consumer information about choices, and the consumer requests contact information for a specific service. Assistance & Advocacy: known as Options Counseling, which is a holistic service that attempts to find an array of services that meets the total needs of consumers. This level of service involves assessment and plan development. It is person centered and consumer directed. Eligibility & Access: known as Benefits Counseling, which supports consumers in determining their possible financial and functional eligibility for an array of public programs. Consumers are supported in accessing programs through application assistance, consultation and appeals assistance, if needed. Benefits Counseling is the implementation of the plan of services developed during Options Counseling. In addition to the physical sites located throughout the state, the Nevada ADRC web portal has been developed to provide information and assistance to consumers across the state, 24 hours a day and seven days a week. The portal is an entryway into the long-term services and supports system, utilizing a comprehensive resource directory, interactive forms, referrals and networking through an online community (i.e. Calendar of Events). It also helps to enhance service delivery in Nevada through online training and sharing of information and data. ADRC Project Manager: (702) or visit A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 4

5 ASSISTIVE TECHNOLOGY (AT) FOR INDEPENDENT LIVING (IL) PROGRAM The AT/IL program provides systems and resources at the community level which promote equal opportunity and life choices for people with disabilities, which enables them to live independently and exercise choice and control in their lives. Various kinds of assistive technology equipment such as home and vehicle modifications are provided when necessary for a person to live more independently. Anyone whose disability causes a substantial functional limitation, and who lacks other resources to meet needs, can receive services from the AT/IL program. ADSD IS THE STATE AGENCY OVERSEEING THE PROGRAM. THROUGH GRANTS, DAY-TO-DAY ARE PROVIDED BY COMMUNITY PARTNERS, C*A*R*E* CHEST OF SIERRA NEVADA AND REBUILDING ALL GOALS EFFICIENTLY (RAGE), INC. There are 21 services which may be provided with Part B Independent Living Services federal funding in addition to the "Core" services which must be provided. Those core services are: information and referral, independent living skills training, peer counseling (including cross-disability peer counseling), and individual and systems advocacy. The Statewide Independent Living Council (SILC) has selected nine of the available additional service categories, which may be provided to eligible applicants who do not meet eligibility criteria for other State/Federal Programs. They include: Services related to securing housing or shelter; Rehabilitation technology; Mobility training; Transportation, including referral and assistance for such transportation; Consumer information programs on rehabilitation and IL services, especially for minorities and other individuals with disabilities who have traditionally been unserved or underserved ; Therapeutic treatment; Provision of needed prostheses and other appliances and devices; Services for children with significant disabilities; and o Community awareness programs to enhance the understanding and integration into society of individuals with disabilities. The IL Program will not provide surgical or medical procedures. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 5

6 FOR GENERAL PROGRAM INFORMATION: Aging and Disability Services Division: (775) TO APPLY FOR THE PROGRAM: North: C*A*R*E* Chest: (775) ext.108 South: RAGE: (702) AUTISM TREATMENT ASSISTANCE PROGRAM (ATAP) Autism Treatment Assistance Program (ATAP) was created to assist parents and caregivers with the expensive cost of providing Autism-specific treatments to their child with Autism Spectrum Disorder (ASD). ATAP provides a monthly allotment to pay for on-going treatment development, supervision and a limited amount of weekly intervention hours based upon a child s individual treatment plan, age, and income. ATAP only funds treatments which have been proven by research to be evidence-based including Applied Behavioral Analysis (ABA), Verbal Behavioral (VB), and Pivotal Response (PRT) programs. Covered services include program training; development and supervision; daily intervention hours; and essential tools, supplies or equipment. ATAP may also fund Speech, Occupational and Physical Therapy when other resources do not provide coverage. Individuals who reside in the State of Nevada who are under age 19 and are diagnosed as a person with a Autism Spectrum Disorder by a physician, psychologist, child/adolescent psychiatrist, pediatric neurologist or other qualified professional. A diagnosis from a multidisciplinary team is acceptable when in accompanied by an appropriate assessment report. ATAP uses Applied Behavior Analysis (ABA) techniques for increasing useful behaviors and reducing those that may be harmful or that interfere with learning, in order to address socially important problems, and to bring about meaningful behavior change. The ATAP program uses a Supervision Tier Structure designed to protect the child s budget by limiting what providers can charge and ensuring a basic level of treatment supervision is received and expected on a monthly basis. ATAP contains a variety of plan types. The plan type is selected during a collaborative assessment between the ATAP care manager, provider, and parent. The program types contain a variety of required hours ranging from 25 hours a week in the comprehensive plan to 10 hours a week in the basic plan and are designed to address each child s individual needs. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 6

