Area Agency Services
Home Care Services
Access Services – From time to time, an older person (60+) may seek special help in getting public benefits and/or services or in protecting individual rights. When this occurs, Area Agency on Aging Access Services may take a more direct approach by serving as the older person’s representative. Helping older individuals continue to live at home with as much independence as possible is the goal of an Area Agency Case Manager. Together, they can work out a plan for service that builds on support available from family and friends. The Case Manager helps the older person find services through existing providers within the community.
Area Agency also provides an Ombudsman who receives and investigates complaints against long-term care facilities. The Ombudsman works to resolve these complaints between residents and the administration or staff. The Ombudsman may also assists clients with the appropriate long-term care facility placement. She or he serves those who are 60 years or older or their spouse, regardless of age.
Another important part of Access Services is Information and Assistance. Area Agency has a Referral Specialist who assists the elderly population in finding the services in their community to meet their needs. It is a direct resource for older people and their families to contact for help with problems. If you need help from another agency, the specialist can assist you with the address or telephone number. Benefits counseling is also available for seniors who have questions concerning their current health care insurance coverage, including Medicare.
Case Management – Case management is a collaborative process of assessing, planning, facilitating, evaluating and advocating on behalf of individuals going through difficult situations. The case manager helps to address needs through available resources. Case management is available in all ten of the counties we service.
Case Management Resources
Power to Care – is a service offered during selected times of the year to assist with electric bills.
SNAP – is the food stamp program. Case managers can assist with the application process.
AAPD – is a Medicaid program designed to help individuals ages 21-64 and is specifically for the disabled. The service allows the consumer to direct their in-home care or receive in-home care through a traditional agency model.
ElderChoice Program – is designed to help individuals with needs for personal care, respite, homemaker, adult companion and PERS (Personal Emergency Response System). You must be 65 years or older to qualify for this service.
Adult Protective Services (APS) – is an agency to assist an individual in extreme need, in an unsafe environment or in a life-threatening situation.
Client Representation – is a service where the case manager provides assistance with applications for state and federal programs.
Senior Health Insurance Information Program (SHIIP) – provides free one-on-one counseling, education and information to individuals receiving or about to receive Medicare. SHIIP is funded by a grant from the Centers for Medicare and Medicaid Services. Information is available to answer your questions about Medicare, Medicare Supplemental Insurance, long-term care insurance and other health insurance issues. Based on your income, you may qualify for financial assistance with your insurance premiums.
Respite – is grant monies that provide a temporary relief for the caregiver providing 24-hour care. Grants are approved on the basis of eligibility and the availability of funds.
Targeted Case Management – is a service provided to qualified individuals through the Medicaid program. A case manager is assigned to assist in carrying out the goals on your care plan to meet your needs.
Home Health – Home health covers a ten-county area. We service Arkansas, Ashley, Bradley, Cleveland, Chicot, Desha, Drew, Grant, Jefferson, and Lincoln counties. Skilled care is a service provided to meet the medical needs of patients of all ages ranging from observation and assessment of medical conditions.
Communication with attending physicians and healthcare providers to providing medical skills that include medication management, intravenous infusion, wound care and physical therapy. All of these services are performed in the patient’s residence.
Agency Attendant Care – Agency attendant care assists with the tasks of daily living based on need and approved by a physician. The agency supervises the attendant.
Adult Companion – Adult companion services include non-medical care, supervision and socialization services provided to an adult who is functionally impaired. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping.
Homemaker – Homemaker services provide basic upkeep and maintenance of the home and household assistance such as: menu planning, laundry, meal preparation, simple household tasks, essential shopping and errands.
Home Meds – This program provides free prescription drug interaction detection through the nursing staff for those that are willing to provide all drug information.
Personal Care – Personal care services are hands-on assistance with activities for daily living (ADL’s), feeding toileting, selecting proper attire, grooming, maintaining continence, dressing and bathing.
Alternatives for Adults with Disabilities (AAPD) – Long-term services and supports are provided through this Medicaid waiver program to individuals under age 65, but at least age 21, who have a physical disability and live at home.
Individuals enrolled in AAPD are eligible to receive full rang Medicaid services plus the following services. Attendant care services, Environmental Accessibility Adaptations/Equipment and Case Management.
Information and Assistance – This program provides free information and Guidance pertaining to services and programs available to assist the older and disabled individuals. Our goal is to match needs with programs, services and resources in the area.
Community Services – Community Services are for individuals that are 60 years old, disabled or veterans. Community services assist with the needs of individuals through the use of community resources, support groups and fan drives.
