Social Services- An Overview

1
Social Services- An Overview

• The information is purely for guidance and may
  not be quoted as an Authority. The information
  keeps changing as per State and Federal policies.
  Please contact your local State Service Center
  for updated information.

2
Agenda

• Medicare
• Medicaid-Home Community Based Services
• State Programs for the Elderly
• Cost Saving Programs

3
Medicare Plans
PART A Hospital Insurance PART B Medical Insurance PART C Also known as Medicare advantage plans like HMO or PPO. PART D is prescription drug coverage provided by pvt co.s approved by M
Hospital Stay Skilled Nursing Facility Home Health Care Hospice Part A premium for those who do not have Social Security benefits is approximately 443 Doctors Visits DME (wheelchair, oxygen) Physical Therapy Preventive Services Other Outpatient Care There is Late enrollment penalty for Part B which is 10 of the current Part B premium for each 12 month period you were eligible for Part B, but did not enroll in it. Private insurance plans approved by Medicare. Lower cost alternative to original Medicare plan and offers more services like dental, vision, hearing etc. Will cover Part A and Part B and may include Part D If you are traveling out of ur plan coverage area, u will still be covered for emergency services. Part D too has premium depending on your plan and has late enrollment penalty if you do not enroll when u r eligible. It is 10 of the national average premium. For eg. For 2011, if you enrolled in 2010 when u couldve enrolled 20 mths ago, your penalty will be 6.40/mth or 76.80/year on top of the premium.
4
Medicaid Waiver for the Elderly and Disabled

• The Medicaid Waiver Program for the Elderly and
  Disabled provides an alternative
• to nursing home care for eligible older persons
  and adults with physical disabilities.
• It includes services to help a person to continue
  living in his or her home safely.
• Services included in this program are
• Home Health Care
• Adult Day Services
• Case Management
• Personal Emergency Response System
• Respite Care
• This is called the Waiver program because for
  this program your income can
• be higher than the Medicaid limit. They provide
  you nursing care, help with
• daily activities and much more. It can be up to 7
  days a week and the number
• of hours depend on the clients skilled needs.
• http//www.dhss.delaware.gov/dhss/dsaapd/medwaiver
  .html

5
Adult Day Services

• Adult Day Services provides activities and
  assistance for people with physical
• and/or mental impairments. This service is for
  people who cannot be left alone for
• long periods of time. For example, a person may
  use adult day services while the
• primary caregiver is at work.
• For information or enrollment contact
• Easter Seals Delaware and MD - [phone]
• Elwyn Delaware - [phone]
• Gull House -   [phone]
• Laurel Senior Center -    [phone]
• Modern Maturity Center - [phone]
• Newark Active Day Center - [phone]
• Adult day centers provide care and social
  activities for
• Individuals who do not require 24 hr
  institutional care, but
• cannot live independently.

6
Alzheimer's Day Treatment

• Alzheimers Day Treatment is a program for people
  with Alzheimers Disease or related dementia. It
  is a non-residential, day program. Medical,
  recreational, and personal care services are
  provided.
• This program can be used while you are away at
  work during the day or even as a respite which
  can give some relief to the caregiver.
• For information or enrollment contact
• Evergreen Center I Wilmington
  [phone]
• Evergreen Center II Milford
  [phone]

7

• Medical Transportation
• Provides transportation to health care
  appointments for persons 60
• years old and older who live in New Castle
  County but outside the city
• limits of Wilmington if you have no other means
  of transport.
• Contact WHEELS -395-5660 
  Generations  658-6731   
• Personal Emergency Response System
• A Personal Emergency Response System is a device
  that allows a person at high risk (for example an
  older person who lives alone and has a health
  problem) to get immediate help in the event of an
  emergency.
• The person who is using the system wears a
  button that he or she can push if needed. The
  button connects electronically to the person's
  phone, which is programmed to send a signal to a
  response center. Trained professionals in the
  response center then respond to help the person
  in need.
• Call Div of Aging for more info _at_ 343-4280.
   

