2022 South Central Directory

S ENIOR R ESOURCES' 2022 South Central Wisconsin Directory of Services for Older Adults

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Counties Served:

Columbia Dane Dodge

Jefferson Juneau Lafayette Richland

Grant Green Iowa

Rock Sauk

Comprehensive Information On:

Compliments of:

• Adult Day Services • Care Management

• CBRFs (Assisted Living) • Home Health Agencies • Home Care / Non-Medical • Home Medical Equipment • Hospice Services • Hospitals • RCACs (Assisted Living) • Senior Housing • Skilled Nursing Facilities

Visit us online: www.seniorresourcesonline.com Senior Resources, Inc. • P.O. Box 285 Germantown, WI 53022-0285

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a dulT d ay s erviCes H oMe H ealTH a genCies •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .18 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 C are M anagers •Care Managers Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 •Care Managers Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . .25 a ssisTed l iving C HoiCes for s eniors •Community Based Residential Facilities Article . . . . . . . . . .28 •I Can’t Do This Anymore! . . . . . . . . . . . . . . . . . . . . . . . . . . .32 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 •Residential Care Apartment Complexes Article . . . . . . . . .114 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 H oMe M ediCal e quipMenT •Home Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .58 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 H oMe C are / n on -M ediCal •Home Care / Non-Medical Services Article . . . . . . . . . . . . . .70 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 T able of C onTenTs •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .4 •Map of South Central Wisconsin . . . . . . . . . . . . . . . . . . . . . ..4 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .5 •What Is An ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 •Alzheimer's Assistance/Aging & Disability Resource Centers . . .7 •Family Care and Family Care Partnership . . . . . . . . . . . . . . .8 •What Is a Dual-Eligible Special Needs Plan? . . . . . . . . . . . .10 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . .12 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .13 •Coping with a Diagnosis of Dementia . . . . . . . . . . . . . . . . . .14 •Brain Health Community Registry . . . . . . . . . . . . . . . . . . . . .16 •What Is The IRIS Program . . . . . . . . . . . . . . . . . . . . . . . . . .17 T able of C onTenTs Find us on the Web @ www.seniorresourcesonline.com

S E N I O R

R E S O U R C E S

GARY KNIPPEN President info@seniorresources online.com

JOE LAUERMAN Production Coordinator seniorresources@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022 tel: (262)-253-0901 fax: (262)-253-0903

Visit Our Website:

Note: Every effort was made to verify the accuracy of the information contained in this directory. This information is provided with the under- standing that the consumer will contact providers to obtain information them- selves prior to making a final decision regarding services. Advertisements do not constitute endorsement by Senior Resources, Inc. All rights reserved. The contents of this publication may not be reproduced without written consent of the publisher.

H ospiCe s erviCes

•What is Hospice? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

H ospiTal s enior p rograMs

•Hospitals: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .102 •Long-Term Acute Care (LTAC) Hospitals . . . . . . . . . . . . . .104 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106

s enior H ousing

•Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . .132 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 •Subsidized Housing Article . . . . . . . . . . . . . . . . . . . . . . . . .160 •Subsidized Housing Listings . . . . . . . . . . . . . . . . . . . . . . . .161

s killed n ursing f aCiliTies

•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .170 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172

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A N I NTRODUCTION AND O VERVIEW OF ThE D IRECTORY followed by a comprehen- sive listing of all providers. Information was obtained from questionnaires and phone calls to providers listed in this directory. Every effort was made to verify the accuracy of this data. Inclusion in this direc- tory does not constitute a

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elcome to the sixteenth edition of Senior Resources’ South Central Wisconsin Directory of Services for Older Adults. This directory was developed to assist older adults and family members locate appropriate health care and housing options in Columbia, Dane, Dodge, Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Richland, Rock and Sauk counties. This directory is broken down into sections. Each sec- tion begins with a narrative describing the service offered M ap of s ouTH C enTral W isConsin C ounTies

recommendation. Senior Resources in not responsible for inaccuracies in this direc- tory. We hope this information is helpful. This directory will be updated and pub- lished annually. We would appreciate any comments or suggestions regarding this directory. Please call 262- 253-0901. For information on services for older adults in Wisconsin outside of this geographical area, please visit our website at: www.seniorresourcesonline.com

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F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

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N EED A DDITIONAL C OPIES ?