The Alzheimer’s Support Groups and the Crime and Victim’s Support Groups meet monthly. The Alzheimer’s Support Group educates caregivers and the community about this complex disease. Guest speakers discuss techniques and life experiences to help individuals understand the disease, prevent caregiver burnout, provide cognitive stimulation and maintain mental and physical health.
Personal Emergency Response System – Personal Emergency Response System (PERS) is a 24-Hour, seven-day-a-week, in home electronic support system that provides two-way verbal and electronic communication with and emergency control center. It enables individuals who are elderly or home-bound to secure immediate help in the event of a physical, emotional or environmental emergency.
Ombudsman – The Ombudsman Program is an advocacy program for individuals in nursing homes, adult daycare's, assisted living facilities and other residential care facilities. If you think your rights, the rights of a loved one or friend have been violated; call the regional ombudsman in your area.
There are all types of volunteer jobs available throughout the Agency in all counties depending on the times you are available and your specific interests and talents.
You may volunteer to:
* Deliver meals to the home-bound.
* Present programs or entertainment at Senior Centers or at special meetings.
* Transport the elderly and handicapped.
* Help in fund-raising events.
* Work in the administrative offices (answering the phone, typing, filing, etc.)
* Visit nursing home residents in the Long Term Care Ombudsman program.
* Help frail elderly with home chores and handyman services.
* Or choose among many other supportive opportunities.
Material Aid – Helps to provides goods to meet or prevent an imminent emergency. For example, you can purchase necessities for someone whose home has been destroyed by fire, or the distribution of items: such as clothing, smoke detectors, eyeglasses or security devices.
Transportation – Southeast Arkansas Transportation (SEAT) started in April, 1993 with three vans, three drivers, and a handwritten daily schedule. Today, SEAT makes an average of 1100 one-way trips per day, employs 126 people including 101 well-trained professional drivers operating 114 vans, with 81 being accessible for riders with physical disabilities.
SEAT offers demand-response rural public transportation for citizens of all ages and serves 14 counties in Southeast Arkansas. Riders may access services by riding SEAT locally or from Southeast Arkansas anywhere within our service area and return. SEAT also offers round-trip transportation into Mississippi and Louisiana on a limited basis.
SEAT coordinates services with Pine Bluff Transit as needed. For a nominal fee we transport citizens shopping, appointments, to and from senior centers, and provide Medicaid non-emergency transportation throughout our service area.
Reservations are needed at least 48 business hours in advance to allow planning for efficient use of resources.
Full Schedule Limited Schedule
Arkansas Desha Calhoun
Ashley Drew Dallas
Bradley Grant Lonoke
Chicot Jefferson Union
VA – This program is designed to assist veterans with their personal care and health needs.
Memorial/Honorarium Program - The Area Agency on Aging of Southeast Arkansas accepts many forms of payment for certain services, such as Medicare, Medicaid and private insurance. However, sometimes a person in need of help has none of these. Thanks to the generosity of others through the Agency’s Memorial/Honorarium Program, these persons are able to receive the needed services. Other uses for donations include emergency assistance, such as utility assistance and purchases of fans and direct provision of services like home delivered meals.
Private Pay - The Private Pay Program was developed to provide agency services to those individuals who do not meet the qualifications of Medicaid or Medicare, or have a personal insurance policy to help augment the cost of medical services needed.
All agency services are available through the Private Pay Program.
Living Will - A Living Will is a document that tells others of your wish to be allowed to die a natural death – if you should become unable to express your wishes in the future. The Living Will tells medical professionals and members of your family to what extent special means should or should not be used to keep your body alive if you are incurably ill. The Will allows you to refuse certain medical procedures that may only prolong dying, or maintain the body in an unconscious state. The Living Will is to be used only if you become terminally ill or permanently unconscious.
If you would like more information about Living Wills and/or would like a copy of one, please contact the Area Agency of Southeast Arkansas at 543-6300 or 1-800-264-3260.
Medicare Savings Programs
Since 1988, several laws have been passed requiring states to provide savings to certain Medicare recipients through the state’s Medicare program. The categories enacted are listed below provide Medicare Savings by paying the premium or a portion of the Medicare premium, and possibility the Medicare deductibles and coinsurance. Except for AR Seniors, the categories listed below do not pay for the full range of Medicaid services.
AR seniors - For QMBs aged 65 and older who have lower income. AR Seniors provides full Medicaid coverage. It is the only coverage group in the Medicare Savings categories that provides full range Medicaid benefits.
Qualified Medicare Beneficiary (QMB) - Medicare recipients who are over the regular Medicaid income limit may be eligible for QMB to pay their Medicare premiums, deductible, and co-insurance.