8
Senior Community Service Employment Program

• The Senior Community Service Employment
  Program provides paid, part-time work experience
  for eligible persons.  Training that is available
  through the program takes place at various
  locations and is subsidized/paid for by the
  program. The program also provides its
  participants with supportive services training
  workshops and, help with finding employment.
• For information contact
• New Castle Co.Wilmington Senior Center (302)
  651-3440
• Kent Co. Modern Maturity Center [phone]
• Sussex Co. First State Community Action Agency
  [phone]

9
Money Management

• This program offers money
  management assistance to help low-income seniors
  and adults with physical disabilities who have
  difficulty budgeting, paying routine bills and
  keeping track of financial matters. The programs
  goal is to promote and prolong independent living
  for individuals who are at risk of losing their
  independence due to inability to manage their
  financial affairs.
• Eligibility
• Low-income seniors or adults with physical
  disabilities.
• To be eligible, a single person must have liquid
  assets of no more than 35,000 and an income no
  greater than 23,475 per year (1,956 per month).
• Couples must have liquid assets of no more than
  35,000 and an income no greater than 33,217 per
  year (2,768 per month).

10
Delaware LifeSpan Respite Care Network

• "When you care for a person 24/7, it's so nice to
  have time to devote to yourself. It really helps
  to build you up on the inside again!"
• Respite care programs provide relief to primary
  caregivers, such as family members, who give care
  to someone in need. Respite care can be scheduled
  once a week or can be given as needed by the
  caregiver.
• Care can be provided for DE residents who are 60
  or older/ with dementia or are disabled in the
  home or through temporary placement in a
  long-term care facility, adult foster care, or in
  other community settings.

11
Low income Home Energy Assistance Program Help
with Home Heating And/Or Cooling Bills

• FOR MORE INFORMATION ABOUT LIHEAP AND WHERE
  TO APPLY
• You can call the National Energy Assistance
  Referral (NEAR) project. NEAR is a free service
  providing information on where you can apply for
  LIHEAP. You can speak to someone at NEAR Monday
  through Friday, from 7 a.m.- 5 p.m. Call the
  toll-free phone number at 1-866-674-6327
• or send an e-mail to energy_at_ncat.org
• Or you can contact your local LIHEAP office at
• www.acf.hhs.gov/programs/ocs/liheap/grantees/state
  s.html

12
Legal Services

• Delaware Volunteer Legal Services, Inc (DVLS)
• DVLS screens and refers low income clients with
  civil cases to volunteer attorneys.
• Types of cases include landlord/tenant, wills,
  family law, foreclosures, consumer, govt.
• benefits, personal injury defense depending on
  attorney availability. DVLS cannot
• accept fee-generating criminal cases, DUIs ,
  child support or medical or legal
• malpractice cases. Call 478-8850 or
  1-800-773-0606.
• Legal Services Corp. of Delaware
• A federally funded program to provide free legal
  services to low-income persons.
• Types of cases include consumer law, bankruptcy,
  landlord/tenant concerns,
• unemployment compensation. Call 575-0408
• Delaware Elder Law Program
• It provides legal services to seniors in non
  criminal and non-fee generating cases.
• Services include legal counseling and
  representation in appropriate court cases as well
• as drafting of powers of attorney and advance
  health directives. Assistance is also
• provided for problems related to govt. benefits
  such as Social Security and SSI,
• Insurance or home ownership.Call302-575-0660.

13
Delaware Apartment AssociationApartment Angels

• Apartment Angels THP, Inc. is a Program
  intended to provide transitional housing for
  individuals/families that have been displaced
  from RENTAL HOUSING.
• This Program is intended to help
  individuals in FINANCIAL NEED that have a history
  of being responsible renters, but became victims
  of the current economic recession through no
  fault of their own (loss of employment OR were
  negatively impacted financially by a one-time,
  life altering event (such as illness/hospitalizati
  on, death in the family, military service, etc.)
• PROGRAM TERMS AND CONDITIONS Individuals that
  participate in the Program will be placed in an
  apartment at a community in the State of
  Delaware.
• Contact toll free _at_ 1-800-223-9074 for details

