UPMC Community HealthChoices
Long-term services and supports (LTSS) help individuals live as independently as possible. LTSS is provided in a nursing facility or in an individual’s home and community. Services received at home and in the community are called Home and Community Based Services (HCBS). Services received are based on an individual’s needs, as documented in their person-centered service plan.
Home and Community Based Services covered by UPMC Community HealthChoices.
Adult daily living
Day services in a community-based center to help with personal care, social, nutritional, and therapeutic needs, 4 or more hours a day on a regular schedule for one or more days every week.
An item, piece of equipment, or product system to increase or maintain ability to communicate or do things for yourself as much as possible.
Counseling about whether having a job will increase your ability to support yourself and/or have a net financial benefit.
Review of your interests and strengths to identify potential career options.
Short-term services to improve self-help, communication, socialization, and other skills needed to live in the community, provided during life-changing events such as a moving from a nursing home, moving to a new community or from a parent's home, or other change that requires new skills.
Community transition services
One-time expenses, such as security deposits, moving expenses, and household products, for participants who move from an institution to their own home, apartment or other living arrangement.
Employment skills development
Learning and work experiences, including volunteer work, where the participant can develop strengths and skills to be able to get a job that pays good wages.
Physical changes to a participant’s home, such as ramps, handrails, and grab bars, to make the home safe and enable the participant to be more independent in the home.
Home health services
Services of a registered nurse or licensed practical nurse that are ordered by a doctor, which include diagnosing and treating health problems through health teaching, health counseling, and skilled care prescribed by the doctor or a dentist.
Services of an occupational therapist ordered by a doctor, which include evaluating a participant’s skills and helping to change daily activities so that the participant can perform activities of daily living.
Services of a physical therapist and ordered by a doctor, which include evaluation and treatment of a participant to limit or prevent disability after an injury or illness.
Home health aide
Services ordered by a doctor that include personal care such as help with bathing, monitoring a participant’s medical condition, and help with walking, medical equipment, and exercises.
Services of a licensed American Speech-Language-Hearing associate or certified speech-language pathologist and ordered by a doctor, which include evaluation, counseling, and rehabilitation of a participant with speech disabilities.
Support to help learn a new job and keep a job that pays. Could include helping the participant to develop natural supports in the workplace and working with employers or employees, coworkers, and customers to make it possible for the participant to have a paid job.
Helping the participant find and secure a job that fits their interests and abilities as well as the employer's needs.
Tickets, tokens, and mileage reimbursement to help a participant get to community and other activities.
Participant-directed community supports
Services and support for participants who want to direct their services, hire their own workers, and keep a budget for their services under Services My Way, which include helping the participant with basic living skills such as eating, drinking, toileting; and household chores such as shopping, laundry, and cleaning; and help with participating in community activities.
UPMC Community HealthChoices
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