Professionals – Senior Resources’ Directories are provided free to profession- als. These directories can be given out to older adults and family members to assist them in locating appropriate services. If you are a professional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you addi- tional copies. Individuals –We do provide these directories to profes-

our comprehensive website of Services for Older Adults in the state of Wisconsin at www.seniorresourcesonline.com. Senior Resources, Inc. PO Box 285 Germantown, WI 53022 262-253-0901 info%seniorresourcesonline.com

sionals to give out to the community. If you can’t find a copy or want a copy of any of our other directo- ries, please call or e-mail us. We do ask for a z3 donation if possible to help cover our shipping costs. If you are looking for Wisconsin based services in areas where we do not print a directory, please check out

Moving to Minnesota? Find senior housing and services in the Twin Cities

Senior Housing Directory home care, services, and more. See it online at seniorhousinginc.org SeniorCare GuideBook is for social workers and healthcare professionals careoptionsnetwork.org

Serving seniors and professionals for more than 30 years

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WhAT IS AN ADRC?

benefit Counseling: • Benefit specialists provide information and advocacy about government and other benefits that you may be entitled to receive, such as Medicare, Medicaid, Social Security, Disability, low income housing, etc. access to funding for long Term Care: • The ADRC can determine if you will be eligible for public funding for your long term care. • The ADRC can explain the program choices you have that will provide your long term care. These programs include Family Care, IRIS and in some areas Partnership and PACE. Health and Wellness: • ADRC can connect you to wellness programs to help keep you healthy and inde- pendent, such as Stepping On Falls prevention, Living with Chronic conditions and others.

he place for information

6 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2 and assistance! Aging and Disability Resource Centers (ADRCs) are the first place to go to get accurate, unbi- ased information on all aspects of life related to aging or living with a disability. ADRCs are friendly, welcoming places where anyone - individuals, concerned families or friends, or professionals working with issues related to aging or dis- abilities - can go for information tailored to their situation. The ADRC provides information on broad range of programs and ser- vices, helps people understand the various long term care options available to them, helps people apply for programs and benefits, and serves as the access point for publicly-funded long term care. These services can be provided at the ADRC, via telephone, or through a home visit, whichever is more convenient to the individ- ual seeking help. ADRCs are available in all Wisconsin counties. To find an ADRC go to http://www.dhs.wisconsin.gov /adrc/index.htm serviCes provided by THe adrC information and assistance: • Information about local ser- vices and resource • Assistance in finding ser- vices to match your needs o housekeeping and chore services o health (healthy lifestyles, manage- ment of chronic condi- tions, dementia, etc) o Transportation

o Nutrition, home delivered meals o housing, including senior and low income housing o Assisted Living, nursing homes and other long term care facilities o Financial assistance linkages o Legal issues (guardianship, power of attorney, client rights advoca- cy) o Abuse, neglect and financial exploita- tion o Adaptive equipment choices you have when making decisions about where to live, what kind of help you need, where to receive that care and help, and how to pay for it. • One-on-one consultation to help you think through the pros and cons of the various options in light of your situation, values, resources and prefer- ences. long Term Care options Counseling: • Information about the

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F AMILY C ARE AND P ARTNERShIP Individuals must also meet these requirements: • Income • Functional • Residency – Family Care is offered in certain counties in Wisconsin. Individuals must live in one of these counties Partnership Partnership helps you coordi- nate your health, medical and long-term care needs. All Partnership members are part of a care team. • Together you will discuss your goals, assess your abili- ties and needs, and name your outcomes. • The team creates a plan just for you to support your health, medical, and long- term care needs. • The plan includes items in the Partnership benefit plan plus other natural supports that will help you achieve your outcomes. • The care team works with you to coordinate all covered health services. This means they will check with your providers to see how care is going and help manage spe- cial services such as X-rays, tests, and any follow-up care. Who can be a Member of Partnership? Partnership is for people who

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amily Care and Partnership are programs that help frail seniors and adults with disabilities manage health and long-term care needs. Partnership also provides assistance with medical needs. Here’s more information about these programs. Family Care Family Care helps you coordinate your long-term care needs. All Family Care members are part of a care team. Your care team includes you, a care manager and a registered nurse. • Together you will discuss what your goals are, assess your abilities and needs, and name your outcomes. • The team creates a plan just for you to support your long-term care needs. • The plan includes items in the Family Care benefit plan plus other natural supports that will help you achieve your out- comes. • The care manager and regis- tered nurse stay in contact with you to ensure all parts of the care plan are working well, and make changes if necessary. Who can be a Member of Family Care? Family Care is for people who need help with long-term care and who are: • Frail adults, age 65 or older • 18 or older with physical dis- abilities • 18 or older with intellectual dis- abilities