14
Project Life SaverBringing loved ones safe
homeNew Castle County Police Department

• Project Lifesaver helps provide rapid response to
  save lives and reduce potential for
• serious injury for adults and children who wander
  due to Alzheimers, Autism, Down
• Syndrome, dementia and other related disorders. A
  preprogrammed personal radio
• transmitter is placed on an individual who may
  wander away from the safety of their
• homes.
• How does it work?
• An application is completed by the primary
  caregiver and submitted to the NCC Police program
  coordinator. Once approved, a police officer will
  install the unit and train the caregiver. The
  mobile tracking system and search procedure will
  be initiated to augment the existing search
  methods currently utilized by the police.
• What is the cost?
• There is an initial equipment fee of 300 for
  the transmitter and a years supply of batteries.
  After the original payment, there is a yearly fee
  of 75 to maintain the unit.
• More info contact NCC Police - Community
  Services Unit - 302-395-8050

15
Emergency Medical Services, Vial of Life

• Eligibility All New Castle County residents
  Fees None
• Intake Process Call _at_ 302- 395-8184 Packet is
  mailed or delivered.
• The Vial of Life program is offered to those
  residents that suffer from medical disease and
  take medications on a daily basis.
• A form is provided on which the participant can
  list their medical history, medications taken on
  a daily basis, and any medication allergies.
• Other information can include the family doctor,
  cardiologist, or other specialist and the
  hospital of choice.
• The form is placed in a small medication sized
  container labeled Vial of Life and is stored in
  the refrigerator. A magnetic card is provided to
  attach to the outside of the refrigerator to
  indicate that the vial is inside.
• Although the vial does not require
  refrigeration, this location has been chosen as
  it is a nearly universal appliance within the
  home.
• Emergency responders can access the vial for
  critical information when the patient cannot
  speak for themselves.

16
Senior RollCall Lifeline, NCC Police

• Service is available to individuals over 55,
  disabled individuals, and individuals with unique
  medical needs.
• Fees None
• To enroll Call Senior RollCall Lifeline
• _at_ 302- 395-8159
• Senior Rollcall Life Line is reliable, daily
  telephone reassurance for seniors in New Castle
  County. Senior RollCall checks on subscribers
  safety daily through a computerized telephone
  system.

17
Senior Centers in Delaware -Social Services

• Eligibility Ages 50 years and older or disabled
• Fees Nominal membership fee
• Call toll free for info _at_ 1-800-223-9074
• Social services include money management, blood
  pressure screening, legal aid and information and
  referral.
• Center also provides a variety of recreational,
  enrichment and wellness programs including
  handcrafts, painting, dance exercise, games,
  trips, choral group and senior players group.
• Provides transportation to doctors appointments
  for frail members and to and from the center.
• The Centers also sponsors support groups for
  stroke survivors and for individuals with
  Alzheimers disease, arthritis, fibromyalgia, or
  diabetes.

18
Community Services - New Castle County

• Eligibility Senior citizens and physically
  disabled adults unable to arrange for services
  financial eligibility varies
• Fees None
• To register Contact Community Services _at_ (800)
  223-9074
• The Community Services program develops care
  plans for the evaluation and treatment of senior
  citizens and adults with physical disabilities
  who are unable to arrange services on their own
  behalf.
• Community Services assesses needs and coordinates
  the delivery of services for Homemaker
  Services, Adult Foster Care, Attendant Services,
  Personal Care, housekeeping, Emergency Response
  System, Assisted Living, home delivered meals,
  general case management and the Elderly and
  Disabled Medicaid Waiver Program.
• Community Services also administers the Home
  Modification Program. This program provides
  limited financial assistance to help modify homes
  so that eligible adults age 60 and over or
  disabled adults may live independently.

19
YWCA, Home-ownership Education

• Eligibility Low to moderate income families
  moving towards home ownership
• Fees None
• Intake Process Call 302-224-4060
• Helps low-income families with a program of
  intensive one-to-one counseling to ready
  themselves for home-ownership.
• Provides free counseling on Reverse Mortgages
  for senior citizens.
• Reverse Mortgages are programs to help seniors,
  who own their own homes and need added income, to
  take advantage of the equity they have built up
  without having to leave their residence.

