If the APS unit has reason to believe that an individual is an endangered adult, the adult protective services unit shall investigate the complaint or cause the complaint to be investigated by law enforcement or other agency and make a determination as to whether the individual reported is an endangered adult.
To be eligible for service under this program, an individual must be a resident of the state of Indiana, 18 years of age or older, physically or mentally incapacitated and reported as abused, neglected or exploited. All persons are required by law to report all cases of suspected abuse, neglect or exploitation to either the nearest APS office or to law enforcement.
All reports are secure and kept confidential. Individuals may file a report online or by calling the state hotline or calling an APS field office. Please note that APS is not an emergency responder, if you believe someone is in immediate danger, call immediately. After a report is submitted it is sent to the director of the local APS unit, who will determine the appropriate next step.
APS will keep your report confidential and will not disclose your name without a court order. If APS conducts an investigation, an investigator may contact you for additionally information; however, APS does not discuss ongoing investigations and will not provide you with information regarding the details or the status of the investigation. Please understand that when adults have the capacity to make their own decisions, they may refuse services and have the right to do so.
APS has no authority to force a fully cognizant adult to do anything against their will. There are three aspects to being an endangered adult in Indiana. Indiana considers an endangered adults to be:. Each type may be referred to by several different names. The focus is on maintaining health through recreational and social activities and nutritious meals. In addition to activities and meals, physical, occupational, and speech therapies may be provided. In addition, assistance with the activities of daily living, with medical equipment and medication administration is provided.
Specialized Adult Day Care - typically for Alzheimer's patients, this may even be referred to as Alzheimer's Day Care or Day Treatment, though usually it is open to individuals with most forms of dementia. In Alzheimer's Day Care, there is an additional focus to prevent wandering, injury and behavioral challenges. While these distinctions exist, in practice and in different states, the lines between these types of adult day care may not be so clear.
Often times, one center will provide all 3 types of care. Regardless of the Medicaid program or waiver from which one receives the adult day care benefit; all programs will put limits on the amount of adult day care the beneficiary can receive.
Limits are typically dependent on the individual. Many adult day care centers have dogs and cats and some even let participants bring their own pets. Why does Medicaid cover the cost of adult day care? Medicaid is usually thought of as the major payer of nursing home care for low income, elderly individuals.
Why then do these programs cover the cost of adult day care? Medicaid, like most government programs, is under pressure to contain its costs. By paying for adult day care, Medicaid helps many families care for loved ones at home. In doing so, this reduces the number of nursing home admissions which are paid for or will eventually be paid for by Medicaid.
Therefore, paying for adult day care is, in fact, a cost saving measure for most Medicaid programs because the cost of adult day care is minor when compared to the cost of full-time nursing home care. The following information is current as of April It should be emphasized that even though Medicaid will pay for adult day care in every state, it is not always the best source of funding. Medicaid's reimbursement rates for adult day care are not high and not all adult day care centers will accept Medicaid enrollees.
Readers are encouraged to consider both Medicaid and the alternative options available to them in each state listed in the column on the right side of the table.
As does Alabama Community Transition Waiver , but only for nursing home residents returning home. Delaware has switched from Medicaid waivers to a managed Medicaid program.
It is also covered under the District's regular Medicaid program. Florida no longer has Medicaid waivers through which to provide for adult day care. However, the state's Medicaid managed care program does offer this benefit.
Hawaii has a managed Medicaid program called Med Quest. Under Med Quest, there are benefits for both adult day social and medical care. Two managed Medicaid programs are also relevant: The following Louisiana waivers pay for adult day care: Maryland has several programs which cover adult day care or adult day medical care.
Through the Michigan Choice Waiver Program , the state will pay for adult day care. Under the self-directed Home Help Program , it is likely participants can use funds the adult day care as well.
Finally, the newer Health Link Program helps but is not available in all counties. Missouri Medicaid's Aged and Disabled Waiver pays for adult day care. Nebraska offers residents the Aged and Disabled Medicaid Waiver.
Under this waiver, adult day care is an included benefit. The PAS program provides for a person attendant, which can be an employee of an adult day care center. Lifespan Respite Subsidy Program. The Choices For Independence Medicaid program pays for adult day care, though the program does not refer to this service using that phase, instead they use phrase Adult Medical Day Services.
The distinction is important as the program does not cover adult day social care. The Medicaid State Plan also has this benefit. New Jersey has a statewide managed Medicaid program. The adult day care benefit was preserved under this new program.
Regular NJ Medicaid also offers this benefit. New Mexico has re-designed their Medicaid program. Under Community Benefit , adult day care is offered. Special Assistance In-Home Program for Adults provides a cash benefit which can be used for adult day care. North Carolina Project C.