need help with their health, med- ical and long-term care needs and who are: • Frail adults, age 65 or older • 18 or older with a physical or intellectual/developmental dis- ability Individuals must also meet these requirements: • Income • Functional • Residency – Partnership is offered in certain counties in Wisconsin. Individuals must live in one of these counties How do I Become a Member of These Programs? The Aging and Disability Resource Center (ADRC) in your county will help you understand your options along with income and other requirements, and deter- mine if you qualify for Family Care, Partnership or another pro- gram. To learn more about ADRCs and locate one in your county, visit: www.dhs.wiscon- sin.gov/adrc/

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Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state of Wisconsin.

If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web.

Online: www.seniorresourcesonline.com • Email: info@seniorresourcesonline.com Mail: P.O. Box 285, Germantown, WI 53022 • Tel: 262-253-0901 • Fax: 262-253-0903

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W hAT IS A D UAL -E LIGIBLE S PECIAL N EEDS P LAN ? vided directly through Medicare (hospital and physician coverage) but might also get additional benefits not typically cov- ered by Original Medicare. These benefits are usually designed for someone with specialized medical needs or limited income in mind. Added benefits often include coverage for over-the- counter and personal care items like vitamins, cold remedies, pain relievers, toothpaste, skin lotion, incontinence supplies, first aid supplies and many other products. There are often benefits for dental coverage (crowns, cleanings, x-rays, fillings, and extractions), eye- glasses or contacts, and emergency response buttons. Also, dual-eligible individu- als often do not have month- ly premiums to participate in these types of plans. DSNPs include prescription drug coverage (Medicare Part D), allowing the member to Members of this type of plan have the same benefits pro-

10 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2 or people who have both Medicare and Medicaid, there is a special type of Medicare Advantage plan made just for them – it’s called a Dual-Eligible Special Needs Plan, or DSNP. In 2020, more than 2.6 million people were enrolled in a DSNP (CMS, 2020). This type of plan is not new - in fact, DSNPs have been available since 2006. So, what exactly is a DSNP and what makes it attractive? Dual-eligible Special Needs plans are available to people who qualify for Medicaid and Medicare (Parts A and B). People with both these benefits are considered “dual-eligible.” They must also live in a plan’s service area. The benefits provided by Medicare and Medicaid are important to those who receive them. however, understand- ing which program covers what services at what time or for how long can be complicat- ed! Add to that, dual-eligible individuals often have a sepa- rate prescription drug plan. With a DSNP plan, all the ben- efit providers are wrapped up into one neat package. The advantage of a DSNP is that individuals can gain access to more benefits; often with little to no monthly cost.

receive all Medicare benefits through one plan. A DSNP includes some level of care coordination. The plan’s coordinator may help a mem- ber access their providers, schedule appointments, answer questions about bills, and provide reminders about prevention services such as flu shots. The goal of care coordi- nation is to help members maintain their health by hav- ing routine health visits and make sure they are using their benefits to their greatest advantage. Those who qualify for a Dual- Eligible Special Needs plan may not need to wait until the annual enrollment period to join. If you are new to Medicare or Medicaid, you may enroll any time of the year. You can learn if you are eligible for a DSNP by contact- ing My Choice Wisconsin at 800-963-0035 or www.mychoicewi.org. You may also contact a State health Insurance Assistance Program (ShIP) advisor or check the Medicare.gov Plan Finder for plans in your area. Citation: 2020 CMS enrollment data Article submitted by Lisa Heinz, Medicare Advisor, My Choice Wisconsin

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

my choice Medicare Dual Advantage

My Choice Wisconsin Medicare Dual Advantage is a Medicare Advantage insurance plan for people with both Medicare and Medicaid. This plan includes benefits for total wellness like a $100 monthly allowance towards OTC products and a dental benefit that expands your access to care providers. To learn more, call a Medicare Advisor at…

800-963-0035 TTY: 711 www.mychoicewi.org We cover: $0 premium | $0 deductible Part A: Hospital Visits & Expenses Part B: Doctor Visits & Tests Part D: Prescription Drugs

Caring starts here. Extra benefits that save you money:

Personal Emergency Response Button (PERS)

Vision Coverage

Dental Coverage

Over-the-Counter (OTC) Catalog

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My Choice Wisconsin Health Plan, Inc. complies with applicable Federal Civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800- 963-0035 (TTY: 711). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-963-0035 (TTY: 711). My Choice Wisconsin Medicare Dual Advantage is an HMO SNP (Special Needs Plan) with a Medicare contract and a contract with the Wisconsin Department of Health Services for the Medicaid Program. Enrollment in My Choice Wisconsin Medicare Dual Advantage depends on contract renewal. This is not a complete description of benefits and services. Visit us online or call 800-963-0035 and ask to speak with a Medicare Advisor for information on our 2021 Summary of Benefits.