20
CARE Delaware- Caregiver Information

• Eligibility Family members, friends, adults who
  help take care of older persons 60 and older or
  older relatives 60 caring for children
• Fees Some programs are free, some offer sliding
  scale fees
• Intake Process call or email the Delaware Aging
  and Disability Resource Center _at_ [phone]
  or 302-391-3505
• CARE Delaware Caregiver Assistance-Respite-Educat
  ion is a program offered by the State.
• One of the services offered within this program
  is called Caregiver Information, Needs
  Assessment, Care Planning. In this program
  experienced employees within DSAAPD will assess
  caregivers needs, assist caregivers in gaining
  access to services and care planning, and conduct
  outreach in the community.

21
Cost Saving Programs

• CHAP (Community Healthcare Access Program)
• Delawares Community Healthcare Access Program is
  an insurance-assistance program that helps
• low income Delaware residents without insurance
  get the medical care they need. CHAP will help
• link you to doctors and other health resources.
  Call 1(800) 996-9969 option 3.
• If eligible for CHAP all the tests will be 100
  discounted and when approved for CHAP, finance
• office will go back one year from the date of
  CHAP or CCHS Charity eligibility.
• Screening for Life
• Screening for Life provides payment for cancer
  screening tests (breast, cervical, prostate and
• colorectal). You must be 18 or older and meet
  income guidelines. Call 1-800- 464-4357.
• Low-Cost Prescriptions
• Some medicines can cost as little as 4 for a
  months supply at stores like Wal-Mart, Costco
  and
• Target if you buy the generic brand of that drug.
  Ask your pharmacy about their generic program
• or access it at needymeds.com, rxhope.com etc.
• Emergency Medical Diabetes Fund
• This program provides emergency assistance to
  persons with diabetes with or without
• Insurance to cover the cost of medicines, testing
  supplies and other diabetes related items
• up to 400.00 per person per year. Call the
  Delaware Diabetes Coalition at 302-744-9267.

22
Prescription Saving Cards

• Pfizers Share Card Program is for people 65 or
  over who are enrolled in
• Medicare, have no prescription drug
  coverage and have a yearly gross income
• of less than 18,000 24,000 gross
  income for couples. 15.00 per
• prescription for 30 day supply. Call
  1-800-717-6005. (Available _at_ Walmart)
• http//www.unarxcard.com/index.php to get drug
  pricing and local pharmacy information. Not much
  of a discount on the brand name RXs but some of
  the generic drugs are quite reasonable. You can
  Shop/Compare to show all of the pharmacies close
  to your zip code, which is pretty useful.
• (3) The Together RX Access Savings Card, call
  1-800-250-2839 for eligibility.
• This card gives savings of 25-40 on many
  meds - ADHD, Asthma, Diabetes, etcthe card
  allows for savings right at the pharmacy counter.
• (4) New Castle County also has a Free
  Prescription Discount Card. This is a free card
  that can be used for discounts on meds NOT
  covered by insurance s. Its an average of 20
  discount on medications. No Enrollment form, no
  fee, one card, immediate use. Call 1-877-321-2652
  more information.

23
Delaware Healthy Children Program

• If you cant afford medical insurance for your
  child you dont qualify for Medicaid  
• The Plan covers
• Doctors visits and regular checkups, hospital
  care, lab and x-ray services, specialists,
• prescription drugs, eye exams glasses, speech
  and hearing therapy, dental benefits,
• behavioral health services, drug and alcohol
  services, and more.
• Its Affordable!
• The monthly cost for this health coverage is just
  10, 15, or 25, depending on your
• familys income. And, the cost is the same no
  matter how many children are in your
• family. There are no deductibles and no co-pays.
  Call 1-800-996-9969 for more info.
• Mental Health Services for Children
• Private insurance and Medicaid providers can be
  located by calling the number on the
• Insurance card. Division of Child Mental Health
  Services serves uninsured children
• and provides a range of mental health and
  substance abuse treatment programs
• statewide beyond outpatient services, including a
  24-hour crisis service.
• In NCC, call 302-633-5128 or 1-800-969-4357.

