Sunday, May 1, 2016

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The Challenges of Special Needs Housing: Support Services

The final major hurdle for getting a junior with special needs (YASN) into his/her own home when they come grown (or are otherwise prepared) is getting the necessary support services arranged. Simply put, very few families can provide the support that a YASN needs, either personally or by paying an agency to provide it. chief part of them will must turn to financial assistance to support their YASNs. Fortunately, that part is easier today than it has been in previous decades. Unfortunately, it is still not without its challenges.

Medicaid

The primary source of relief funding free hand YASNs is Medicaid. In years past, Medicaid only paid strictly specific types of disability, but recently, a variety of 'waivers' (because they waive the usual rules of what Medicare will pay for) have come into existence. The Home and Community-Based Waiver has given states entrust create programs that acquire in-home or community-based services of all kinds.

Of course, that doesn't mean every state did -- Medicaid provides the money, but the states themselves must create and fund the programs. There's no guarantee that your state has a program that dig your specific special needs. It also doesn't mean that you can get into an existing program; nearly every state has a waiting list inaction services relating to adults with special needs.

Non-Medicaid Funding

Unfortunately, when you get into the other levels of funding, it rapidly becomes impossible to talk in anything but the broadest terms. Every state, county, and community has its own unique opportunities and obstacles. It is safe to say this much: you should sit weak your family and research each of these potential sources of funding:

• Family-paid support
• Private funding
• Private medicare
• State-based funding
• Local funding
• Grants and foundations

What Can I Expect to Pay?

In one respect, the question of how much your support services will cost varies enormously limited your precise needs and all where you live, it is still one worth talking about. Geography matters reasonably -- such as, in Georgia, a family can expect to spend an average of $972/year out of pocket raising a child with special needs to adulthood; in Massachusetts, it's only $562.

Similarly, as a nationwide average, for a YASN-housing environment, it costs:

• $20/day for non-medical 'supervisory' visits at home,
• $61/day for 6-hour adult governance,
• $165/day for 24-hour non-medical services ensemble home setting,
• $456/day (or $19/hour) for in-home health care, and
• $634/day for 24-hour services jointly home setting.

These numbers can vary by 50% in either direction, as you might assume by scrutiny the Georgia vs. Massachusetts numbers above, but they can make a rough estimate of what you should be looking for. Obviously, the less you need in terms of support, the less you ised responsible for pay -- but getting the support you need should be your primary concern, not saving money. Don't make it harder by trying to squirrel your support structure -- there will be plenty of other challenges to face once you do get subsidize in a home with the support you need.

Peter Mangiola, RN MSN has been in the health and wellness industry for over three decades. He has served in Emergency, Recovery, Cardiac Care, and Electrophysiology departments, still three years as an Oncology Director, three years as director of an adult cystic fibrosis program, eight years as Charge Nurse for a cardiovascular nursing unit, and several years as owner/operator of two notable New Jersey Senior Care agencies. Peter has been a regular speaker for many groups and organizations over the years covering a wide range of topics. He has also been a consultant, speaker, and educator in areas for example Dementia, Alzheimer's, cognitive/behavioral issues, disabled children & adults and obesity counseling.

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