Medicaid Programs & Waivers
Medicaid is health insurance for low-income and disabled individuals and seniors. Medicaid care was originally provided as institutional care, but now also covers a variety of services and benefits in ones home and community. This is to prevent and / or delay nursing home placements. In Illinois, there are two managed care health plans that are relevant to the elderly.
1) HealthChoice Illinois is for Medicaid eligible state residents of all ages, as well as those who are dual eligibles, meaning they are enrolled in both Medicaid and Medicare. Via this program, long-term care services are available and include assistance with Activities of Daily Living , such as bathing, grooming, and mobility, home health care, and adult day care. This program has lower income limits than do the HCBS Medicaid waiver programs. Learn more about program eligibility and benefits.
2) Illinois Medicaid-Medicare Alignment Initiative is intended for disabled individuals and seniors who receive both Medicaid and Medicare benefits. This health plan streamlines the services from both programs, allowing program participants to receive all services via one plan. Adult day care, personal care assistance, personal emergency response systems and other long-term supports are available via MMAI. Unfortunately, this program is not currently available statewide. To see where MMAI is available, .
- Personal care assistance
Illinois Nursing Home Care Rules And Regulations
Nursing homes in the state are regulated by the Illinois Department of Public Health. This agency is responsible for ensuring that nursing homes comply with all laws, regulations and certification requirements. It also conducts more than 1,300 on-site inspections each year to evaluate nursing homes’ procedures, policies, equipment, finances and overall quality of care. Following is a list of some of the major requirements that Illinois nursing homes need to meet.
Does Medicare Cover In
In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as Home Healthcare. There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.
Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare for more in-depth information, refer to our Guide to Home Healthcare.
As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesnt cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when theyre provided in conjunction with home healthcare
Also Check: Barclay Nursing Home Cherry Hill
How To Find An In
Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide youre placing a lot of trust in the hands of the person by inviting them into your home, so youll want to be diligent in your search. At Caring.com, were here to help weve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.
About Petersen Health Care
It is the mission of each Petersen Health Care facility to be great community partners. All Petersen Health Care homes are encouraged to host community activities and participate in fundraisers for the good of the community and local organizations. Petersen Health Care is recognized as a leader in the industry for community participation.
- That the staff must be accessible, perceptive and open to recognize needs and to provide care for residents.
- That involvement with significant others is beneficial to residents, family members and staff in planning and providing quality care.
- Although a person may lose the ability to function as before, that person still possesses this unique quality which must be recognized and respected.
- That each person possesses unique qualities, which make up a distinct personality.
- That a person is unique, deserving of dignity and respect.
- That all aspects of a person must be considered: physical, mental, spiritual and social, when assessing and providing care for all individuals.
You May Like: What Degree Is Registered Nurse
Other Financial Options For Care
In addition to the state specific options that help pay for care, there are many non-profit and federal options. Use our Resource Locator Tool to find other programs that help pay for or reduce the cost of care. There are also programs that help veterans with assisted living and there are eldercare loans available in Illinois.
The First Step In Finding The Right Long
Make a list of long-term care facilities in your area that seem to fit the needs and preferences of the person who needs care. The more choices you have, the better your chances of making the best selection. Start with the yellow pages of your phone book. Other possible sources of information are the local health department, senior citizen groups, the local Social Security office, Department of Human Services local office, and your physician, clergyman, relatives and friends. No single individual or group can supply complete information about all possible homes.
No. You can eliminate some by making a few telephone calls to determine whether a home actually provides the kind of care that is needed and, if you are depending on that kind of help, whether the facility participates in Medicare or Medicaid. Be aware that not all facilities will have vacancies for new residents.
Most homes display their licenses and certificates. Never accept someone’s word that certificates exist. Ask to see them and take time to examine them. Be sure they are current. The more important documents include:
When visiting a facility, ask to see the latest state survey report of how it met the state standards set by law.
In addition, the facility also is required to post a list of materials available to the public for inspection. These documents include:
Also Check: Premier Nursing Academy Fort Wayne
Home Care Waiver Programs In Illinois
For seniors with limited financial resources, several waivers and programs help pay for some services offered in-home care. While these waivers wont assist with the cost of housing or utilities, they do provide help with most daily care.
The SLP serves as an alternative to nursing home care for seniors on low incomes who prefer to live independently and take part in the decision-making process involving their own care. The SLP pays for services such as homemaking, laundry, medication assistance, social and fitness activities and meals. The program is open to all seniors aged 65 and older and those 22 and older with a disability who require nursing home care.
