Southeast Wisconsin Directory 2023

S ENIOR R ESOURCES’ 2023 SoutheastWisconsin Directory of Services for Older Adults Counties Served: Kenosha Racine Walworth Comprehensive Information On:

• Adult Day Services • Care Coordination • CBRFs • Home Health Agencies • Home Care / Non-Medical • Home Medical Equipment • Hospice Services • Hospitals • RCACs • Senior Housing • Skilled Nursing Facilities

Compliments of:

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

A n I nTRoducTIon And o vERvIEW oF ThE d IREcToRy 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 recommendation. Senior providers. Information was obtained

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elcome to the eleventh edition of Senior Resources’ Southeast 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 Kenosha, Racine and Walworth coun ties. This directory is broken down into sections. Each section begins with a narra tive describing the service offered followed by a com prehensive listing of all

Resources in not responsible for inaccuracies in this direc tory. We hope this information is helpful. This directory will be updated and published annually. We would appreci ate any comments or sugges tions regarding this directo ry. 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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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

t able of C ontentS

S E N I O R

a bout the d ireCtory

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a dult d ay S erviCeS •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .12 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 C are C oordination •Care Coordination Article . . . . . . . . . . . . . . . . . . . . . . . . . . .14 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 h oMe M ediCal e quipMent & S upplieS •Medical Equiment Article . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .1 •Map of Southeast Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . ..1 •What is the IRIS Program? . . . . . . . . . . . . . . . . . . . . . . . . . ..3 •What is an ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..4 •Aging & Disability Resource Centers . . . . . . . . . . . . . . . . . . .5 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .5 •Family Care & Family Care Partnership . . . . . . . . . . . . . . . . .6 •What is a Dual-Eligible Special Needs Plan? . . . . . . . . . . . . .8 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . .10 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .11 h oMe h ealth a genCieS •Community Based Residential Facilities Article . . . . . . . . . .22 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 •Residential Care Apartment Complexes Article . . . . . . . . . .76 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 h oMe C are / n on -M ediCal •Home Care / Non-Medical Article . . . . . . . . . . . . . . . . . . . .42 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 •Hospice Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 •What is Palliative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 h oSpiCe S erviCeS a SSiSted l iving C hoiCeS for S eniorS

GARy KnIPPEn President & Sales info@seniorresources online.com

JoE LAuERMAn Production Coordinator seniorresources@wi.rr.com Senior resources, inc. P.o. Box 285 Germantown, WI 53022-0285 (262)-253-0901 info@seniorresources online.com

SCAN TO 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 oSpital S enior p rograMS

•Hospital Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

S enior h ouSing

•Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .82 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

S killed n urSing f aCilitieS

•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .100 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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Where can i learn more about iriS and how do i enroll?

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. 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. 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 how it works Support from others

W hAT IS ThE IRIS P RoGRAM ?

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

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.

For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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WhAT IS An AdRc?

he place for information

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.

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 /LTcare/adrc/index.htm 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 ServiCeS provided by the adrC

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

ment of chronic condi tions, dementia, etc)

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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A GInG And d ISABILIy R ESouRcE c EnTERS

Racine County Aging & Disability Resource Center 14200 Washington Ave Sturtevant, WI 53177 262-833-8777 www.adrc.Racinecounty.com Walworth County Aging & Disability Resource Center 1910 county Road nn, P.o. Box 1005 Elkhorn, WI 53121 262-741-3400 www.co.walworth.wi.us For information on Wisconsin’s Family care Program, please see article on page 6. 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

ging & disability Resource centers provide individualized services to people who are elderly or who have a physical or devel opmental disability. People with a mental illness or a sub stance use disorder may receive individualized ser vices from the Aging and disability Resource center or be connected to assistance through other resources. Aging and disability Resource centers are also available to help families and friends, caregivers, physi cians, hospital discharge plan ners and other professionals 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 profes sional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you additional copies. Individuals –We do provide these directories to profes sionals to give out to the

who work with older peo ple and people with disabil ities. Kenosha County Aging & Disability Resource Center 8600 Sheridan Rd., Ste 500 Kenosha, WI 53143 262-605-6646 www.Kenoshacounty.org

n EEd A ddITIonAL c oPIES ?

community. If you can’t find a copy or want a copy of any of our other directories, please call or e-mail us. We do ask for a $3 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 our comprehensive website

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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Who can be a Member of Partnership? Partnership is for people who 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 disability 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 under stand your options along with income and other requirements, and determine if you qualify for Family Care, Partnership or another program. To learn more about ADRCs and locate one in your county, visit: www.dhs.wis consin.gov/adrc/

amily Care and Partnership are programs that help frail seniors and adults with disabili ties manage health and long-term care needs. Partnership also pro vides assistance with medical needs. Here’s more information about these programs. Family Care Family Care helps you coordi nate your long-term care needs. All Family Care members are part of a care team. Your care team includes you, a care manag er 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 outcomes. • 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 disabilities

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 abil ities 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 cov ered health services. This means they will check with your providers to see how care is going and help man age special services such as X-rays, tests, and any fol low-up care.

