Anyone interested in learning more about their options for long-term care, including applying for Family Care or Partnership, should contact their local Aging and Disability Resource Center (ADRC). Resource center services are available to everyone, whether or not they are eligible for Family Care or other Medicaid programs.
To be eligible for Family Care a person must have long-term care service needs, be an older adult or an adult with a disability, live in a Family Care county, and meet financial eligibility requirements. Medicaid-eligible individuals automatically meet the financial eligibility criteria for Family Care. People receiving the Family Care benefit may be required to pay a cost share to their Managed Care Organization (MCO).
There are three steps to determine eligibility and enrollment in a Family Care MCO. The ADRC helps people with each step.
- The ADRC will visit the person and complete the Long-Term Care Functional Screen to assess the person's level of need for services and functional eligibility for the Family Care benefit. Once the individual's particular needs for long-term care are determined, the ADRC will provide advice about the options available to him or her. Options may include enrollment in Family Care, Partnership, IRIS or a different long-term care program. Or the person could choose to receive services through the Medicaid fee-for-service system, or to privately pay for services.
- If the person is interested in Family Care or another Medicaid program, the ADRC will help the person contact an income maintenance agency to determine financial eligibility.
- Once functional and financial eligibility is established, the ADRC notifies an "enrollment consultant" to contact the person, either by phone or in person. The enrollment consultant makes sure the person understands what it means to become a member of the MCO, and that he or she understands all the options for long-term care available. If the person decides on Family Care, the resource center finishes the enrollment process and notifies the MCO of the enrollment date.