7 ATAP Intake Coordinators: (702) (English) (702) (Spanish) COMMUNICATION ACCESS (CAC) FOR NEVADANS WHO ARE DEAF, HARD OF HEARING, AND/OR SPEECH DISABLED The purpose of the Communication Access Service program is to provide access to the Relay system for persons who are Deaf, hard of hearing, and persons with speech disabilities; thus providing access to Nevada s telephonic system. The program also provides communication access advocacy for persons utilizing captioning services called CART (Communication Access Realtime Translation) and sign language interpreter services in order to access programs, healthcare, the legal system, and other needed services and systems. The program includes a statewide Interpreter/CART registry to allow agencies and individuals to find, contact and hire communication access service providers. The target population consists of any Nevadans who are Deaf, hard of hearing or speech impaired. The programs also serve late-deafened older citizens. The purpose of the program is to provide communication access by either distributing devices allowing persons with communication disabilities to access and use the telephone system available to all Nevadans, and by providing advocacy for persons with communication disabilities to access services and information. Relay Nevada is a system that allows standard telephone users and persons with communication disabilities access to telecommunications. FOR PROGRAM INFORMATION AND THE INTERPRETER REGISTRY: Aging and Disability Services at (775) To access Nevada Relay: 711 Deaf and Hard of Hearing Advocacy Resource Center ADVOCACY AND EQUIPMENT PROGRAM: Reno Las Vegas A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 7

8 COMMUNITY SERVICE OPTIONS PROGRAM FOR THE ELDERLY (COPE) The COPE program provides supportive essential services to eligible older persons to help them maintain independence in their own homes as an alternative to nursing home placement. Persons 65 years and older; and Have a nursing facility level of care and are at risk of nursing home placement without supports and services to keep them in their home and community; and Income limit $3094 per month; and Assets limit $10,000 single/ $30,000 couple. Case Management: Identification of resources and assisting recipients in locating and gaining access to waiver services, as well as needed medical, social, educational and other services regardless of the funding source; Homemaker: Assistance with light housekeeping, meal preparation, laundry and essential shopping. Social Adult Day Care: Provision of supervision and social activities in an Adult Day Care setting on a regularly scheduled basis for four (4) or more hours per day and one (1) or more days per week. Adult Companion: Provides non-medical care, supervision and socialization to a functionally impaired recipient in his or her home or place of residence, which may provide temporary relief for the primary caregiver. Personal Emergency Response Systems (PERS): An electronic device connected to the phone that enables persons at risk to secure help in an emergency for recipients who live alone in a private residence, or who are alone for significant parts of the day in that residence, have no regular caregiver for extended periods of time, and who would otherwise require extensive routine supervision. Chore Service: Chore services are intermittent in nature and may be authorized as a need arises for the completion of a specific task which otherwise left undone poses a home safety issue. Respite: Respite care is provided in the recipient s home on a short-term basis because of the absence or need for relief of the primary caregiver. Attendant Care: Assistance with personal care including bathing, dressing, grooming, shampooing, toileting, transferring, and eating. Carson City Office (775) Las Vegas Office (702) Elko Office (775) Reno Office (775) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 8

9 ELDER PROTECTIVE (EPS) The EPS program investigates allegations of abuse, neglect, self-neglect, financial exploitation and isolation of persons, age 60 and older. Interventions through preventative measures are taken to prevent abuse to elders. Self-neglect is the single largest source of repeat cases among elder abuse victims. The availability of necessary services and resources is essential for elders at risk. The EPS program develops outreach strategies to educate seniors and their caregivers about elder abuse. Good working relationships are maintained with law enforcement and other agencies, in order to increase EPS visibility and advocate effectively for EPS clients. Persons age 60 and older, who are at risk of abuse, neglect, self-neglect exploitation and/or isolation. EPS implements any necessary service that will remove older victims from risk of abuse, neglect, exploitation or isolation, including services that require client agreement, a court order, or other actions under the cover of law. Services may be state funded or community resources. Some of the services needed to alleviate or remedy an abusive situation include: Homemaker services which provide short term, intermittent housekeeping and shopping; Mental Capacity Evaluations to determine mental capacity and the need for guardianship; and Temporary Assistance for Displaced Seniors (TADS) when clients require temporary emergency placement until alternate housing arrangements can be established. Carson City Office (775) Las Vegas Office (702) Elko Office (775) Reno Office (775) TO REPORT SUSPECTED ELDER ABUSE, NEGLECT, EXPLOITATION OR ISOLATION, CALL: LAS VEGAS/CLARK COUNTY (702) STATEWIDE/OTHER AREAS (888) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 9