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E N I O R R E S O U R C E S

For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

My Choice Wisconsin provides government-funded programs to frail seniors, adults with disabilities, individuals, and families. We care for the whole person and well-being of all by o ering services that promote independence, value diversity, and inspire self-advocacy.

800-963-0035 TTY: 711 www.mychoicewi.org/sr

DHS Approved 10/15/2020

For information on long term care options, call your local Aging and Disability Resource Center.

Wisconsin Assisted Living Association’s mission is to support providers in enhancing the best quality of life for residents in assisted living in Wisconsin through

advocacy, education, communication, and quality initiatives.

EWALA.ORG (608) 204-7446

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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W hAT IS A d uAL -E LIGIBLE S PEcIAL n EEdS P LAn ? Members of this type of plan have the same benefits pro 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

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

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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

my choice Medicare Dual Advantage

My Choice Wisconsin Medicare Dual Advantage (HMO) 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/sr-ne We cover: $0 premium | $0 deductible Part A: Hospital Visits & Expenses Part B: Doctor Visits & Tests Part D: Prescription Drugs

Extra benefits that save you money:

Vision Coverage

After Hospitalization/ Nursing Facility Stay Meals

Over-the-Counter (OTC) Catalog

Dental Coverage

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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 2022 Summary of Benefits.

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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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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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the patient's responsibility. The 2023 coinsurance amount is $200.00 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 $1,600 • Days 61 to 90, Medicare pays all but $400/day • Days 91 to 150, Medicare pays all but $800/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 $164.90 per month for single individuals with an income of $97,000 and a married couple with less than $194,000 (2023 rate). • Single with income greater than $97,000 and less than $123,000 or married with income greater than $194,000 and less than $246,000 - $230.80 monthly Part B Premium • Single with income greater than $123,000 and less than $153,000 or married with income greater than $246,000 and less than $306,000 - $329.70 monthly Part B Premium • Single with income greater than $153,000 and less than $183,000 or married with income greater than $306,000 and less than $366,000 - $428.60 monthly Part B Premium • Single with income greater than $183,000 and less than $500,000 or married with income over $366,000 and less than $750,000 - $527.50 monthly Part B Premium • Single with income greater than $500,000 or married with income over $750,000 monthly Part B premium of $560.50 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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For information on S or Services in Wisconsin, visit our website www.seniorresourcesonline.com

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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 - $274,800 "community spouse" may keep .....HALF+$2,000 $274,800 + "community spouse" may keep ....$137,400 plus $2,000 for a total of $139,400 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 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 ber may have one or more irrevocable burial trusts, of

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 2022. 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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For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com

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A duLT d Ay S ERvIcES

dult day Services are a prac tical 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 institutional forms of care. Adult day centers are designed to serve adults who are experiencing a decrease in physi cal, 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, men tal retardation and developmen tal disabilities, chronic mental ill ness, and physical problems relat ed to aging and disability. not all centers are able to provide care for all of these various popula tions. If you are looking for care for yourself or a loved one, it will be important to find out what kinds of people the center you are checking into is able to care for. has the staff been trained to care for the special needs of persons 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 pro gram integrated, that is do all persons regardless of disability, or special needs participate in one program or are there specialized programs and services available? These are just some of the ques tions you should ask. Adults who can benefit most from the special care provided in an Adult day center are those who need supervision, social interaction and assistance with

Kenosha ..........................13 Racine ............................13 Walworth........................13 County index 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. pants an opportunity to express themselves in a variety of ways, as well as opportunities to learn and develop new skills. 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

more than one activity of daily living such as eating, walking, toileting, bathing or dressing. centers provide a wide variety of services such as Recreational Therapy, Meals, Social Services, Transportation, Personal care including bathing, hair and nail care, nursing Services, Rehabilitation Therapy includ ing physical, occupational 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 cen ter's professional staff and the development of a plan of care to meet those needs. Adult day centers have a variety of professional staff based on the range of services that they pro vide and may include nurses, social workers, therapists and other staff specially trained to work in the day care setting. For frail older adults, Adult day center activities may include everything from partic ipating in a variety of programs such as current event discus sion groups, arts and craft activities, health education, and passive exercise groups. Music and art activities give partici