Specified Low-Income Medicare Beneficiary (SMB) - Medicare recipients that are over the income limits for regular Medicaid and QMB may be eligible for SMB. SMBs are eligible for the payment of Medicare Part B premiums only. No other Medicare cost sharing changes are covered.
Qualified Individual – (QI-1)-Medicare recipients that are over the income limits for regular Medicaid, QMB, and SMB may be eligible for QI-1. These individuals may be eligible for the payment of Medicare Part B premiums only.
Medicaid is a joint federal and state program that provides limited services and contributes toward the cost of medical care for eligible persons. In Arkansas, Medicaid is administered by the Department of Human Services, Division of Medical Services.
The following Medicaid categories apply to Arkansans who are elderly and have disabilities. The department of Human Services has set up concise guidelines to follow when determining your eligibility for Medicaid. For assistance in applying or for additional information, visit www.medicaid.state.ar.us or www.arkansas.gov/dhs/dco the Area Agency on Aging office or Department of Human Services office. The Department of Human Services has set up concise guidelines to follow when determining your eligibility for Medicaid. Applicants with Medicare Part B need to be sure to count their premium as part of their income.
Supplemental Security Income - A person who is eligible for SSI is automatically eligible for Medicaid.
Pickle Amendment (COLA) Medicaid - Former SSI Recipients may re-qualify for Medicaid by disregarding their Social Security cost-of-living adjustments or COLAs. The Pickle Amendment is a federal law that helps former SSI recipients qualify for Medicaid, disregarding all of the Social Security cost-of-living-adjustment since SSI ceased. This adjustment helps some low-income Medicare beneficiaries regain Medicaid coverage, which assists in paying medical services not covered by Medicare.
Living Choices (Assisted Living) - A Medicaid home and community based waiver program that will provide 24 hour supervision and support services including limited nursing services in a congregate setting to individuals aged 65 of older, or 21 years of age of older that are blind and disabled.
Independent Choices – A Medicaid service for Medicaid eligible individuals aged 18 and above who have a medical need for personal care services and choose to direct their own care.
Nursing Home Care - It is a category of Medicaid to pay for nursing home care.
Money Follows the Person (MFP) – Money follows the person is a demonstration grant for individuals who are Medicaid eligible and live in a nursing facility. The individual must have a strong desire to move back into the community and receive home and community-based services of their choice.
Medicaid Eligibility for the Aged, Blind and Disabled - The following is designed to help determine eligibility for Medicaid programs. For assistance in applying, contact either your local Department of Human Services office or the Area Agency. The Department of Human Services has set up concise guidelines to follow when determining your eligibility for Medicaid. Applicants with Medicare Part B need to be sure to count their premium as part of their income.
Medically Needy Spend Down-This Medicaid category provides temporary coverage for the Aged, Blind and Disabled persons with high medical expenses who would not normally qualify for Medicaid because of their income. Applicants may deduct medical expenses incurred during a three month Spend Down period, plus other old, unpaid medical bills to reduce their countable income to below the Medically Needy income limits.
Medical expenses can include Medicare and other insurance premiums, deductibles, co-payments and private pay nursing home bills, as well as doctor, hospital and prescription bills not covered by insurance.
The Spend Down period (three months) can go back as far as the three months prior to the month of application, after the deductions of medical and other expenses that have been applied. These bills used to spend down to income eligibility will not be paid by Medicaid. To make application, apply at your local Department of Human Services office.
Working Disabled- Medicaid for individuals with disabilities and disabling medical conditions who support themselves by working rather than by disability benefits such as SSI and Social Security Disability.
To qualify, an individual must be aged 18-64, have a disability, and work. Unearned income, such as Social Security Disability or workers compensation, cannot exceed the SSI benefit plus $20. However, the limit on income from working is much higher, and the income of the spouse is not counted.
Apply for Workers with disabilities at the local Arkansas Department of Human Services County office. It is considered Medicaid Category 10. Application form DCO-950 is used for applying for Workers with Disabilities.
SSI & Social Security –The applicant must be 65 years of age, blind or disabled. Applications for SSI (Supplemental Security Income) can be made at your local Social Security office. SSI recipients automatically qualify for Medicaid benefits.
Medical Need Eligibility– All Medicaid programs require that the individual be in medical need of the services provided to participate in that service.
ElderChoices/Adult Family homes, Alternatives for Adults with Physical Disabilities, Pace, Living Choices and nursing Facilities require that the individual meet the nursing home level of care as determined by the Office of Long-Term Care.
Personal care and Independent Choices require that the individual’s attending physician authorizes the need for personal care services.