10 FAMILY SUPPORT The Family Support Services Program was developed to assist families to care for their relatives in the family home as a means to prevent out-of-home placement. It provides financial assistance for eligible families to obtain services for their family member. Individual/Family must meet the 300% of Federal Poverty Guidelines. Individuals of all ages who meet the 300% poverty guidelines and reside at home with their family/primary caretaker are eligible for Family Support services. Respite provides the primary caregiver an occasional break or temporary relief from the day-to-day responsibilities of caring for their family member with a disability. Regular respite care for the caregiver helps sustain the health and well-being of the caregiver, helps avoid or delay costly out-of-home placements, and reduces the likelihood of abuse and neglect. Respite services can be provided in the family s home, in the respite provider s home, in a day care or recreational setting. Eligible families will receive a quarterly voucher in which they can use to purchase ongoing or emergency respite care. Desert Regional Center (702) Sierra Regional Center (775) Rural Regional Center (775) FAMILY PRESERVATION PROGRAM To provide financial assistance to family members caring for their relatives with severe or profound developmental disabilities so that the family member can remain at home avoiding costly out of home placements. Family members with profound or severe mental retardation ; Children under six years of age who have developmental delays that require supports equivalent to that required by a person with profound or severe mental retardation; Families with income at or under the 300% of current Federal poverty levels. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 10

11 Provides monthly cash assistance to low income families. Desert Regional Center (702) Sierra Regional Center (775) Rural Regional Center (775) JOBS AND DAY TRAINING Jobs and Day Training (JDT) assists individuals in obtaining meaningful employment and living skills to help them achieve community inclusion, independence, and productivity. The JDT program serves individuals of 18 years old or older who have been an open case with Developmental Services and indicate a desire of service. Day Habilitation: Day Habilitation services provide day and individualized activities that support the participant's definition of a meaningful day. Day Habilitation services enable the participant to increase or maintain their capacity for independent functioning and decision making. Services consist of a daily program of functional activities that assist with acquisition, retention, or improvement in self-help, socialization, and adaptive skills that take place in a variety of day habilitation settings, including facilities or settings separate from the participant s private residence or other residential living arrangement. Facility Based Work/Prevocational Services: Prevocational services prepare a participant for paid or unpaid employment. Services include teaching skills such as self care, social skills, attendance, mobility training, task completion, self direction, problem solving and safety. Services are not job or task oriented, but instead, aimed at a generalized result. Services are reflected in the participant s Individual Service Plan (ISP) and are directed to habilitation rather than explicit employment objectives. Supported Employment: Supported employment is a combination of intensive ongoing supports and services that enable participants for whom competitive employment at or above the minimum wage is unlikely or who may be able to work in a competitive work environment but who, because of their disabilities, need supports to perform in a work setting. Supported employment is conducted in a variety of settings including enclaves at community businesses and work sites where persons without disabilities are employed and are designed to increase or maintain the individual's skill and independence. Desert Regional Center (702) Sierra Regional Center (775) Rural Regional Center (775) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 11

12 LONG TERM CARE OMBUDSMAN PROGRAM (LTCOP) To serve as advocates for residents living in long term care facilities, which includes residential facilities for groups. Responsibilities include investigating and resolving a broad spectrum of issues such as: Resident rights Quality of care Nutrition Admission, transfer, and discharge Medical care and treatment Environmental concerns The Long Term Care Ombudsmen provide educational presentations to the general public as well as for long term care professionals with emphasis on resident rights and prevention of elder abuse. Nevada residents in long term care facilities. Carson City Office (775) ELDER RIGHTS INTAKE: (888) Elko Office (775) Las Vegas Office (702) Reno Office (775) SERVICE COORDINATION (DEVELOPMENTAL TARGETED CASE MANAGEMENT) To provide service coordination to individuals and families in developing a community-based, person- centered life plan focused on individual needs and preferences. The Service Coordinator is responsible for the overall coordination of services and resources for the person and family, providing health and welfare assurances, and meeting federal and state regulations and requirements for Title XIX (Medicaid) and other sources of funding, including the Home and Community Based Services Waiver. Individuals of all ages who meet the eligibility criteria for intellectual disability and/or related conditions as established by NRS and NRS 433. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 12

