Eligibility Qualifications

  • One or more chronic or post acute medical, cognitive, or mental health
    condition(s) requiring monitoring, treatment, without which participant's
    condition will likely deteriorate and require emergency dept. visits and
    /or hospitalization.

  • A condition resulting in limitations of 2 or more ADL (Activities of Daily
    Living) and/or IADL's (Instrumental Activities of Daily Living) and
   A need for assistance or supervision in addition to any non-        
   ADHC support received in the home related to the medical / mental
   health condition.  

  • The individual's network of non-ADHC support is insufficient to maintain
    the individual in the community, demonstrated by at least one of the
    following;

     —    Lives alone without family or caregivers available to provide
             sufficient and needed care or supervision

     —    Lives with one ore more related or unrelated individuals,
             but they are unwilling or  unable to provide sufficient and
             needed care and supervision to the individual

     —    The individual has family or caregivers available, but             
             those individuals require respite in order to continue providing
             sufficient and necessary care or supervision

  • A high potential exists for the deterioration of the individuals medical,
    cognitive or mental health condition(s) in a manner likely to result in
    emergency dept. visits, hospitalization if ADHC services are not
    provided.

  • The individual's condition(s) requires all of the ADHC services
    proposed on each day of attendance that are individualized and
    designed to maintain the ability of the individual to remain in the
    community and avoid emergency dept. visits, hospitalization or other
    institutionalization.

Examples of qualifying medical conditions:

  • Arthritis
  • Diabetes
  • Post Stroke
  • High Blood Pressure
  • Respiratory ailments
  • High Cholesterol
  • Alzheimer's Disease / Dementia
  • Psychiatric Disorders
  • Visual/Hearing Impairments
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Eligibility
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