H5209_4HalfPgAd_M DHS Approved 12/21/2020

Or scan here...

Visit o u r n ewly redesign ed website! www.SeniorResou rcesonline.com

262-253-0901

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the patient's responsibility. The 2021 coinsurance amount is $185.50 per day. After the first 20 days, a person must be making "reasonable, measur- able progress" in their rehabilitation, or continue to need "skilled nursing" care to continue on Medicare benefits. Once a person reaches their "maximal potential", Medicare benefits end. This can happen anytime after the first 20 days. • Medicare Part A provides no coverage beyond 100 days Is Home Health Care covered under Medicare? Yes, Medicare pays 100% for all covered and medically necessary home health services under Part A (or Part B if beneficiary does not have Part A) as long as the beneficiary continues to meet the cover- age requirements. Medicare will pay for an unlimited number of visits during an unlim- ited period, as long as it is medically neces- sary and coverage requirements are met. It is the intent of home health visits under Part A to deliver skilled medical attention to homebound patients. Home health care is not available for chronic illness or to help with Activities of Daily Living (ADL's). Requirements include: • Home Health Care Agency must be Medicare certified. • Patient must be under a doctor's care and the doctor must authorize medical treatment. • Patient must be in need of skilled care . Hospice care is a service provided to termi- nally ill persons with a life expectancy of six months or less. Medicare defines a hospice as a public agency or a private organization whose primary role is to provide pain relief and symptom management to terminally ill patients. This benefit does not generally cover inpatient room or board charges. Medicare requirements include: • Doctor certification that patient is ter- minally ill and has a life expectancy of less that 6 months • A Medicare-certified hospice program must provide care Medicare pays 100% of most covered ser- vices. Medicare pays for up to two 90-day periods, one 30-day period, and a fourth unlimited extension period. The beneficiary pays a small co-insurance fee only for out- patient drugs and inpatient respite care. For more information on Medicare, please visit www.medicare.gov.

O VERVIEW OF ThE M EDICARE P ROGRAM Most seniors become eligible for Part A coverage when they reach age 65 and become entitled to Social Security retire- ment benefits. They do not have to pay a monthly payment called a premium for Part A because they or a spouse paid Medicare taxes while they were working. Some seniors, such as those who have not completed the mandatory number of working quarters for Social Security bene- fits, enroll on a voluntary, premium-paying basis. Medicare Part A begins when someone enters a hospital. Medicare Part A has hospital deductibles. • First 60 days, Medicare pays all but $1,484 • Days 61 to 90, Medicare pays all but $371/day • Days 91 to 150, Medicare pays all but $742/day • Beyond 150 days, Medicare pays nothing Remember, Medicare is a health insur- ance program aimed at covering acute health care costs such as hospitalization (Part A) and periodic doctor visits (Part B). It does not cover most nursing home fees, nor does it offer extensive home health care for the chronic ills often expe- riences with age. What does Medicare cover for nursing home care? Very little! Medicare Part A helps pay for inpatient skilled nursing care in a Medicare participating skilled nursing facility (SNF) or rehabilitation ser- vice facility following a 3 day hospital stay if a person's condition requires skilled nursing services or rehabilitation services such as Physical Therapy (PT), Occupational Therapy (OT), and Speech Pathology (SP). Doesn't everyone get 100 days coverage in a SNF? No. Medicare will pay up to 100 days. • Days 1-20, Medicare Part A pays 100% • Days 21 - 100, Medicare pays all but the daily co-insurance amount that is