13 Developmental Services uses a person-centered approach in the development of the Individual Service Plan (ISP) which is the tool that drives the service delivery to the individual served. The ISP reflects the services and supports needed to support the person/family in reaching desired outcomes and to become more independent, integrated into the community and capable of functioning fully as a citizen. Items to be included in the plan include specific goals to focus on for the coming year, methods to be used to achieve the goals, the services to be provided to the person/family, time frame for delivery of services, costs, and the responsibilities of each of the team members. Services shall maximize each individual s independence, capabilities, and satisfaction with services and involve a collaboration of team members. The intent of Service Coordination is to assist recipients in gaining access to needed medical, social, educational, housing, vocational, transportation needs and other support services including natural supports. Targeted Case Management is specific to those eligible for DS services under the Medicaid State plan and includes assessment, care planning, referral/linkage and monitoring/follow-up. Desert Regional Center (702) Sierra Regional Center (775) Rural Regional Center (775) SATELLITE OFFICES SOUTHERN NEVADA 5550 West Flamingo Rd, Suite- B1 Las Vegas, NV (702) West Sahara, Suite 204 Las Vegas, NV (702) Whitney Mesa Drive, Ste 120 Henderson, NV (702) SATELLITE OFFICES NORTHERN & RURAL NEVADA 1528 Highway 395, Ste 100 Gardnerville, NV (775) Highway 95A, Building 1 Fernley, NV (775) Pinion Road, Ste A Elko, NV (775) E Haskell Street Winnemucca, NV (775) N. Maine Street Fallon, NV (775) Highway 50 West, Ste.3 Silver Springs, NV (775) SUPPORTED LIVING ARRANGEMENT (SLA) The Supported Living Arrangement Program offers residential supports to individuals who require assistance to live in the least restrictive community setting possible. SLA offers habilitative, and skill building supports to individuals designed to maximize independence in the community. Possible living arrangement settings include an individual s family home, apartments, host homes, foster homes and shared residences. This service is provided through agencies that are contracted with the regional centers. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 13

14 The SLA program serves individuals of all ages who have an open case with Developmental Services and: Are Medicaid eligible; Have the desire and ability to participate in SLA services and adhere to guidelines; Can be safely supported in a community residential setting with specialized supports. Intermittent SLA: The service recipients in this program require intermittent support while living in a home or apartment by themselves, with a roommate, or with family. The service recipient receives a minimum (from several hours per week) to moderate (daily) support from paid SLA staff according to the identified needs and desires. Support hours are determined by the team s assessment of the service recipient s service/support needs. 24 hour SLA: 24 hour Supported Living Arrangements support service recipients in need of maximum support services. Staff are present whenever there are service recipients at home; there is awake or asleep staff at night depending on the needs of the service recipients. People typically live in a home with roommates in a community neighborhood and share the support services from the provider. Host Homes: Service recipients who desire or need a family living situation receive services from a Host Home provider who includes the service recipient in their family life and activities. Direct services/supports are to assist in the acquisition, retention or improvement of skills for the service recipient to successfully reside in the community. Desert Regional Center (702) Sierra Regional Center (775) Rural Regional Center (775) NEVADA EARLY INTERVENTION (NEIS) To provide specialized supports and services for infants/toddlers with disabilities and their families to meet their individualized needs. Infants/toddlers who are birth through two years of age, through medical review, developmental assessments and/or informed clinical opinion meet the following: 50% delay of a child s chronological age in any one developmental area or 25% delay of child s chronological age in any two developmental areas, which includes: A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 14