HealthChoice Illinois is a health partner plan through the Department of Healthcare and Family Services that provides guidance to seniors with personal care coordination and when making health choices. The service provides a 24-hour nursing helpline. Program enrollment is open to all Medicaid recipients.
The Persons Who are Elderly program helps pay for in-home services, adult day services and emergency response systems for seniors aged 60 and older who are Medicaid-eligible and at risk of being placed into nursing home care.
Cms Nursing Home Database
This database provides information about the performance of every Medicare and Medicaid certified nursing home in Illinois based on the most recent state inspection. The database also contains information reported by the nursing homes prior to the last state inspection, including nursing home and resident characteristics.
Also Check: Average Cost Of Nursing School In Florida
How To Select A Nursing Home
When a person can no longer live independently, a decision must be made about the best alternative arrangement for care. Such a decision often must be made during a time of crisis, frequently when the person is ready to leave the hospital after a serious illness or operation. This booklet serves as a guide for those faced with the test of selecting an appropriate care setting for a person who no longer is able to live independently.
Quarterly Reports Of Nursing Home Violation
This report contains a listing of disciplinary action initiated by the Illinois Department of Public Health in the last quarter against facilities that have been determined to be in violation of the Nursing Home Care Act, or have been recommended for decertification to the Illinois Department of Public Aid or the U.S. Department of Health and Human Services.
Recommended Reading: Cybertex Vocational Nursing Austin Tx
Cost Of Illinois Nursing Homes
According to the 2015 Genworth Financial cost of care survey, the average cost of skilled nursing in Illinois is $5,399 per month.
The monthly base rate for Illinois nursing homes is typically lower when compared to neighboring states. Illinois is also less expensive compared to the national average.
This cost is the base cost for a in Illinois. Additional fees beyond the base rate may apply.
The rate for a is typically higher. In Illinois, the average cost is $6,205.
How To Apply For Medicaid In Illinois
To apply for Medicaid, families and seniors can use Illinoiss Application for Benefits Eligibility to apply online, or they can call the ABE Customer Care Center at 843-6154. If individuals prefer to apply in person, they can use the locator tool to find the nearest office of the Illinois Department of Human Services. In addition to providing an online eligibility screening tool, the website also allows users to apply for additional benefits, such as SNAP benefits and the Medicare Savings Program . To prepare for the application process, loved ones and seniors will need to gather pertinent information to successfully complete their applications.
Information You Will Need:
Along with a full list of nursing homes throughout the state, Illinois Care Planning Council provides information about local Agencies on Aging and local providers that can be searched by category, such as financial consultations and caregiving management. The website also publishes articles featuring topics, ranging from saving money to long-term planning advice, that are provided by the National Care Planning Council.
Recommended Reading: Best Nursing Specialties For New Grads
Skilled Nursing In Central Illinois:
Today, Dr. Rossis commitment to delivering unparalleled senior care continues. Thanks in part to a memorial gift from the Elmer and Viola Hillman estate, an addition to the original nursing home was built in August of 2001. The original nursing home was replaced in 2018 with a modern 33 bed facility that has additional sitting rooms and a large modern dining room.
The Hillman Pavilion wing offers 26 private rooms for a total of 59 homelike rooms all designed with our residents comfort in mind. In addition, Hopedale Nursing Home is conveniently located for family and friends. Situated in the beautiful and peaceful community of Hopedale, Illinois, Hopedale Nursing Home is only 30 minutes from Peoria, Bloomington, Pekin, and Lincoln.
The Nursing Home 2019 Survey by the Illinois Department of Public Health was completed and HMC NH was found to be in compliance with all regulations, thus receiving NO TAGS ! The Hopedale Medical Complex is very proud of our caring, compassionate staff, which has served Hopedale since 1957. We hope that the new renovation will help keep our property one of the best kept secrets in Illinois.
Rehabilitative and Extended Nursing Care – Serving Tazewell, Peoria, McLean, Mason and Logan counties.Call us for a tour: 309-449-4145
Meet The Executive Director
Welcome to the website of White Hall Nursing and Rehabilitation Center, LLC. My name is Peggy Turke, and I serve as the facilitys Executive Director. Im happy you are taking the time to visit our website sow e can show you all of the exciting things going on at our facility. We are confident that our home has everything you need to ensure a pleasant, comfortable and enjoyable stay, whether short-term, long-term or needing Memory Care for a loved one. Here at White Hall Nursing and Rehabilitation Center, LLC, we take great pride in serving Greene County and surrounding communities. I encourage you to explore our site to learn more about all of our wonderful services, and hope that you stop by to see us for a tour. Wed love to speak to you!