edicare is a National Health Insurance Program administered by the Health Care Financing Administration (HCFA). Benefits are for: People 65 years of and older. Some people with disabilities under age 65. People with End Stage Renal Disease (per- manent kidney failure requiring dialysis or a transplant) Medicare has Two Parts: Part A (Hospital Insurance) Part B (Medical Insurance) Medicare Part B covers physician services, outpatient hospital care, ambulance ser- vices, prosthetic devices, medical equip- ment, and supplies. You pay the Medicare Part B premium of $148.50 per month for single individuals with an income of $88,000 and a married couple with less than $176,000 (2021 rate). • Single with income greater than $88,000 and less than $111,000 or married with income greater than $176,000 and less than $222,000 - $207.90 monthly Part B Premium • Single with income greater than $111,000 and less than $138,000 or married with income greater than $222,000 and less than $276,000 - $297.00 monthly Part B Premium • Single with income greater than $138,000 and less than $165,000 or married with income greater than $276,000 and less than $330,000 - $386.10 monthly Part B Premium • Single with income greater than $165,000 and less than $500,000 or married with income over $330,000 and less than $750,000 - $475.20 monthly Part B Premium • Single with income greater than $500,000 or married with income over $750,000 monthly Part B premium of $504.90 Part A (Hospital Insurance) Medicare Part A primarily provides cover- age for inpatient hospital care. It also pro- vides hospice care. Limited coverage is provided for skilled nursing home and home health. No coverage is provided for assisted living.

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Omnibus Budget Reconciliation Act of 1993 (OBRA'93) provides the legal means for anyone to shelter assets and qualify for financial assistance through an entitlement program. This act pro- tects married individuals from depleting their assets due to an extended nursing home stay. If the couple's combined assets are: $0 - $100,000 "community spouse" may keep .....$50,000+$2,000 $100,001 - $260,760 "community spouse" may keep .....HALF+$2,000 $260,760 + "community spouse" may keep ....$130,380 plus $2,000 for a total of $132,380 These figures are adjusted annually for inflation. For more information, please visit the Wisconsin Medicaid webpage.

O VERVIEW OF ThE M EDICAID P ROGRAM policies is less than $1,500. If the face value exceeds $1,500, full cash value counts towards resource limit. Term insurance has no cash value and is exclud- ed from countable assets. 4. Household goods and per- sonal effects : Generally no inquiry unless reason to suspect unusual value. 5. Pre-paid funeral arrange- ments : Each fiscal group mem- ber may have one or more irrevocable burial trusts, of which the total face value may not exceed $4,500. Any princi- pal amount over $4,500 is a countable asset. Although Wisconsin law allows $3,000 to be irrevocable, Wisconsin’s Medicaid state plan allows an additional $1,500 to be consid- ered as though it were irrevoca- ble by law for these burial trusts. This is why $4,500 is allowed. Married couples can own exempt assets listed above plus: 1. One automobile per household is excluded regardless of the value if it is used for transporta- tion of the eligible individual or couple or a member of the eligi- ble individual's or couple's household. 2. IRA of the community spouse How much money may a couple "Shelter"? The Spousal Impoverishment Act passed by the U.S. Congress in 1988 and the 3. Life Insurance : Life insurance is exempt if the face value of all

his article focuses on the Medicaid program as it applies to elder- ly and disabled individuals. There are three common names for one program. 1. Medical assistance 2. Medicaid 3. Title 19 Medicaid is a welfare program jointly funded between the Federal and State government. It is designed to assist in paying for skilled nursing facility expenses and many other medical expenses for individuals who have mini- mal assets and inadequate income to pay for these expenses. The individual is normally responsible to pay for all of his/her own long term care expenses: generally, if the cost of this care exceeds the individual's income and the individual is asset-qualified, Medicaid supplements the individual's own payment. Within the Federal guidelines, each state is able to establish their own eligi- bility standards, determine the type, amount and duration of services, set the rate for payment of services, and administer their own program. This article will outline the eligibility requirements for Wisconsin as of 2021. A single adult qualifies if they meet the following criteria: The applicant can't retain more than $2,000 plus exempt assets 1. Home : Homestead property is exempt regardless of the value if the applicant intends to return home, or if a disabled child is liv- ing in it. 2. Car : One automobile per house- hold is excluded regardless of the value if it is used for transportation of the eligible individual or couple or a member of the eligible indi- vidual's or couple's household.

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In Other Areas Of Wisconsin?

