Home Care: Case Management

North Shore Elder Services (NSES) provides state subsidized home care through programs and services funded by the Massachusetts Executive Office of Elder Affairs.

Obtaining affordable home care services for older adults in need can be challenging. Many seniors today go without the critical services they need because they are unable to leave their homes and are unable to pay for traditional care.

Quality long living sometimes means getting a little help in your home. It can make the difference between living at home and losing independence.  That is where NSES enters the picture.  We strive to meet the increasing need for cost effective home care by providing quality care in the home by trained and compassionate professionals. 

It is our team of twenty plus Case Managers working closely with the Clinical Assessment and Eligibility Nurses (CAE), and Case Aides who assure meeting the needs of our consumers.

Frequently Asked Questions:

What kinds of services are available?

We offer an array of services such as; homemaking, laundry, grocery shopping, transportation, meal prep, companion, personal care services, Meals on Wheels, emergency response systems (PERS), medication dispensing systems, Adult Day health, and adaptive equipment. For a description of these services, you can consult our website at https://nselder.org/resources/

What are eligibility guidelines?

AGE: 60 years of age or older. If under 60 with a diagnosis with a dementia related disease, medical documentation is required.

INCOME: No limits, but there is a copayment based on income using a sliding fee scale.

FUNCTIONAL IMPAIRMENT LEVEL: You must require assistance with a number of activities of daily living, for example, meal prep, housework, laundry, shopping, personal care, showering, and dressing.

 

 

 

 

 

 

How does the referral process work?

Anyone in the communities that we serve (Danvers, Marblehead, Middleton, Peabody, Salem) can call NSES Information Services department or use the website to make a referral at https://nselder.org/contact-us/referral-form/

An Information Services staff member collects basic information, including contact information, income, medical information, emergency contacts, how activities of daily living are managed, and why a referral is being made.

What can I expect after a referral has been submitted?

If a consumer is not the referral source, then the Information Services staff member will call the consumer to confirm that they are interested in receiving services. At that time, the consumer will be given a brief review of services and eligibility requirements.  If the consumer chooses to proceed with applying for services, then an appointment is made with one of our Intake Case Managers.  They will complete an initial in-home assessment at the convenience of the consumer’s schedule.  The consumer can request that a family member, friend, or other professional be present at the home visit.

What happens during the initial assessment?

The Intake Case manager completes a comprehensive assessment in the consumer’s home, reviewing income, medical conditions, medications and activities of daily living.   The Intake Case Manager will review services and develop a proposed service plan together with the consumer.

If I am approved for services, what can I expect next?

If you are requesting assistance with personal care or being referred to one of our enhanced programs, one of our Home Care Nurses will then assess you. Once our Interdisciplinary Team that meets daily has approved your service package, then referrals will be made to various vendors to meet your request.

Length of wait time varies depending on availability and specific day or time requests.

If I am receiving VNA services, can I also receive home care services?

Yes, services from NSES can supplement services the VNA is providing.

Am I limited to how many hours I can receive?

The number of service hours will depend on the program the consumer is eligible for at the time.

There are two enhanced programs; Choices, which is a program under the MassHealth guidelines, and Enhanced Community Options Program (ECOP), which is for those not enrolled in the MassHealth program and who are at risk for nursing home placement.

These programs allow for more flexible service plans.

Can I hire my own workers for the services I may need?

NSES offers a Consumer Directed Care (CDC) program that may work for some individuals if they meet eligibility guidelines.

What happens if I am admitted to the hospital?

In the event of hospitalization or rehab, services will be stopped temporarily and then resumed once you are back home again.

Who can I expect to be coming into my home? Who is part of my support team?

If you are approved for services, you will be assigned an on-going Case Manager who comes to visit at least twice a year. You may also be assigned a Home Care Nurse depending on your service package and they may visit at least twice a year.

What is the role of my Case Manager?

Your Case Manager will make sure your service plan is meeting your needs and will continue to assess for enhanced programs as appropriate. Once there is a service plan in place, the Case Manager will provide regular support and offer guidance to public benefits and community resources for additional services.

Phone : +1 978 750 4540