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

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P RoFESSIonAL c ARE M AnAGERS • ongoing oversight, monitor ing, and advocacy • Individual/family counseling and support • crisis intervention Benefits of using care manage ment services are many, and may include: • Personalized and compassion ate service, focusing on the client’s needs and preferences • 24/7 availability for urgent needs • continuity of care: coordina tion and communication with family members, medical and care providers, and legal/financial professionals • 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. 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 strin gent criteria for professional edu cation, experience, and certifica tion, and adhere to ALcA Standards of Practice and code of Ethics. Additional information is available on the ALcA website, BEnEFITS oF cARE MAnAGE MEnT SERvIcES SELEcTInG A cARE MAnAGER

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www.aginglifecare.org

eriatric care Managers (GcM) or Aging Life care Managers (ALcM) are health and human ser vice specialists who provide guid ance, support, access to resources, and ongoing follow-up for older adults, adults with disabilities or chronic health care needs, and their families and support networks. care Managers come from a variety of professional backgrounds (social work, nursing, gerontology, among others), and have a specialized focus on issues related to aging, chronic disease management and disabili ties. The care manager is an experienced guide and resource for families and professionals. They have extensive knowledge about costs, quality, and availability 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 PRo FESSIonAL cARE MAnAGER: care managers provide personalized services, based on individual client circumstances. These services may include: • comprehensive assessments to identify problems or concerns, and provide solutions • Arrangement for qualified in home care or other needed assistance • Identification of living options which are consistent with client needs and preferences; reloca tion planning and implementa tion • Referral to qualified legal, finan cial, or medical specialists, based on a review of client cir cumstances and needs

In selecting the agency you wish to work with, you may want to ask about the following:

STAFF TRAInInG And QuALIFI cATIonS:

• What is staff’s educational back ground and work experience? how long have they been pro viding care management ser vices? • What are their professional cre dentials and affiliations? Are they licensed or certified? If so, by who? • Are they members of the Aging Life care Association? • 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 relation ships they have with other ser vice providers? AGEncy STRucTuRE:

FEE STRucTuRE:

• What are the rates and fee struc ture? • does the agency receive pay ments from other sources (e.g., placement or referral fees?)

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of home medical equipment and supplies: • aids for daily living • ambulatory aids • bathroom safety products • braces and supports • compression hosiery • diabetes management supplies • infusion pumps and sup plies • incontinence management products • lift chairs • ostomy and wound care management products • oxygen tanks and respira tory care equipment • tube feeding pumps and supplies • wheelchairs and scooters home medical equipment companies provide more then products. They can provide a range of profes sional services that include: • certified compression garment fitter • certified orthopedic fitter • enterostomal therapist • nutrition support dietitian • registered and licensed h oME M EdIcAL E QuIPMEnT And S uPPLIES

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practical nurses • registered pharmacist • rehab specialist • respiratory therapist

ndependence. Security. Good health. Goals desired by us all. But, as we grow older, attaining and maintaining these goals is more challeng ing. Innovations and advance ments in home medical equip ment have made it easier for older adults to reach these goals and to remain in their own homes. home can be a personal residence or an apart ment in a continuing care/retirement community or other complex. Whether recovering from an accident, illness or surgery; living with a disability; or, adjusting to the normal effects of growing older, living at home can be a realistic and attainable goal. home medical equipment companies provide the ser vices, equipment and supplies to assist many individuals who believe home is where they want to be. In consulta tion with your physician and other health care professionals, the right products and services can be prescribed and provid ed. Many of these products and services are covered by Medicare, Medicaid or private insurance. here is a partial list

your insurance coverage may include several preferred providers of home medical equipment, supplies and ser vices. To help you decide which provider to use, ask your physician or relatives and friends who may have been served by a home med ical equipment company. or, contact the companies yourself and ask questions that include: • Will the provider bill my insurance, Medicare and/or Medicaid when appropri ate? • does the provider train, supervise and monitor its clinical services and delivery personnel? • Will the company deliver the products and provide instructions on their use? • does the company provide 24-hour service? • Is the provider accredited? using products and ser vices provided by home med ical equipment companies can add to your good health and feeling of independence and security.

