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

The idea of neurodiversity celebrates the valuable viewpoints and unique strengths of individuals with neurological differences. Being considered “neurodivergent” is often seen as a deficit. But there are plenty of examples that show living with a disability doesn’t have to limit one's ability to change the world. 

Throughout history, neurodivergent people have shaped the world in amazing ways. Let’s explore five inspiring people who have left an indelible mark on society.

 

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.

Related Articles

Dive into more topics and stories that resonate with your interests. Our handpicked articles offer a deeper look into the world of Self-Determination and beyond.

Tech in the Self-Determination Program: Devices & Services Covered by Your SDP Budget

August 1, 2024
For people with disabilities, technology can bridge gaps and unlock opportunities to communicate and live...

Navigating Parenting with a Disability: Tips & Things to Consider

December 28, 2023
Adults with disabilities have a right to the same lives and relationships as anyone else. That includes the ability to...

Consumer Rights, Appeals & Complaints in the Self-Determination Program (SDP)

June 28, 2024
Anytime you or your livelihood are subject to a decision by the state government, you are usually entitled to appeal if...

Ready to Navigate Life with Us?

Embark on your Self-Determination journey with confidence. Request your free consultation with NeuroNav and discover the personalized support waiting for you.