Community Choices

Coastal Care Services LLC || Family Support Coordinators (FSC)
EarlySteps Child Care || Senior Care || Adult Day Care Waiver || ADHC || CCW

Available through Mandeville Location only

What is the Community Choices Waiver Program?

The Community Choices Waiver (CCW) serves seniors and persons with adult-onset disabilities as an alternative to nursing facility care. Based on a standardized assessment, each recipient is provided a budget based on acuity to create an individual service package. The CCW contains a wide array of services including support coordination, nursing and skilled therapy assessments and services, in-home monitoring systems, home modifications and assistive technologies, personal care, home-delivered meals, and caregiver respite. A variety of health services are offered based on need and appropriateness. 

Please note that this program does not, by itself or in combination with other OAAS programs, provide support 24 hours a day.

Who can qualify for services?

  • Individuals who meet Medicaid eligibility AND
  • Are 21 years old or older AND
  • Meet Nursing Facility Level of Care

If I qualify, what services may I receive from this program?

  • Support Coordination (also known as case management)
  • Transition intensive Support Coordination (provided to people moving out of nursing homes)
  • Transition Services (provided to people moving out of nursing homes)
  • Personal Assistance Services (supervision or assistance with basic self-care activities or tasks such as dressing, bathing, preparing meals, and so forth. Though usually provided one-on-one, personal assistance may be provided by one worker for up to 3 waiver participants who live together and who use the same direct service provider).
  • Adult Day Health Care Service (health/medical and social services provided in a community-based center)
  • Environmental Accessibility Adaptations (home modifications to aid in self-care)
  • Assistive devices and medical supplies
  • Skilled Maintenance Therapy Services (Physical, Occupational, and Speech Therapies)
  • Nursing Services
  • Home-Delivered Meal Services
  • Caregiver Temporary Support Services (respite care for family caregivers)
  • Housing Stabilization Services
  • Housing Transition / Crisis Intervention Services
  • Monitored In-Home Caregiving
 Limits Reissued January 23, 2023 by the LA Department of Health ***Financial limits are subject to change from year to year***

What are the 2023 Monthly Income Limits?

The income limits are $2,742 for an individual and $5,484 for a couple (when both spouses need long-term care). However, there is a “Waiver Spend-down” option which allows your eligibility to be considered even if your income is over the limit. Waiver Spend-down has a standard $20 income deduction. $65 and 1⁄2 of the remainder is also deducted from all earned income. After the income deductions are applied, the average monthly waiver rate (currently $5,000 for OAAS waivers) and other allowable incurred medical expenses are used to “spend down” an individual’s excess income, qualifying the individual for Waiver. Allowable incurred medical expenses include Medicare and private health insurance premiums, deductibles, coinsurance, or copayment charges, and medical/remedial care expenses incurred by an individual that are not subject to payment by a third party. An individual qualifying under Waiver Spend-down may have to pay towards the cost of his/her care. The individual’s liability is based on their income after the income deductions are applied. All individuals are allowed to retain a basic needs allowance from his/her income which is equal to $2,742 and the amount of incurred medical expenses not paid by a third party. Any remainder will be the individual’s liability for the cost of care in Waiver Spend-down.

What are the 2023 resource limits?

Resources are the things people own. When we count resources for this program, we do not count the person’s home, the car they drive to medical appointments or other basic resources.
  • Single people can have no more than $2,000 in resources. Couples can have no more than $3,000 in resources when both spouses need long-term care.
  • Married couples can have up to $148,620 in resources as long as one spouse at home DOES NOT get long-term care services.

How can people request Community Choice Waiver Services?

First step, contact us at Coastal Care so our Family Support Coordinators can guide you through this process.
The Department keeps a Community Choices Waiver Request for Services Registry (RFSR) (waiting list) of people who have asked for these services, along with the date of the request. Persons are offered the Community Choices Waiver according to the following priority groups:
  1. People with abuse or neglect referred by protective services who, without Community Choices Waiver services, would need institutional placement to prevent further abuse and neglect.
  2. People diagnosed with Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease.
  3. People who are residing in a State of Louisiana Permanent Supportive Housing unit or who are linked to the State of Louisiana Permanent Supportive Housing selection process.
  4. People admitted to or residing in, a nursing facility who have Medicaid as the sole payer source for the nursing facility stay.
  5. People who are not presently receiving home and community-based services under another approved Medicaid program, including, but not limited to: Program of All-Inclusive Care for the Elderly (PACE); Long Term-Personal Care Services (LT-PCS) and/or any other 1915(c) waiver.
Everyone else will get an offer for services on a first come, 
first-served basis by the date of request.

***Community Choices Waiver expedited opportunities may also be given to qualified Long Term- Personal Care Services (LT-PCS) participants.

Louisiana Coastal Care’s certified Support Coordinators will assist families with the following:

  • Completing accurate assessments that are thorough and comprehensive
  • Completing person-centered Comprehensive Plans of Care that are accurate and complete
  • Coordinating and monitoring services within the client’s allowable budgets
  • Making recipients aware of their rights and ensuring rights are protected
  • Coordinating formal and informal resources that are needed and appropriate
  • Encouraging problem-solving with providers when issues arise
  • Being available 24 hours per day for recipient crisis

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