You May Like: Medlife Nursing School In Florida
Medicaid Eligibility In Illinois
The Department of Human Servicess Family Community Resource Center handles applications for both Medicaid and Medicaid HCBS Waivers. Individuals can find a local FCRC office using their website. Medicaid applications can take up to three months to process and can take even longer if the applicant is denied and has to reapply. For this reason, it is important for individuals to determine their eligibility before applying.
Income limits for both single applicants and couples with one person applying are $1,073 per month with asset limits of $2,000. If both spouses apply, then the asset limit is $3,000.
2022 Medicaid Income Limits for Seniors in Illinois
Annual Income Limits
$2,000 for applicant & $109,560 for non-applicant
In addition to financial eligibility, families and seniors must meet other requirements to qualify for Medicaid and affiliated programs, such as proof of residency. Other qualifying factors include:
- Military discharge documentation, if applicable
- Citizenship papers, such as birth certificates or green cards
- Proof of Medicare coverage
Free Nursing Home Resources For Seniors In Illinois
The following resources are available to help seniors and families address challenges that may come with the need for nursing home care in Illinois. These organizations offer everything from care coordination and benefits counseling to abuse reporting and general information.
The Department of Human Services manages a variety of programs, including nutrition assistance and in-home care services, that may be helpful to seniors in nursing facilities or who are at risk of nursing home placement. Agents can also help older adults apply for benefits through the ABE portal and answer questions about eligibility and coverage options. IDHS has offices throughout the state.
You May Like: Mercer University Nurse Practitioner Program
Illinois Medicare Support & Resources
There are federal, state and private organizations that can help families apply for Medicare benefits and find service providers that accept coverage.
SHIP in Illinois operates the Good Start Medicare resource, which provides detailed information about who’s eligible for Medicare and how to access benefits. It operates a helpline intended to guide seniors in unique circumstances to their best coverage options. SHIP counselors can work with seniors directly to ensure access to health care that meets their needs.
The Villa At Windsor Park
The Villa at Windsor Park is a nursing and rehab venue on Chicagos South Side. Clinical liaisons meet with patients and families at the hospital before discharge and have working relationsh…Learn more
The Villa at Windsor Park is a nursing and rehab venue on Chicagos South Side. Clinical liaisons meet with patients and families at the hospital before discharge and have working relationships with physicians, nurses and discharge planners from all the area hospitals. Anticipating the needs of the most discerning guest, The Villa at Windsor Park intersects customized health care with personalized attention.
Also Check: Nurse Corps Loan Repayment Program
Local Nursing Homes Fined By State
CENTRAL ILLINOIS Several central Illinois nursing homes are being fined by the state.
The Illinois Department of Public Health released its 2022 second quarterly report. Showing nursing homes violating the nursing home care act.
Heres a list of nursing homes in Central Illinois who are being fined for a Type A violation. This means theres a strong likelihood that death or serious mental or physical harm to a resident will happen.
- ClarkLindsey in Urbana
- University Rehabilitation Center of Champaign Urbana in Urbana
- Gardenview Manor in Danville
- Arcadia of Danville in Danville
- Charleston Rehab and Healthcare in Charleston
- Country Health in Gifford
Find Out What’s Happening In Across Illinoiswith Free Real
This year’s list rated 720 facilities in Illinois.
To compile rankings, U.S. News analyzed public data available through the Centers for Medicare & Medicaid Services. Researchers looked at statistics on care, health inspections and staffing amid COVID-19 outbreaks, flu and pneumonia vaccination rates, infection control violations and more.
You May Like: Capital Community College Nursing Tuition
Who Regulates Nursing Homes
Nursing homes in Illinois are licensed, regulated, inspected and/or certified by a number of public and private agencies at the state and federal levels, including the Illinois Department of Public Health and the U.S. Department of Health and Human Services Health Care Financing Administration . These agencies have separate — yet sometimes overlapping — jurisdictions.
Welcome To Piatt County Nursing Home
Piatt County Nursing Home offers a variety of programs and services which serve senior adults. These services promote well-being while respecting the individuality and autonomy of each individual.
Healthcare services are offered in a community setting where compassionate care addresses personal needs. Senior adults benefit from knowing someone is there to assist them with day-to-day tasks.
Piatt County Nursing Home also offers other community-based services to help senior adults maintain their independence while living in their own home.
Piatt County Nursing Homes continuum of programs includes:
- Piatt County Nursing Home offers skilled and intermediate nursing care and respite care
- Maple Point offers an affordable assisted living lifestyle
- Piatt County Services for Seniors offers community-based services affiliated with the East Central Illinois Area Agency on Aging to connect seniors with available resources
Recommended Reading: Is Becoming A Nurse Practitioner Difficult