What is Assisted Living?
Assisted Living is …“a special combination of housing, supportive services, personalized assistance and health care designed to respond to the individual needs of those who need help with activities of daily living and instrumental activities of daily living. Supportive services are available 24 hours a day to meet scheduled needs in a way that promotes maximum dignity and independence for each resident and involves the resident’s family, neighbors, and friends” (Associated Living Federation of America).
Assisted living bridges the gap between independent living and nursing homes. Assisted living is designed for people who want to live in a community setting and who need help with activities of daily living (ADLs), but who do not need as much care as they would receive at a nursing home.
Who is eligible?
Candidates for the Assisted Living Program must meet all CHCPE eligibility requirements met in addition to housing facility requirements. Eligibility requirements include functional needs (assistance with activities of daily living) and financial eligibility criteria. For more information click on the following link:
Where are services provided?
The Connecticut Home Care Program for Elders offers Assisted Living Services in:
- State funded congregate housing facilities
- federally funded HUD facilities
- a Pilot Program
- Four affordable Assisted Living Demonstration Sites
Who provides Assisted Living Services?
Assisted Living Services Agencies (ALSAs) provide nursing and personal care to individuals living in Managed Residential Communities (MRCs/Congregate Housing facilities/HUD facilities) listed with the State Department of Public Health. The MRC provides private residential units, core services such as housekeeping, laundry, meals, and service coordination. By offering assisted living services in a congregate housing and HUD facility setting, residents are provided a viable choice that will allow them to enhance and maintain a degree of continued health, dignity and independence at significantly less cost than nursing facility placement.
The Managed Residential Community (MRC) provides core services, including 24-hr. security, one main meal per day, light housekeeping, “expanded core services” such as: a RSC, emergency transportation, and wellness/prevention services. As an MRC, they may provide, or make arrangements to provide for, additional housekeeping, laundry service or preparation of meals.
Assisted Living Services, including personal services and nursing supervision, will be provided to those individual residents participating in the program by the ALSA that is under contract with the MRC. Assisted Living Services (personal services) and additional Core Services will be available to qualified residents who are age 65 and over and who meet eligibility criteria for the CT Home Care Program for Elders.
Private Assisted Living Pilot Program
The Pilot Program serves a maximum of 75 individuals who must be eligible for either the Medicaid Waiver or State funded portion under the CHCPE. This Pilot Program grew out of recognition that some elders, after living in a Private Assisted Living Facility for a time, have spent down their assets and thus require help with their living expenses. In order to assist these individuals, the Pilot provides funding for their assisted living services but does not pay for room and board. This Pilot is based on the premise that it is cost effective to provide these services so these individuals will not require care in a nursing facility. Since the Private Assisted Living Pilot Program is offered under the Connecticut Home Care Program, all CHCPE eligibility requirements must be met in addition to housing facility requirements.
Assisted Living Demonstration Project
The Department of Social Services (DSS), in collaboration with the Department of Public Health (DPH), the Department of Economic and Community Development (DECD), the Connecticut Housing Finance Authority (CHFA) and the Office of Policy and Managememt (OPM) have established a demonstration project to provide subsidized assisted living services, as defined in section 19-13-D105 of the regulations of Connecticut state agencies, for persons residing in affordable housing, as defined in section 8-39a. The demonstration project is limited to a maximum of 300 subsidized dwelling units. Applicants for subsidized Assisted Living Services are subject to the same eligibility requirements as the Connecticut Home Care Program for Elders (CHCPE). Four projects are currently operation in Hartford, Glastonbury, Middletown and Seymour.
Residents in State-Funded Congregates and HUD Facilities funded by DECD may be able to receive assisted living services through a licensed service agency under contract with the facility. A portion of these service costs may be subsidized either by DECD or through the Department of Social Services (DSS) under the Connecticut Home Care Program for Elders (CHCPE).
The State-Funded Congregate and HUD Facilities provide an excellent option for many who are unable to maintain a safe and healthy independent living environment, by providing a viable choice to the residents that will enhance and maintain a degree of continued health, dignity, and independence at significantly less cost than nursing facility placement.
Occasional Personal Service- 1 hour per week, up to 3.75 hours per week of personal services plus nursing visits as needed.
Limited Personal Service- 4 hours per week, up to 8.75 hours per week of personal services plus nursing visits as needed.
Service Package -3
Moderate Personal Service- 9 hours per week, up to 14.75 hours per week of personal services plus nursing visits as needed.
Extensive Personal Services-15 hours per week, up to 25 hours per week of personal services plus nursing visits as needed.
Personal Services include hands-on assistance with daily activities including, but not limited to, dressing, grooming, bathing, using the toilet, transferring, walking and eating. Personal Services may include changing bed linens in conjunction with incontinence care or other needs which necessitate such assistance more than once per week.
Depending on the client’s income, clients may be required to contribute to their cost of care. This contribution is in addition to any rent and MRC core services paid to the MRC or any payments for non-covered services. The client applied income contribution is a mandatory/required payment that a client or responsible party must pay.
For more information about the Assisted Living Program, call 860-424-4904 locally in the Hartford area or 1-800-445-5394 toll-free. For information specifically about the private assisted living pilot project, call 860-424-5814.