Regional Medicaid Services-Caldwell, Dhw3

The RMS is tasked with determining eligibility and authorizing a range of Medicaid services, such as Personal Care Services (PCS) and the HCBS Waiver for the Aged and Disabled, which encompasses a variety of options like attendant care, homemaker services, chore assistance, adult day care, home-delivered meals, personal emergency response systems, and specialized equipment/supplies. It also includes programs like Katie Beckett or Home Care for Certain Disabled Children, Nursing Facility Care, ICF/MR Care, Residential and Assisted Living Services, Certified Family Homes, Case Management, and Private Duty Nursing. These services are available to Medicaid recipients who require them. The RMS is responsible for enrolling service providers, offering consultations, and performing quality assurance and improvement evaluations. Additionally, the Healthy Connections program is part of the RMS. **Personal Care Services (PCS): If a medical condition necessitates 16 hours or less of care per week, it qualifies as a standard Medicaid benefit under PCS. Should the care exceed 16 hours, the individual may qualify for one of the Home and Community Based Waivers, with the stipulation that home care costs cannot surpass those of a nursing home or intermediate care facility. All services must receive prior authorization from the Regional Medicaid Unit.** The Home Care for Certain Disabled Children, known as the