These facilities represent a tenant-landlord relationship where the owner/operator has no responsibility to supervise or provide personal care. This type of housing generally does not include supportive services to address the special needs residents. Independent apartments are not licensed or monitored by government housing agencies.
Choices in independent senior housing are available as private pay, HUD subsidized housing and Section 8 Certificates.
Independent Housing
Housing Advocacy/Support
Housing Financial Support
Housing Repairs
The Safe Homes Program (formerly OASAS) is looking for clients to help!
We are getting towards the end of our waitlist and need people to give free home safety modifications to! There are no liens put on the home, no after-completion stipulations, and you pay nothing! We provide 100% free modifications to promote safety, independence, and accessibility.
Requirements:
1. Must be 62 or older
2. Must live in Wayne, Ontario, or Cayuga County
3. Must own your home and live in it
4. Must be income eligible
Examples of what we can do include:
• Handrails
• Grab bars
• Certain types of ramps
• Repair of broken exterior steps
• Repair of uneven parts of flooring
• Storm door replacement
• Motion sensor lighting
• Lever-handled door handles and faucets
• Comfort height toilets or raised toilet seats
• Tub transfer benches and chairs
• And so much more!
Call (315) 333-4155 ext. 3120, or email us
For more information on all of our programs, visit fingerlakescommunityaction.org
Housing Safety Resources
Independent Housing Applications
Independent Senior Housing
Assisted/Supportive Housing
Assisted Living Programs (ALP): provide residents of adult care facilities and enriched housing programs with nursing home level of care. These programs allow residents to remain in their current environment (age in place) if they require additional medical or personal care services. The New York State Department of Health’s Office of Continuum Care licenses this program.
ALP Payment type: Medicaid may be accepted to support care and services in this type of licensed assisted living - an Assisted Living Program. The resident is required to spend available private resources, down to a fixed amount that is adjusted yearly, before qualifying for Medicaid. Different rules apply to single individuals versus married couples. Some Long-Term Care insurance policies cover a portion of the cost of this type of program.
An entity that uses the term “assisted living” must be licensed and regulated by the State and must provide or arrange for the following:
• On-site monitoring 24/7 monitoring
• Daily food service
• Personal care services and home care services including help with grooming, dressing, bathing and eating (either directly or indirectly)
• Case management
• Housekeeping/laundry
• Activities and recreational opportunities
• Medication assistance and medication supervision.
It is very important to ask what type of personal care service is provided; some Assisted Living Residences include a minimum of personal care related services (e.g., daily dressing and weekly bath assistance) in the monthly rent, but charge extra fees, by the hour or by a flat fee, for assistance above and beyond the base level of care provided. Medication management may also be charged as an additional fee. In general, individuals who may live in an ALR are those who:
• Have needs that can be safely met;
• Can accept direction from others in time of emergency;
• Do not have a medical condition that requires 24-hour skilled nursing or medical care;
• Are not a danger to themselves or others;
• Do not chronically need the assistance of another person to walk, transfer, or descend stairs. (This requirement does not apply if the ACF/ALR provider is additionally certified as an Enhanced Assisted Living Residence and other conditions are met.)
Nursing Homes
Nursing Home Alternatives
Consumer Directed Personal Assistance Program (CDPAP)
The Consumer Directed Personal Assistance Program (CDPAP) is a statewide Medicaid program that provides services to individuals who have a medical need for help with activities of daily living or skilled nursing services. Recipients have flexibility and freedom in choosing their caregivers, and are responsible to hire, train, supervise and fire personal care aides. State regulations prohibit a spouse or parent from being hired as the CDPAP aide but allow some extended family members such an adult child, son/daughter-in-law or niece/nephew.
Eligibility:
• Adults age 18 and older with a chronic illness or diagnosis
• Eligible for nursing home level of care
• Eligible for Medicaid coverage
• Physician order for services to the local social services district, which then completes a social and nursing assessment
• Capable of safely residing in the community
http://www.health.ny.gov/health_care/medicaid/program/longterm/c dpap.htm
Department of Human Services Home Care Services Unit (HCSU) Intake Line: (585) 753-6445
Nursing Home Transition and Diversion Medicaid Waiver Program (NHTD)
The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver uses Medicaid funding to provide supports and services to assist individuals with disabilities and seniors toward successful inclusion in the community. Waiver participants may come from a nursing facility or other institution (transition), or choose to participate in the waiver to prevent institutionalization (diversion).
Eligibility:
• Adults age 18 and older with a physical disability
• Eligible for nursing home level of care
• Eligible for Medicaid Community-Based Long Term Care
• Capable of living in the community with assistance from available supports and programs
• Not participating in another HCBS waiver
http://www.health.ny.gov/facilities/long_term_care
NHTD Regional Resource Development Center Rochester Regional Health St. Mary’s Campus: (585) 368-3766
Housing Programs
Enriched Housing Program: A program that provides older adults with an apartment type setting, with a package of services that includes meals, housekeeping, homemaking/chore, shopping, and transportation, social activities, some personal care services, and may include medication administration. There are two models of Enriched Housing Programs. The first operates in a freestanding building for all residents in the building. The New York State Department of Health’s Office of Continuum Care licenses this type of program. The second model of Enriched Housing Programs provide the package of services for a limited number of residents in an older adult or age-integrated apartment building; these buildings are not licensed, however the Enriched Housing Program itself is licensed and regulated by the New York State Department of Health.
