Does the Self-Determination Program Cover the Cost of a Home Health Aide?

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Does the Self-Determination Program Cover the Cost of a Home Health Aide?

Hiring a Home Health Aide (HHA) to help you or a loved one with a disability live independently is a great idea. HHAs can help with everyday tasks and care, but figuring out how to pay for one can feel overwhelming. If you’re part of the Self-Determination Program (SDP), you may wonder if your SDP budget covers the cost of HHAs and similar services. Let’s discuss the answer to just that!

What is a Home Health Aide?

home health aide (HHA) is someone who helps adults with disabilities or health conditions live at home. They assist with daily tasks like bathing, dressing, and eating. HHAs also help with light cleaning, reminders about medications, and sometimes basic medical care with a nurse’s help.

Home Health Aides vs. Other Types of In-Home Care

When it comes to getting help at home, there are different types of caregivers for different needs:

  • Home Health Aides (HHAs): These professionals help with personal care like bathing and dressing. They can also help with light chores around the house. Sometimes, they can assist with basic health needs, too.
  • Personal Care Assistants (PCAs): These caregivers focus on helping with personal tasks like bathing and grooming, but they don’t provide medical care.
  • Skilled Nursing Care: These are licensed nurses. They can handle medical needs like taking care of wounds or giving medications.

Does My SDP Budget Cover a Home Health Aide?

If having an HHA is something you need to live on your own, then SDP might cover the cost. Your person-centered plan is designed around what you want to achieve and the support you need to reach those goals.

According to SDP guidelines, HHA services can be covered by your individual budget only if:

  • You’re 21 or older
  • You’ve already used all other home health aide services and related funding offered under other State plan limits (i.e., Medi-Cal, Regional Center, etc.)
  • Your HHA services are determined to be medically necessary

All other rules for home health aides – who they can be, what they do, etc. – in the SDP are the same as rules for other State programs.

Requirements for Home Health Aides in the SDP

To make sure your Home Health Aide (HHA) is covered by SDP, you need to do the following:

  1. Assessment: A professional will assess your needs and determine what kind of help you require at home.
  2. Planning: Your plan must include the need for a Home Health Aide (HHA) and clearly state that having an HHA is necessary for you to live independently.
  3. Budget: The cost of having an HHA must fit within what SDP can pay. It must be affordable and within the budget set by SDP.

The California Department of Developmental Services provides detailed information about how assessments and planning work and what your insurance covers.

How to Find SDP Services That Suit Your Needs

Finding the right services through the Self-Determination Program (SDP) can be a challenge, but here are some steps to make it easier:

  1. Search Smart: Start by looking for good agencies or people with the right certifications and good reviews. You can look online or ask friends, family, or doctors for advice.
  2. Match Skills: Make sure the Home Health Aide (HHA) has the skills you need. If you need help moving around or with medical tasks, make sure the HHA knows how to do those things.
  3. Meet and Greet: Once you find potential HHAs, meet them to talk about what you need. You can ask questions, mention your concerns, and make sure you feel comfortable with them. It’s important to get along well with your HHA.

If you need help finding the right in-home care through the Self-Determination Program (SDP), contact NeuroNav today to schedule a free consultation.

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