Therapy, Equipment, Supplies and More
Community-Based Physical Therapy, Occupational Therapy and Speech TherapyFacility-based services mostly provided in an outpatient setting when a member needs:
- More extensive services that cannot be offered in the home, or
- Services can be offered more effectively in an outpatient setting
Consumer Directed Personal Assistance Services (CDPAS)
A relative, excluding a spouse or parent, that acts under the direction of the member or member’s representative. The CDPA will help members with:
- Personal care
- Home health aide
- Skilled nursing tasks
Durable Medical Equipment (DME), Prosthetics and Orthotics
The following medically necessary durable medical equipment are covered:
Care managers work with members and their providers to set up delivery, pick up, maintenance and repair of DME equipment.
Medically necessary home modifications/equipment. This service is to help members stay safely in their home. For example:
- An air conditioner for a member with respiratory problems
- A ramp to accommodate a wheelchair
- Housekeeping services
Medically necessary items which are used for a specific medical conditions.
Medical Social Services
Provides evaluation of a member’s:
- Mental health status
- Social and family support
- Eligibility for entitlements and advance directives
Includes routine supportive counseling of a member’s needs.
Respiratory Therapy Services
In-home services provided by a licensed respiratory therapist. Services include teaching member how to use equipment (like nebulizers or oxygen).
Depending on the member's need, the plan will provide:
- Car service
If members are able to use public transportation, they should. The plan will repay them.
Personal Emergency Response System (PERS)
A PERS is an electronic device connected to the phone. As a member you can activate it if you are alone and there is an emergency.