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Community Resources for Mental Health

• No Insurance
• Community Mental Health 778-6900
• Mobile Crisis 577-2484 800-652-2929
• Catholic Charities 656-0651 (sliding scale)
• Medicare
• Community Mental Health 778-6900
• Catholic Charities 656-0651
• Meadowwood 328-3330 (for IOP, Partial and level
  of care assessment)
• Rockford Center 24 hour assessment center
  996-5480 or 866-847-4357
• Medicaid
• Connections 984-3380
• Catholic Charities 656-0651
• Meadowwood 328-3330 (for IOP, Partial and level
  of care assessment)
• Rockford Center 24 hour assessment center
  996-5480 or 866-847-4357
• Outpatient Psychiatry Practices
• Allied Behavioral Health (Newark) 832-1282 also
  does Dual Diagnosis counseling
• Christiana Counseling 995-1680
• Harmonious Minds 633-6001
• Commercial insurance Call the behavior health
  number on the back of their insurance

25
Drug and Alcohol

• No Insurance
• Brandywine Counseling 472-0381
• Kirkwood Detox 691-0140
• Medicaid
• Brandywine Counseling 472-0381
• PACE 999-9812
• Open Door 731-1504
• Meadowwood 328-3330 (assessment for level of
  care)
• Medicare
• Open Door 731-1504

26
2-1-1 Connects Delawareans with Health and Human
Service Providers

• The 2-1-1 service links callers to service
  providers who can assist with such issues as rent
  assistance, food banks, affordable housing,
  health resources, mental health resources, child
  care, after-school programs, care for senior
  citizens, financial assistance, legal assistance,
  job training programs, and much more.
• 2-1-1 is available 800am - 800pm, Monday -
  Friday. IMPORTANT The 2-1-1 number is NOT a
  replacement for 9-1-1. Remember to use 9-1-1 for
  life and death emergencies.
• United Way of Delaware625 North Orange
  StreetWilmington, Delaware 19801302-573-3776

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Delaware Aging and Disability Resource Center
(ADRC) 1-800-223-9074
DelawareADRC_at_state.de.us

• The ADRC is a one-stop access point for
  information and services for older persons
• and adults with physical disabilities throughout
  the State.
• Options Counseling Help with understanding
  options and deciding which services best
• meet your needs
• Service Enrollment Support Help with getting
  the services and supports that match
• your needs and preferences
• Caregiver Information and Support / Brain Injury
  and Coma Information Money
• Management Program - Senior Medicare Patrol
  Program - Support for Grandparents
• Raising Children Training Opportunities for
  Professionals
• Download a copy of the Guide to Services for
  Older Delawareans and Persons with
• Disabilities? Obtain a living will? - Find out
  about assisted living facilities and nursing
• homes in Delaware? Find out about Medicare Part
  D (for Prescription Drugs)? - Get help if I
  don't understand my health insurance?

28
Services for uninsured

• Uninsured needing medications can use ST
  CLARE VAN(302-575-8266) to
• get free samples of medications for diabetic,
  cardiac and chronic diseases). 
• Connections -free clinic for psych meds. Call
  302-984-3380
• Horizon House Echo Center Outpt Psych Call
  302-266-3246
• Resources for Eye glasses and Dental Services
• http//www.neweyesfortheneedy.org/forms (Eye
  glasses for uninsured)
• http//www.zennioptical.com/ (very affordable-
  can order by phone)
• DE Hope Dental Clinic- www. Delawarehelpline.org
  ph 735-7551
• (non emergency- extraction, restoration, filling,
  pain relief 18-65yrs).
• Wilmington Hosp Dental Dept- www.christianacare.or
  g ph 428-4850
• (40 for routine services, for non routine
  discounted fees).
• Pierre Toussiant Dental Office-
  www.ministryofcaring.org ph 652-8947
• (84 for initial visit- call for apptmt for 19 to
  65 years old)
• Henrietta Johnson Medical Center
  http/hjmc.org/dentistry/html-655-6187
• Based on income level - 50 min payment- Ages 3
  and up.

29
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30

• Thank you