As people age, they may face various challenges that affect their ability to live independently and safely in their homes and communities. They may need assistance with personal care, household tasks, health care, transportation, or social activities. However, many seniors prefer to remain in their familiar surroundings rather than move to a nursing home or other institutional setting. That’s where the Elderly Waiver (EW) comes in.
The EW is a Medicaid program that provides home and community-based services to seniors who necessitate the level of care given in a nursing home but choose to live in the community. The program aims to support seniors’ dignity, choice, and quality of life while reducing the costs of institutional care.
This article thoroughly explores the EW, including its eligibility requirements, services and supports, and caregiver compensation.
The EW is one of the five Medicaid waivers in Minnesota that offer home and community-based services to seniors and people with disabilities or chronic conditions. The program was established in 1988 and is administered by the Minnesota Department of Human Services (DHS) in collaboration with county agencies.
The EW serves seniors who:
The EW provides services and support tailored to each senior’s needs and goals. These include:
The EW also offers a self-direction option called Consumer Support Grant (CSG), which allows seniors to choose, hire, and pay their service providers, including family caregivers.
To be eligible for the EW, seniors must meet the following requirements:
The EW provides various services and supports designed to help seniors live independently, participate in their communities, and achieve their goals. The services and supports are based on the senior’s person-centered service plan, which reflects their needs, preferences, and choices.
The EW services and supports include:
One of the benefits of the EW is that it allows seniors to self-direct their services and supports, which means that they can choose, hire, and pay their own service providers. This option is called a Consumer Support Grant (CSG).
CSG is a monthly cash grant for older adults to pay for services and support that help them live independently in their homes and communities. Participants can decide what services they need, how they are delivered, who provides them, and how much they are paid. They can also use their CSG grant to purchase goods and services not covered by the EW or MA state plan.
One of the advantages of CSG is that it enables older adults to hire and pay family members as caregivers. Family caregivers can provide personal care assistance, home health aide, homemaker, chore services, respite care, transportation services, or other services approved by the county agency. Family caregivers can include spouses, parents, children, siblings, grandparents, grandchildren, aunts, uncles, cousins, nieces, nephews, or other relatives.
The amount of compensation for family caregivers depends on several factors, such as the type and amount of services provided, the senior’s CSG budget, and the prevailing wage rates in the area. Family caregivers must comply with the CSG policies and procedures, such as completing a background check, signing a service agreement, submitting timesheets and invoices, and paying taxes.
Family caregivers can also receive training and support from CSG staff or consultants to help them perform their duties effectively and safely. They can also access respite services to take a break from their caregiving responsibilities.
If you are interested in applying for the EW or learning more about its benefits, please fill out this form to get in touch with one of our experts. We will help you navigate the eligibility process and find the best services and support for your situation.