15 o o o o o Cognitive development; Physical development, including hearing and vision; Communication development; Social or emotional development; or Adaptive development. Children may also be eligible who have a diagnosed physical or mental condition that has a high probability of resulting in developmental delays. Services are available statewide and are provided by state programs and contracted individual and group providers, including: State Early Intervention Programs Northeast NEIS Elko/Ely site offices (Serving Humboldt, Upper Nye, Lander, Eureka, Elko, White Pine, and Northern Lincoln Counties) Northwest NEIS Reno/Carson City site offices (Serving Mineral, Pershing, Churchill, Washoe, Upper Nye, Lyon, Carson City, Douglas, and Storey Counties) Southern NEIS Las Vegas office (Serving Clark, Southern Nye and Lincoln Counties) Private Early Intervention Programs Advanced Pediatric Therapies (APT) Reno and Sparks The Continuum Reno and Sparks Easter Seals Northwest Counties and Las Vegas Baby Steps ISS Las Vegas Kideology Las Vegas Positively Kids Las Vegas Therapy Management Group (TMG) Reno, Sparks, Carson City and Las Vegas Every eligible family receives an Individualized Family Service Plan (IFSP). Services by Part C of the Individuals with Disabilities Education Act (IDEA) may include: Assistive technology devices and services Audiology services Vision and mobility services Family training, counseling and home visits Health and nutrition services Multi-disciplinary evaluations and assessments Occupational therapy Psychological services Service coordination Social work services Special instruction Speech and language therapy Physical therapy Autism screenings state required Additional NEIS programs offered: Other services (e.g., Child find, public awareness, transportation, respite, etc.) Screening and Monitoring (SaM) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 15

16 Specialty Clinics ( may include genetics, cranial facial, metabolic disorders) Newborn Hearing Screenings follow up Child Abuse Prevention Treatment Act (CAPTA) screenings Elko Office (775) Las Vegas Office (702) Reno Office (775) HOME AND COMMUNITY BASED WAIVER (HCBW) FOR ASSISTED LIVING (AL) The intent of this program waives Medicaid eligibility rules to allow institutional income guidelines and maximize the independence of Nevada s frail elderly by providing assisted living services to eligible individuals in a residential facility that includes individual living units, a kitchenette, sleeping area or bedroom, contain private toilet facilities, and offers 24-hour supervised care as an alternative to nursing home placement. Persons 65 years and older living in Clark County, Nevada; and Have a nursing facility level of care and are at risk of nursing home placement without supports and waiver services to keep them in their home and community; and Income below 300% of SSI ($2,094/month). Case Management: Identification of resources and assisting recipients in locating and gaining access to waiver services, as well as needed medical, social, educational and other services regardless of the funding source. Augmented Personal Care: Augmented personal care provided in a licensed residential facility for groups is a 24- hour in home service that provides supervision and assistance for functionally impaired elderly recipients with basic self care and activities of daily living. This care is over and above the mandatory service provision required by regulation for residential facility for groups. Carson City Office (775) Las Vegas Office (702) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 16

17 Elko Office (775) Reno Office (775) HOME AND COMMUNITY BASED WAIVER (HCBW) FOR THE FRAIL ELDERLY The intent of this program waives Medicaid eligibility rules to allow institutional income guidelines to provide supportive essential services to eligible older persons to help them maintain independence in their own homes as an alternative to nursing home placement. Persons 65 years and older; and Have a nursing facility level of care and are at risk of nursing home placement without supports and waiver services to keep them in their home and community; and Income below 300% of SSI ($2,094/month). Case Management: Identification of resources and assisting recipients in locating and gaining access to waiver services, as well as needed medical, social, educational and other services regardless of the funding source; Homemaker: Assistance with light housekeeping, meal preparation, laundry and essential shopping. Social Adult Day Care: Provision of supervision and social activities in an Adult Day Care setting on a regularly scheduled basis for four (4) or more hours per day and one (1) or more days per week. Adult Companion: Provides non-medical care, supervision and socialization to a functionally impaired recipient in his or her home or place of residence, which may provide temporary relief for the primary caregiver. Personal Emergency Response Systems (PERS): An electronic device connected to the phone that enables persons at risk to secure help in an emergency for recipients who live alone in a private residence, or who are alone for significant parts of the day in that residence, have no regular caregiver for extended periods of time, and who would otherwise require extensive routine supervision. Chore Service: Chore services are intermittent in nature and may be authorized as a need arises for the completion of a specific task which otherwise left undone poses a home safety issue. Respite: Respite care is provided in the recipient s home on a short-term basis because of the absence or need for relief of the primary caregiver. Augmented Personal Care: Augmented personal care provided in a licensed residential facility for groups is a 24- hour in home service that provides supervision and assistance for functionally impaired elderly recipients with basic self care and activities of daily living. This care is over and above the mandatory service provision required by regulation for residential facility for groups. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 17

