With the improvement in health care Americans are living longer. Most older people and those who face other health challenges prefer to remain in their homes as long as possible. Family and friends may be able to provide resources to a degree so that their loved ones can be where they want to be however the complexity of health care, economic factors, and other obligations may overwhelm the best intentions to help.

"Homestead At-Home" is a management service that partners with individuals and their families so that greater independence is achieved and the person is able to have their life. Designed around a core group of Life Care Managers the service works from a plan of action that may include health care services, rehabilitation, health promotion and social service interventions.

Who Uses Our Program

Anyone who is involved with the care of an older adult may seek out our service. Our Care Manager does not replace family involvement but acts in a manner to help gather information for decisions and carrying out action plans. Care managers may be hired by:
    
     *Spouses
     *Children or other Family Members who may live some distance from
       the client
     *Guardians or conservators
     *Attorneys
     *Trust Directors

Care Management Services

Recognizing the broad nature of life challenges our program offers three avenues of service.

• Direct Service: Our Care Manager may be directly involved with the client or family. Services might involve health or other assessment services of the person or review of living circumstances or monitoring of care.

• Cooperative Involvement:  Acting on behalf of the client or family our Care Manager may operate in a cooperative manner with others in ensuring care and services. They may act on behalf of the client in establishing services or in maintaining a network of communication.

• Information and Referral: Our Care Manager maintains an active directory of professionals and service providers who have been identified as community resources. These individuals and businesses are independent of "Homestead At-Home" and you can be sure that our recommendations are not biased as we seek the best for the client.

Service Payment

"Homestead At-Home" Care Management services are based on a fee-for-service arrangement. We do not receive payment from Medicare or Medicaid and we do not take referral fees from any of the professionals that we may list in our directories of providers that are given to our clients. We do not accept such fees so that you know that we are unbiased in our review of local providers and institutions selecting only what is best for the client.

Service Fees

Care Giver Services (effective October 1, 2009)

DAYTIME $17.50/hour
(8 a.m. to 5 p.m. 2 hour minimum)

12 HOUR OVERNIGHT $185.00
(with 8 hours sleep)

24-HOUR LIVE-IN $380.00

Bath & Grooming Service Only $15.00
(not to exceed one hour)

Weekly Medication Setup Nurse Visit $50.00

MILEAGE 40 cents/mile
Caregiver's care- in route to Client's home (applies if caregiver's vehicle used)

HOLIDAY RATES
Time-and-a half for the following:

New Year's Eve/Day Easter
Memorial Day July 4th
Labor Day Thanksgiving
Christmas Eve/Day

Assessment Services

Initial Assessment.... $550.00
  Includes an initial in-home consultation with our Care Manager, an inspection for environmental safety, development of an emergency plan, organization of health information and creation of record library, and any follow-up or further investigation to complete the written report. We then will meet with the client and family as desired to go over the report and recommendations.

In-Office Assessment....  $200.00
    Includes a 1.5 hour interview with the client by the Care Manager held at our office. Information is obtained completing a medical and social history so that client needs can be identified. Specific information is provided concerning what action is needed and what strategies are best suited to obtain these goals.

Monthly Maintenance... $35.00
     Includes a monthly telephone monitoring call, access to our directory of service providers, and assistance with obtaining resources.

Other services are offered on an "as needed" basis and the fees vary according to the nature of service and personnel used.