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