18 Carson City Office (775) Elko Office (775) Las Vegas Office (702) Reno Office (775) COMMUNITY BASED CARE HOMEMAKER PROGRAM The intent of the Homemaker Program is to provide in-home supportive services for individuals requiring assistance with activities such as housekeeping, essential shopping, meal preparation and laundry to prevent or delay placement in a long-term care facility. Individuals with functional deficits, lack of support system, and who are at risk of institutionalization; and Income at or below 110% of Federal Poverty; and Asset Limits $10,000 individual/$30,000 couple Case Management: Identification of resources and assisting recipients in locating and gaining access to needed medical, social, educational and other services regardless of the funding source; Homemaker: Assistance with light housekeeping, meal preparation, laundry and essential shopping. Carson City Office (775) Elko Office (775) Las Vegas Office (702) Reno Office (775) PERSONAL ASSISTANCE (PAS) The Personal Assistance Services (PAS) Program provides community-based, in home services to enable adult A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 18

19 persons with severe physical disabilities to remain in their own homes and avoid placement in a long-term care facility. The provision of home and community-based services is based upon the identified needs of the recipient and available funding. ADSD assists recipients with accessing other available services, as needed. Individuals throughout Nevada, age 18 or older, in need of supportive services to live independently, who have been diagnosed with a physical disability that substantially limits their ability to complete activities of daily living. Case Management: Identifies resources and assists recipients in locating and gaining access to waiver services, as well as needed medical, social, educational and other services regardless of the funding source. Attendant Care: Assists with personal care, including bathing, dressing, grooming, shampooing, toileting, transferring, and eating. Homemaker: Assists with light housekeeping, meal preparation, laundry and essential shopping. Carson City Office (775) Elko Office (775) Las Vegas Office (702) Reno Office (775) SENIOR AND DISABILITY RX PROGRAM : The Senior and Disability RX Program provide seniors and persons with a disability relief from high cost of prescription medicine. The program provides assistance with Medicare and Part D expenses for members who are eligible for Part D, and provides a cost-sharing benefit for members who are not eligible for Part D. DISABILITY RX PROGRAM Age with a qualifying disability; Nevada Resident continuously for 12 months; Annual Income no more than $26,836 for singles and $35,773 for couples. A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 19

20 SENIOR RX PROGRAM Age 62 at the date of application; Nevada Resident continuously for 12 months; Annual income no more than $26,836 for singles and $35,773 for couples. The Senior and Disability RX Program helps Nevada seniors and persons with a disability who are not Medicare eligible with their Monthly premium, their deductible, co-payments of $10 or $25. The program has a coverage limit of $5,100. For seniors and persons with disability who are Medicare eligible, the program assists them with their monthly premiums for the Medicare Part D Prescription Drug Plan, and helps with prescription costs if they are subject to the Part D coverage gap. The program has also begun offering access to a dental insurance program for a limited number of members. Aging and Disability Services Division: (775) TAXI ASSISTANCE PROGRAM (TAP) The Taxi Assistance Program (TAP) is a subsidized program that provides taxi rides at a reduced cost. Clark County residents that are age 60 or older or persons of any age that are permanently disabled; Income below 400% of the Federal Poverty Level. Clients may purchase $20 taxicab coupons for a $10 fee. Coupons are valid for any Clark County taxicab company 24 hours a day, seven days a week. Each client is entitled to purchase a varying amount of books per calendar month based upon income. Carson City Office (775) Elko Office (775) Las Vegas Office (702) Reno Office (775) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 20

21 TRAUMATIC BRAIN INJURY PROGRAM (TBI) The Traumatic Brain Injury (TBI) Program was created to provide assistance to individuals and their families who are confronted with inadequate or unavailable TBI services and supports. Persons diagnosed with a traumatic brain injury as defined in NRS 427A.850. ADSD provides a grant to Accessible Space Inc. to fund the Nevada Community Enrichment program (NCEP). NCEP provides the following services: Treatment during the day on an outpatient basis; Care provided in a facility operated and maintained to furnish food, shelter, assistance and limited supervision; Care provided in the home; Instruction in the skills required for independent living; Placement for jobs; Counseling and treatment for the abuse of drugs and alcohol; Support services for families of persons with TBI. TBI Program Manager ADSD (775) NCEP Director (702) A g i n g a n d D i s a b i l i t y S e r v i c e s D i v i s i o n Page 21