Regional Medicaid Services-Coeur D'Alene, Dhw1

The RMS is tasked with determining eligibility and authorizing a range of Medicaid services, such as Personal Care Services (PCS), the HCBS Waiver for the Aged and Disabled—which includes services like attendant care, homemaker assistance, chore services, adult day care, home-delivered meals, personal emergency response systems, and specialized equipment/supplies—as well as 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 accessible to Medicaid recipients who are assessed as needing them. The RMS also enrolls service providers, offers consultation, and performs quality assurance and improvement evaluations. Additionally, the Healthy Connections program is included within the RMS framework. **Personal Care Services (PCS): For individuals whose medical needs require 16 hours or less of care weekly, these services are considered a standard Medicaid benefit. If more than 16 hours are needed, eligibility for one of the Home and Community Based Waivers may apply, ensuring that home care costs do not surpass those of nursing home or intermediate care facilities. All services must receive prior authorization from the Regional Medicaid Unit.** The Home Care for Certain Disabled Children, known as the "Katie Beckett" program, serves children under 18 who do not qualify for Medicaid through other programs, with income limits set at less than $1,520 (1999 threshold) and asset limits at $2,000 or below, excluding parents' financials. **Adult Developmental Disability (DD) Care Management provides oversight for services for individuals aged 18 and older, as well as those on the ISSH waiver (ages 15-18). Covered services include Developmental Disabilities Agency services, DD/ISSH waiver services, and service coordination, all managed by DD Care Managers located in the Regional Medicaid Services unit. The Division of Medicaid Services administers the Regional Medicaid Services, and assistance is available in English and Spanish.**

Intake Procedure: Call