Enriched Housing Program Payment Type: Most enriched housing in Monroe County requires private payment, except for the programs operated by Family Services of Rochester. Supplemental Security Income (SSI), depending on individual eligibility, can fund these programs. Some Long-Term Care Insurance policies cover a portion of the cost of this program.
Adult Care Facility (Adult Home): Adult Care Facilities are often referred to as “Adult Homes”. They are licensed and regulated by the New York State Department of Health. Most ACFs offer private and semi-private rooms with private or shared bathrooms. ACFs provide the following services: meals, housekeeping, laundry/linen service, limited transportation services, social activities, some personal care, medication management, and 24-hour supervision. Some ACF’s have assisted living programs available (see below).
Adult Care Facility Payment Type: Many Adult Care Facilities accept only private payment while others require a fixed number of years of private payment. Some individuals may be eligible for Supplemental Security Income (SSI) funding depending on their income and resource levels. If monthly income exceeds the SSI limit, some facilities allow the individual to negotiate a fair rate. A few Adult Care Facilities allow residents without private resources to obtain SS funding upon admission. Some Long-Term Care Insurance policies cover a portion of the cost of this level of care.
Memory Care Facility or Unit: This type of facility or unit is specifically designed to meet the needs of individuals with Alzheimer’s Disease or other dementia conditions. There are freestanding facilities as well as special units within an adult care facility, enriched housing program, or nursing home. The physical layout, program goals, staffing, and care plans are specifically designed to address the needs of these individuals. Dementia Care Facilities/Units are licensed and regulated by the New York State Department of Health Office of Continuum Care.
Memory Care Facility Payment Type: Many Dementia Care Facilities/Units are private pay. The type of facility in which the dementia care unit is located and the funding source available at that facility governs any exceptions to private payment. For example, Medicaid, following the depletion of private resources, usually covers units contained within a Nursing Home. Supplemental Security Income (SSI) may fund some units within an Adult Care Facility after resources have been depleted. Some Long-Term Care Insurance policies cover a portion of the cost of this level of care.
Continuing Care Retirement Community (CCRC): Continuing Care Retirement Communities are restricted to older adults. They include: independent living units apartments and/or cottages with supportive services such as social activities, meals, and personal care services. These services are available on site. Nursing home type care can also be included on or off site. What distinguishes a CCRC from other types of housing is a substantial entrance fee for one of two types of “Life Care.” Care” contracts. This entrance fee helps to prepay for the resident’s anticipated health or long-term care expenses. There is only one certified CCRC in Monroe County currently, The Summit/Jewish Home. CCRCs regulated by the New York State Department of Health and New York State Department of Financial Services
CCRC Payment Type: Communities of this type require a large one-time payment from applicants to prepay for the resident’s anticipated health or long-term care expenses. Some Long-Term Care Insurance policies cover a portion of the cost of this level of care.
Skilled Nursing Facility (SNF): A Skilled Nursing Facility is a nursing home that provides 24 hour a day skilled nursing care, related services, or rehabilitative services for the injured or disabled. Short- and long-term care are provided in SNFs. In New York state, nursing homes are required to have the completion of a Patient Review Instrument (PRI) prior to placement to determine that skilled nursing care is needed.
SNF Payment Type: All nursing homes (SNFs) accept private payment. Most SNFs accept Medicaid payments, however, policies vary from facility to facility. Some require a certain amount of private payment before the resident becomes Medicaid eligible (based on income and resource levels). Some SNFs accept residents who have no available resources; however, the Medicaid application process must have begun prior to admission. Medicare usually covers short-term care for rehabilitation in a skilled nursing facility in full, for the first twenty days. Thereafter, Medicare pays a portion of the daily cost. Supplemental insurance, Medicaid, Long Term Care Insurance, or private resources must be used to fund the remaining balance.
Treatment Facilities/Residential-Community Placement
Residential Treatment Facilities (RTF) & Community Residence (CR) | *RTF and Community Residence (CR) services require SPOA applications.
RTF (higher level of care)
Residential treatment facilities (RTF) provide fully integrated mental health treatment services to seriously emotionally disturbed (SED) youth between the ages of 5 and 18. The RTF admission is voluntary on the part of the youth and family and cannot be court ordered. The facility is within the continuum of services provided and regulated by the Office of Mental Health. Residential treatment facilities are less restrictive, unlocked and less intensely staffed than psychiatric centers and are operated by non-profit agencies. Please note the required information for an RTF referral which is included at the beginning of the RTF referral form.
CR (lower level of care)
Community Residences provide a supervised, therapeutic environment for six to eight children or adolescents, between the ages of 5 and 18 years, that includes structured daily living activities, problem solving skills development, a behavior management system and caring consistent adult interactions. Most often, needed clinical support for the child and family are provided by community-based services.
All hospitals have in-patient services and can refer individuals to residential treatment.