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C OPING WITh A D IAGNOSIS OF D EMENTIA ations, providing an outlet for confronting the emotions and fears. If group settings are uncomfortable at this stage, organizations like the Alzheimer’s and Dementia Alliance and local aging and disability resource centers may directly provide or pro- vide referrals to one-on-one counseling services. Ultimately, planning is critical to decide how the person with dementia will be cared for as the disease progresses. One option is to provide care in their home setting, either through family caregivers or through home health care ser- vices. This maintains a famil- iar environment, but can be prohibitive in terms of the caregiver’s physical and men- tal commitment, or cost pro- hibitive if outside services are required for extended hours. Resources including adult day care may be available through local senior centers for those receiving in-home care. Assisted living is another option. Many licensed senior communities provide dedicat- ed memory care services. These environments may

ife gets more difficult for everyone involved when a loved one is diagnosed with a dementia-related condition. Most of us are not aware of the twists and turns that come with these situations, and find our- selves at a loss for what to do next. Fortunately, there are a host of resources available to provide support and education. A good place to start is with some basic definitions. We all need to recognize that dementia does not mean crazy. Dementia is an umbrella term that covers a variety of conditions, includ- ing Alzheimer’s disease and vascular dementia. People who have been diagnosed with dementia may also have other illnesses. Because of the preva- lence of this, ongoing care— including assistance with the activities of daily living (ADLs), supervision, medication admin- istration—along with basic cooking and cleaning services may be needed. What are the options available for families dealing with a diag- nosis of dementia? There are many groups available to pro- vide support and counseling for the person diagnosed, their family and friends. Support groups can help educate about the disease and provide advice about living with dementia. They also can provide connec- tions with others in similar situ-

include safeguards to prevent the wandering behaviors often associated with dementia and are staffed 24-hours a day. Activities are tailored to those with dementia, and are designed to support physical and cognitive strengths as well as quality of life. The struc- tured setting can be soothing, as it provides a predictable sched- ule and minimizes the surprises that can be upsetting for those with dementia. Family caregiving, professional home care, or assisted living. Whatever the option chosen— and many families find them- selves ultimately using a combi- nation of all three—resources are available to provide support. Following are just a few sources to contact for more information and/or support services: Alzheimer’s and DementiaAlliance www.alzwisc.org 888-308-6251 Alzheimer’s Disease and Referral Center www.nia.nih.gov/alzheimers 800-438-4380 Alzheimer’s Association

www.alz.org 800-272-3900 Eldercare Locator www.eldercare.gov 800-677-1116

Article submitted by Oak Park ® Place Community

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T hE B RAIN h EALTh C OMMUNITY

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We will also check in with you regarding any resources that you found helpful. Additionally, we provide a seasonal newsletter with infor- mation related to brain health research! You can sign up for the registry online, calling us at (608) 800- 2899 or emailing us at bhcregistry@nursing.wisc.edu. You can complete the survey in on sitting or save and return!

he Brain health Community registry is a research study with the UW- Madison School of Nursing led by Dr. Gilmore-Bykovskyi. Our primary goal is to pro- vide people with greater access to information about research opportunities related to aging, brain health, and caregiving. Anyone 40 years+ who has an interest in brain health or 18 years+ who pro- vides care for someone with memory changes can join the registry. As a registry member, you will provide some basic demographic information. Then, we are able to send you information about research studies that might be of inter- est to you. It is always up to you whether you want to par- ticipate in those studies. Another goal of the registry is to make participating in research easier for you. Once you are enrolled in the reg- istry, you have the option to receive information and be connected to community resources that may be helpful for you. Some examples of resources we have already provided for registry partici- pants include research-based

information about the brain, caregiver respite informa- tion, tech supports, and transportation services. Each year you are in the reg- istry, we will contact you to update your information and ask about any research studies you participated in.

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I

W hAT IS ThE IRIS P ROGRAM ? has an IRIS Consultant Agency (ICA) and Fiscal Employer Agent (FEA) to help support them in self- direction and handling the requirements of the IRIS pro- gram. Your IRIS consultant will work with you one-on- one, get to know you and learn what is important to you.

Where can i learn more about iris and how do i enroll? If you want to enroll in IRIS, you will need to contact your local Aging and Disability Resource Center (ADRC). ADRC repre- sentatives offer free, unbiased information about long-term care options and resources in Wisconsin for older adults, peo- ple with disabilities, and their families. To locate the ADRC in your county, visit: www.dhs.wiscon- sin.gov/adrc Source: WI Department of health Services website and IRIS Participant handbook

RIS (Include, Respect, I Self-Direct) is Wisconsin’s self- directed long-term care pro- gram for older adults and peo- ple with disabilities who are eligible for Medicaid. IRIS is designed to help you live your life with the support you need. How it works You have many choices when you join IRIS. Once a budget is established for you based on your long-term care needs and goals, you will choose: • What goods, supports and services you need. • When and where you want your supports pro- vided. • Who will provide them. All IRIS participants have a support and service plan. IRIS has a broad set of ser- vices available for you to maintain or improve your quality of life. support from others You’re responsible for man- aging your IRIS budget, act- ing as an employer to work- ers you choose to hire and following IRIS program rules. however, joining IRIS doesn’t mean doing things all by yourself. You will have others to help you along the way. Every IRIS participant

