Diamond State Health Plan Plus – Long Term Care Community Services
Diamond State Health Plan Plus is a managed care program designed to help people who require long-term care. People enrolled in DSHPP receive their services from a managed care organization. DSHPP programs help provide nursing home care and long-term community-based care to older adults and people with disabilities or chronic illnesses, such as AIDS.
The Long-Term Care Community Services sub-program is designed to encourage people to receive care at home or in an assisted living facility. In addition to regular Medicaid services, LTCCS recipients may be able to access a range of additional services, including case management, personal care services, assisted living, cognitive treatments and personal emergency response systems. The exact services available depend on the beneficiary’s needs.
To be eligible for LTCCS, applicants must meet the financial requirements for Medicaid and the medical requirements for long term care. The department states that to meet medical requirements an individual must need a “skilled or intermediate level of care.” This generally means applicants need a level of care that would be provided in a nursing home.
Individuals must have a referral to be considered for this program, so it may be best to talk to a health care provider as the first step. You can also contact the Long-Term Care Medicaid Unit at 1-866-940-8963 for further information