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cBRF's are identified by licensure level or class. These licensure levels are listed at the right of this page. The licensure level determines the type of residents that may reside in the facility. critical to those explor ing cBRF options is the ability of the program to handle resi dents with a diagnosis of dementia- /Alzheimer's dis ease, specific ambulation diffi culties and the need for stand by assistance. certain facilities are designated as dementia- /Alzheimer's specialty facili ties. Some may also provide respite care when short term stays are needed. Facilities providing these services are identified within the detail list ings in the cBRF section. cBRF's also differ in terms of pricing structures. It is criti cal to fully understand whether the program being explored has an all-inclusive fee, (room, board and all personal care included in the cost) an ala-cart program, (a fee for rent and all services are added to the monthly billing) or a modified fee program, (rent and some services included in the month ly fee and some personal care c oMMunITy B ASEd R ESIdEnTIAL F AcILITIES

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ommunity Based Residential Facilities (cBRF's) are state licensed supportive living facilities where five or more unre lated adults reside. care, treat ment or services provided in cBRF's are above the level of room and board but do not include more than three hours of skilled nursing care per week. cBRF's provide assistance with activities of daily living to help residents maintain as inde pendent a lifestyle as possible. Typical services offered include meals, housekeeping, laundry, linen exchange, medication moni toring and assistance with dress ing and bathing. cBRF's also offer residents the opportunity to socialize. Each facility will offer some level of organized activity based on resident interests. For the socially isolated senior, the move to a cBRF can be a wonder ful experience. cBRF's provide an innovative approach to residential living for older adults. Supportive living programs come in all shapes and sizes. The environment may be a house that has been renovated to provide personal care for a small number of people or a newly con structed building with private apartments for a large number of residents. Some facilities furnish all but the residents clothing whereas others have the resident fully furnish the apartment and even offer the opportunity for customized decorating.

services added on). There may also be upfront costs in the form of an entrance fee, endowment fee, application fee or security deposit. Financial assistance for cBRF living may be available through the Family care Program. These funds are administered by each county’s Aging Resource center. In order to become eligible for funding, you must apply with the Aging Resource center in the county in which the facility you desire to live in is located, not necessarily the county in which you live. Although a facility may accept funds, they do not have any control over availability or access of same. Class AA: A class AAmbulatory cBRF may serve only residents who are ambulatory and are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting. Class AS: A class A Semiambulatory cBRF may serve only residents who are ambulato ry or semiambulatory and are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting. licensure level or Class:

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Res A sured You’ll Love it!

Area older adults and their families can rest assured . Our sta is available around the clock to lend a helping hand as needed. From home-cooked meals , to help with daily chores, right on down to a pretty

robust social life – we've got your back!

Find a comfortable Encore community near you! Kenosha Place 5048 Green Bay Road Kenosha, WI 53144 (262) 496-4160 Parkside Manor 6300 67th Street Kenosha, WI 53142 (262) 748-7195 Waterford Place 808 Cornerstone Crossing Waterford, WI 53185 (262) 914-3188

S EN I OR L I V I NG

Professionally managed by Encore Senior Living encore-seniorliving .com

ASSISTED L IVING | MEMORY CARE | RESPITE CARE

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c oMMunITy B ASEd R ESIdEnTIAL F AcILITIES Class CS: A class c Semiambulatory cBRF may serve only residents who are ambulatory or semiambulatory, but one or more of whom are not mentally or physically capa ble of responding to an electron ic fire alarm and exiting the facility without any help or ver bal or physical prompting.

Class ANA: A class A nonambulatory cBRF may serve residents who are ambulatory, semiambulatory or nonambulato ry, but only if they are mentally and physically capable of respond ing to an electronic fire alarm and exiting the facility without any help or verbal or physical prompt ing. Class CA: A class c Ambulatory cBRF may serve only residents who are ambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exit ing the facility without any help or verbal or physical prompting.

Class CNA: A class c nonambulatory cBRF may serve residents who are ambulatory, semiambulatory or nonambulato ry, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exiting the facility with out any help or verbal or physical prompting.

Kenosha ..........................26 Racine ............................28 Walworth........................31 County index

262.234.7285 kenoshaseniorliving.com

262.234.7285 northpointseniorliving.com

262.234.1466 pleasantpointseniorliving.com

Wisconsin Assisted Living Association’s mission is to support providers in enhancing the best quality of life for residents in assisted living in Wisconsin through

CALL TO SCHEDULE A TOUR TODAY!

ASSISTED LIVING IN A HOME-LIKE ENVIRONMENT

advocacy, education, communication, and quality initiatives.

• 24/7 Assistance with Activities of Daily Living • 3 Home-Cooked Meals and Nutritious Snacks Provided Daily • Social and Recreational Programming

• Respite Stay Availability • Medication Management

THE LIFE YOU WANT. THE CARE YOU NEED.

EWALA.ORG (608) 204-7446

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S E N I O R R E S O U R C E S

For information on Senior Services in Wisconsin, visit our website www.seniorresourcesonline.com