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SD Long-Term Care Alternatives Program - Adults Services and Aging

The Long Term Care Alternatives Program (LTCAP) assists individuals so they can remain living safely in their own homes rather than a nursing facility.

NOTE: This program no longer exists, according to information received on 11/29/2004 from the SD Division of Adult Services and Aging. Information in this topic is for archival purposes only.

Target Population

Individuals most appropriate for LTCAP include vulnerable adults who have chronic health problems that limit their capability to function independently without special assistance provided in the community.

Eligibility

In order to qualify for LTCAP, individuals must:

      Need nursing facility level of care;

      Need of services provided through the LTCAP program in order to live outside of a nursing facility;

      Meet resource-eligibility criteria ($40,000 for an individual or $45,000 for a couple as of November, 2004, excluding the value of a home, household goods, an automobile, and certain insurance and burial funds);

      Meet income-eligibility criteria (gross income minus allowable medical deductions must not exceed the income categories in relation to the costs outlined in the Case Service Plan); and

      Have the ability to cost share.

Department Participation in the Cost of Services: The department may participate in the cost of alternative care services if the cost of the services does not exceed $850 a month (as of November, 2004) and the department has funding for the required services.

Participant Cost-Share Requirement

Individuals who receive services through the LTCAP program are expected to share in the cost of services. The cost-share amount is a percentage of the cost of services determined in a monthly Case Service Plan. The percentage is based on the net monthly income and the household size as in the table below.

Net monthly income: In determining a household's monthly income and its level of participation, a household comprised of a single individual is allowed a maintenance deduction equal to the monthly Federal Poverty Level (FPL) for a household of one. A household comprised of a married couple is allowed a maintenance deduction equal to the monthly FPL for a household of two regardless of whether one or both are in need of services.

In addition, the household may deduct up to $250 a month for wages paid by the household for the individual's care needs.

 

Cost-Share Percentage Table

Net Monthly Income for a One-Person Household

Net Monthly Income for a Two-Person Household

Net Monthly Income for a Three-Person Household

 

 

FEE

        $0 -  $738

        $0 -  $995

        $0 - $1,252

8%

      739 -    804

      996 - 1,122

   1,253 -   1,445

12%

      805 -    870

   1,123 - 1,249

   1,446 -   1,638

16%

      871 -    936

   1,250 - 1,376

   1,639 -   1,831

20%

      937 - 1,002

   1,377 - 1,503

   1,832 -   2,024

24%

   1,003 - 1,068

   1,504 - 1,630

   2,025 -   2,217

28%

   1,069 - 1,134

   1,631 - 1,757

   2,218 -   2,410

32%

   1,135 - 1,200

   1,758 - 1,884

   2,411 -   2,603

36%

   1,201 - 1,266

   1,885 - 2,011

   2,604 -   2,796

40%

   1,267 - 1,332

   2,012 - 2,138

   2,797 -   2,989

44%

   1,333 - 1,398

   2,139 - 2,265

   2,990 -   3,182

48%

   1,399 - 1,464

   2,266 - 2,392

   3,183 -   3,375

52%

   1,465 - 1,530

   2,393 - 2,519

   3,376 -   3,568

56%

   1,531 - 1,596

   2,520 - 2,646

   3,569 -   3,761

60%

   1,597 - 1,662

   2,647 - 2,773

   3,762 -   3,954

64%

   1,663 - 1,728

   2,774 - 2,900

   3,955 -   4,147

68%

   1,729 - 1,794

   2,901 - 3,027

   4,148 -   4,340

72%

   1,795 - 1,860

   3,028 - 3,154

   4,341 -   4,533

76%

   1,861 - 1,926

   3,155 - 3,281

   4,534 -   4,726

80%

   1,927 - 1,992

   3,282 - 3,408

   4,727 -   4,919

84%

   1,993 - 2,058

   3,409 - 3,535

   4,920 -   5,112

88%

   2,059 - 2,124

   3,536 - 3,662

   5,113 -   5,305

92%

   2,125 - 2,190

   3,663 - 3,789

   5,306 -   5,498

96%

   2,191 - 2,256

   3,790 - 3,916

   5,499 -   5,691

100%

 

Services

Services which can be provided through the Long Term Care Alternatives Program include:

      Case Management;

      Personal Services:

      Maintenance Nursing;

      Meals;

      Medication Management Devices;

      Respite;

      Adult Day Care; and

      Lifeline.

Through LTCAP, the individual shall always receive Case Management and at least one Maintenance Nursing visit per month. The only exception is when the nursing service is being provided through another program.

Source:

http://www.state.sd.us/social/ASA/

Back to:

Division of Adult Services and Aging

South Dakota Department of Social Services (DSS)

Welcome and Introduction to the South Dakota Benefits Information System


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