ServicesWe are proud to offer the following home care services:
Consumer Directed Personal
Assistance Program (CDPAP)
CDPAP is a Medicaid service that ANGELS in Your Home offers in Monroe, Ontario, Orleans, and Yates counties. CDPAP is an alternative to traditional home health care services. This program allows the consumer (person receiving services) to have more control over their care.
The consumer or a designated self-directing other (SDO), usually a family member or friend, supervises the direction of care, hiring and termination of attendants, and coordinating schedules. The consumer or the SDO selects an approved agency to act as the fiscal intermediary. As an approved Agency, ANGELS in Your Home is responsible for paying staff, providing adequate liability insurance, and offering employee-related benefits.
This program offers great flexibility to consumers as it does not require our staff to be certified as a Home Health Aid (HHA) or Personal Care Attendant (PCA). Because the consumer can direct their own care, the program allows attendants to be anyone the consumer can offer direction.
Another benefit to being enrolled in CDPAP is that the consumer can hire almost anyone to work with them, regardless of experience. Attendants must be legally able to work in the US, be at least 18 years of age, and not live with the consumer. Most family members can even work with consumers including adult children and sons-in-law and daughters-in-law. State regulations only prohibit the consumer’s spouse or parent from being their attendant.
Furthermore, CDPAP attendants can perform “skilled” duties that cannot be provided by HHAs or PCAs such as suctioning tracheotomies, insulin injections, and administration of oxygen, or medications that the consumer cannot self-administer.
Personal Care Assistance (PCA)
The PCA program is a Medicaid program that covers home care services that are typically considered “non-skilled”, however, a certified aide provides services to the client.
Aides can provide personal care such as toileting, showering, dressing, errands, grooming, and light housekeeping (activities of daily living). However, they cannot administer medications or assist with other treatments prescribed by physicians.
PCAs are supervised by a Registered Nurse, who ensures that the plan of care as determined by county nurses is followed, and the personal care needs of the client are met.
In order to qualify for this service, you need to be a Medicaid recipient, a referral must be made to your county’s Department of Human Services. You can independently make a referral or you can call the staff from ANGELS in Your Home to assist you.
Nursing Home Transition and
Diversion Waiver (NHTD)
The NHTD Waiver is a Medicaid program designed to assist individuals with disabilities and seniors that are at risk of going into a nursing home, or for people that live in a nursing home and want to live in the community.
This Waiver is structured around each person’s strengths, needs, choices and goals. Each individual makes decisions around their services and care, which leads to greater fulfillment and greater independence.
The unique services offered through this Waiver allow people to take control of their lives, work with service providers to ensure they can successfully live in the community and avoid nursing home placement.
Home and Community Support
HCSS is a discrete service available to participants of the NHTD Waiver when oversight and supervision is needed to help the participant maintain their health and welfare. Oversight and supervision is often delivered in the way of prompting, cuing, directing, and suggesting. HCSS staff can also provide personal care to participants.
Furthermore, HCSS can be used to assist participant to accomplish their daily activities, such as light housekeeping and activities of daily living. HCSS can be used to provide personal care needs such as bathing, toileting and dressing.
The TBI Waiver is a Medicaid program designed to assist individuals with traumatic brain injuries who want to live in their community and require support to maintain independence.
The TBI Waiver is structured around each person’s strengths, needs, choices, and goals. Each individual makes decisions around their services and care, which leads to greater fulfillment and independence.
The unique services offered through this Waiver allow people to take control of their lives and work with service providers to ensure they can successfully live in the community and avoid nursing home placement.