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A DULT D AY S ERVICES

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dult Day Services are a practical and appealing part of the solution to long-term care needs of older adults, as well as younger disabled persons. For many, Adult Day Services are an option to nursing home or other residential or institu- tional forms of care. Adult Day Centers are designed to serve adults who are experi- encing a decrease in physical, mental and social functioning and who need the protective environment that Adult Day Services can provide. Adult Day Centers are able to care for persons with Alzheimer's Disease or related disorders, mental retardation and developmental disabili- ties, chronic mental illness, and physical problems related to aging and disability. Not all centers are able to provide care for all of these various populations. If you are look- ing for care for yourself or a loved one, it will be important to find out what kinds of peo- ple the center you are check- ing into is able to care for. has the staff been trained to care for the special needs of per- sons with the kinds of needs you or your loved one has? Are there other people in the center with similar kinds of needs? Is the program inte- grated, that is do all persons regardless of disability, or spe- cial needs participate in one program or are there special- ized programs and services

variety of professional staff based on the range of services that they provide and may include nurses, social workers, therapists and other staff spe- cially trained to work in the day care setting. For frail older adults, Adult Day Center activities may include everything from par- ticipating in a variety of pro- grams such as current event discussion groups, arts and craft activities, health educa- tion, and passive exercise groups. Music and art activi- ties give participants an opportunity to express them- selves in a variety of ways, as well as opportunities to learn and develop new skills. Adult Day Services are less expensive than institutional care. Fees for Adult Day Services vary from center to center based on what services are included in the fee. Some centers may be able to offer low income persons a reduced fee based on ability to pay.

available? These are just some of the questions you should ask. Adults who can benefit most from the special care provided in an Adult Day Center are those who need supervision, social interac- tion and assistance with more than one activity of daily living such as eating, walking, toileting, bathing or dressing. Centers pro- vide a wide variety of ser- vices such as Recreational Therapy, Meals, Social Services, Transportation, Personal Care including bathing, hair and nail care, Nursing Services, Rehabilitation Therapy including physical, occupa- tional and speech therapy, and Medical Services. Not every center will pro- vide all of these services. Many programs, especially in urban areas, may provide the full range of services. Individual participants should receive the services that they need based on an assessment by the center's professional staff and the development of a plan of care to meet those needs. Adult Day Centers have a

County index

Columbia..n/a Dane..........20 Dodge......n/a Grant ......n/a Green ........21 Iowa ........n/a

Jefferson....21 Juneau ....n/a Lafayette n/a Richland ..22 Rock ..........22 Sauk ..........22

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Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin. If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

✓ Personalized Support for Medical Conditions

✓ RN, LPN, CNAs,

Recreation Specialist on Staff

✓ Custom Program for Memory Loss

✓ Safe, Social, Structured Environment

✓ Engaging Daily Activities

608-826-8106 AdultDayCenterMadison.org

Tel: 262-253-0901 Fax: 262-253-0903

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NOTES

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P ROFESSIONAL C ARE M ANAGERS needs • Ongoing oversight, moni- toring, and advocacy • Individual/family coun- seling and support • Crisis intervention BENEFITS OF CARE MAN- AGEMENT SERVICES Benefits of using care man- agement services are many, and may include: • Personalized and compas- sionate service, focusing on the client’s needs and preferences • 24/7 availability for urgent needs • Continuity of care: coordi- nation and communication with family members, medical and care providers, and legal/financial profession- als • Cost containment: the care manager’s knowledge and expertise can help you to avoid costly mistakes by carefully matching appropriate services to client’s needs. SELECTINGACARE MANAGER There are many agencies which provide Care Coordination or Care Management. Those providers who are members of the Aging Life Care Association (ALCA), formerly known as the National Association of Professional

