An Overview of Community Care Services Program
Overview
The Community Care Services Program (CCSP) is a Medicaid waiver program that provides community-based social, health and support services to eligible consumers as an alternative to institutional placement in a nursing facility. The Georgia Department of Community Health's (DCH) Division of Medicaid partners with the Division of Aging Services (DAS) within the Department of Human Services (DHS) for the operational management of the program. While DCH is responsible for provider reimbursement, enrollment and utilization review, DAS is responsible for the day-to-day operations of the CCSP waiver program.
Available Services
Eligible consumers may receive a combination of Medicaid-funded CCSP services and other community services. The care coordinator assesses eligibility for CCSP, develops a consumer-focused comprehensive plan of care in collaboration with the primary physician, and based on identified needs, arranges for delivery of services. The care coordinator monitors providers of service and consumer care. Available services include:
Adult Day Health - Therapeutic, medical model community-based group day program Alternative Living Services - State licensed personal care homes provide 24-hour supervision personal care and nursing supervision Emergency Response Services - In-home, 24-hour electronic two-way communication system calls for help in an emergency Home Delivered Meals - Nutritionally balanced meals delivered to the home Home Delivered Services - Skilled Nursing and therapy services provided in the home Out-of-Home Respite Care - Temporary relief for the primary care giver responsible for full time care Personal Support Services - Includes personal care and hygiene, meal preparation, light housekeeping, shopping and in-home respite services
Eligibility Criteria for CCSP Services
Functional impairment caused by physical limitations Approval by a physician of an intermediate level of care (LOC) certification for nursing home placement and care plan Medicaid eligible or potentially Medicaid eligible after admission to CCSP Client chooses community-based rather than institutional services Participation in one waiver program at a time
NOTE: Alzheimer's and other types of dementia are physical conditions
Georgia Department of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404-656-4507
January 2012
An Overview of CCSP
Steps for CCSP Eligibility Screening
Step 1: The individual contacts the Area Agency on Aging (AAA) for an assessment. The toll-free, statewide phone number is 866-55-AGING.
Step 2: If the individual is eligible for CCSP, a care coordinator will work with the person to develop a comprehensive care plan and arrange services.
Frequently Asked Questions
Q. I am not a Medicaid member, but I have limited income and assets and need services. Am I eligible to participate in CCSP?
A. The 12 Area Agencies on Aging are the single point of entry (Gateway) to local and statewide aging information, resources and referral for services. Contact your local AAA for assistance in determining your eligibility for CCSP or other community resources. Medicaid eligibility is determined by your county Division of Family and Children Services (DFCS) office.
Q. How much do CCSP services cost? A. Based on Medicaid income limits, some eligible individuals pay some of the cost their services, while others
do not.
Q. Is there a waiting list for CCSP services? A. Admission to CCSP is based on available funding determined by the state legislature. Priority is given to
those most in need of services.
Q. How long will I be eligible to receive CCSP services? A. Services are dependent on the individual's continued eligibility for the program.
For More Information:
Locate Community Care Services Program information under Programs on the Division of Aging Services, Department of Human Services Web site: www.aging.dhr.georgia.gov