Geriatric Care Managers (NAPGCM), meet stringent cri- teria for professional education, experience, and certification, and adhere to ALCA Standards of Practice and Code of Ethics. Additional information is avail- able on the ALCA website, www.aginglifecare.org In selecting the agency you wish to work with, you may want to ask about the following: STAFF TRAINING AND QUALIFICATIONS: • What is staff’s educational background and work expe- rience? how long have they been providing care man- agement services? • What are their professional credentials and affiliations? Are they licensed or certi- fied? If so, by who? • Are they members of the Aging Life Care Association? AGENCY STRUCTURE: • Is the agency a free-standing care management agency, part of a larger health care network, or one which also provides other services? • What are the referral rela- tionships they have with other service providers? FEE STRUCTURE: • What are the rates and fee structure? • Does the agency receive payments from other sources (e.g., placement or referral fees?) Article submitted by Stowell Associates Care Managed Home Care

eriatric Care Managers (GCM) or Aging Life Care Managers (ALCM) are health and human service specialists who provide guidance, support, access to resources, and ongoing follow-up for older adults, adults with disabilities or chron- ic health care needs, and their families and support networks. Care Managers come from a variety of professional back- grounds (social work, nursing, gerontology, among others), and have a specialized focus on issues related to aging, chronic disease management and dis- abilities. The care manager is an experi- enced guide and resource for families and professionals. They have extensive knowledge about costs, quality, and avail- ability of services in their com- munity, and can connect you with the right service at the right time. Care managers also assist clients in attaining their maximum functional potential and quality of life. SERVICES PROVIDED BY A PROFESSIONAL CARE MAN- AGER: Care managers provide personalized services, based on individual client circumstances. These services may include: • Comprehensive assessments to identify problems or con- cerns, and provide solutions • Arrangement for qualified in-home care or other need- ed assistance • Identification of living options which are consistent with client needs and pref- erences; relocation planning and implementation • Referral to qualified legal, financial, or medical special- ists, based on a review of client circumstances and

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NOTES

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C OMMUNITY B ASED R ESIDENTIAL F ACILITIES

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CBRF is a place where five or more unrelated people live together in a community setting and receive care, treat- ment or services in addition to room and board. What support services do CBRF residents commonly receive? Residents receive assistance and support with activities of daily living (ADLs) with a goal to remain as indepen- dent as possible. ADLs are basic tasks and routine activities people do every day. Six basic ADLs include: eating, bathing, dressing, toileting, transfer- ring and maintaining conti- nence; being able to perform and maintain these ADLs is directly linked to a person’s independence. For those who have a long-term care insurance policy, policy lan- guage often requires that an individual must be unable to perform two or more of the six ADLs to make an insur- ance claim. The ability of a person to perform their ADLs is some- thing the CBRF staff will con- sider when determining if a person would benefit from an assisted living environment. According to DhS, an assessment will include a review of physical health, 28 | S E N I O R R E S O U R C E S 2 0 2 1 -2 2

Plans are reviewed annually or when there is a change in a resident's needs, abilities or physical or mental condition. In addition to support with activities of daily living, other services commonly offered in a CBRF include meals, housekeeping, laun- dry, linen cleaning and med- ication management. In some cases, the primary reason a person moves to assisted living is to have a more robust social life. Many communities offer organized activities based on resident interests. Book clubs, restau- rant outings, bus trips, fitness classes and more are routine- ly available. For a socially isolated senior, a move to a CBRF can provide uplifting experiences that foster new friendships and relationships. Residents find companion- ship in socializing with oth- ers who are in a similar stage of life. Individuals also find that with supportive staff and cer- tain adaptations, they can continue to do the same activities they have always enjoyed. For a long-time gar- dener, a raised flower bed can allow someone to contin- ue their love of gardening.

medications, pain, nursing care a resident needs, men- tal and emotional health, capacity for self-care and self-direction, social partici- pation, leisure time activi- ties and more. health reviews are based on the current diagnostic, medical and social history received from a person's health care providers, case manager and other service providers (psychiatrist, psy- chologist, licensed thera- pist, counselor, occupation- al therapist, physical thera- pist, pharmacist, social worker or registered nurse). After someone moves in, the CBRF will prepare and implement a written tem- porary service plan to meet the immediate needs of the resident until the Comprehensive Individual Service Plan is completed. This individual plan includes such things as identifying someone’s needs, establishing measur- able goals, specifying meth- ods for delivering necessary care and who is responsible for delivering the care.

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• Assisted Living Specializing in Memory Care & Dementia • Delayed Egress Secured Entry Ways • Competitive Rates: Ask about our Care Specific Design

• Private and Companion Rooms • Accept Family Care Funding • 10% Veteran’s discount

Tender Reflections of DeForest 4897 Innovation Drive • DeForest, WI 53532

Visit our website for a Virtual Tour www.TenderReflectionsAL.com Call 715-551-6979

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