Flexible care at home: A Self-Directed Alternative for Seniors
- Nov 16, 2021
- 3 min read
Like many Minnesotans, Mark was facing a problem. His aging mother was at the point where she needed assistance to take care of herself. She was struggling, even with the help that he could provide when he wasn’t at work. He started asking himself the question that he had been avoiding; should she be in a nursing home? She wanted to stay in her home, but she needed help.
Mark’s situation is not unique. According to projections from Minnesota State Demographic Center, Minnesota’s oldest residents—those aged 85 and above—are expected to more than double in the next 35 years—from the current 120,000 to over 270,000. In total, Minnesotans of retirement age and above numbered 889,511 in 2018—an increase of 136,492 since 2013. This number is expected to roll over 1.26 million in the next 20 years. His mother’s wishes combined with decreasing availability of rooms in nursing homes in his area had him looking for other options, but what were they?
A Self-Directed Alternative
Self-Direction provides an alternative for those who need a nursing home level of care. Minnesota’s Home and Community Based Services (HCBS) pave the way for people aged 65 and older to remain in their homes and communities while still receiving care. Seniors that choose to self-direct can access services that provide options for direct care staff and allow them more control over their staffing including hiring, managing, training, and scheduling around their individual needs. These services allow seniors to hire family and friends to provide care including their own adult-children. Some of these services allow for the purchase of goods and home modifications to help seniors increase and/or maintain their independence while remaining in their own homes and communities longer. “For a lot of people, looking for a nursing home is just what you do. They don’t know there are alternatives to nursing home care that allow people to remain in their homes and communities.” Samantha Frederick, Director of CDS at MRCI. After hearing about the availability of these services, Mark was interested, but didn’t know where to start.
How do you sign up?
The process starts with contacting your County, Tribe, or Managed Care Organization (MCO). From there, the person requiring services will be assessed to determine their care needs. An application and determination of the person’s eligibility for Medical Assistance (MA) will also be part of this process unless completed previously. Depending on the results of the assessment and MA application, there are two programs through which a person can receive funding for services and/or goods Elderly Waiver (EW) and Alternative Care (AC).
AC and EW have their own separate eligibility requirements and covered services. Both the EW and AC programs allow for services offered through MRCI Client Directed Services including Consumer Directed Community Supports (CDCS), PCA Choice, Homemaker, Respite, as well as many other covered services. To learn more about the full eligibility requirements, covered services, and which program is appropriate for your loved one, contact your county, tribal nation, or managed care organization.
Mark and his mother were able to work with his county, and through the Elder Waiver (EW) she was able to enroll in the Consumer Directed Community Supports (CDCS) Program. CDCS has allowed Mark, as his mother’s representative, to hire his niece, Hannah, to help with his mother’s care. It’s also allowed for modifications of his mother’s home including handrails in hallways, and an accessible bathtub. Mark knows that his mother may still need the level of care provided in a nursing home eventually, but he is happy knowing that his mother is safe and independent in her own home.
“My mother had a stroke a long time ago and is doing better now. With the help of MRCI and the State we were able to get her a couple caregivers and aphasia therapy; it’s just been wonderful,” says Tasha Hanel, daughter of a CDCS participant. “she’s been able to get help in her home; she’s just not capable with as much as she was.” Tasha’s mother was able to hire Tasha’s father and aunt as her care staff.
Are you struggling with how to get the best care for your loved one? Do you have questions about your options, or the process? Please reach out to us. Have your own self-direction story to tell? We’d love to hear it!
For more information on care options for seniors, and the self-directed alternative to Nursing homes, please visit the following resources.
that is really heart worming
This is a very important and relatable situation that many families are beginning to face as populations age and care needs increase. It highlights the emotional and practical challenges of balancing independence, safety, and available care options for elderly parents. The data on Minnesota’s aging population also shows how urgent it is to plan for supportive systems beyond traditional nursing homes. In a similar way, a high school level course helper can support students by guiding them through structured learning, helping them manage academic pressure, and ensuring they build strong foundations for future responsibilities and decision-making.
I found your insights regarding self-directed care for seniors to be incredibly thoughtful and timely. Empowering our elders to remain in their own homes while having more control over their daily routines is a vital part of maintaining their dignity and sense of independence. The flexibility that this model provides truly allows families to tailor support to very specific needs, which often results in a much higher quality of life for everyone involved. It is heartening to see more discussion around personalized solutions that prioritize comfort and autonomy as we age. This focus on choosing quality and long term value is a philosophy that often carries over into our other lifestyle decisions. For those who value durability and timeless craftsmanship…
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This post about flexible care really struck a chord with me, it highlights how personalized support can make a huge difference. I felt something similar while managing my studies and work, especially when calculus became overwhelming. That’s when I decided to pay someone to do my calculus class through The Online Class Help. Their structured guidance didn’t just ease the workload, it helped me truly understand the subject at my own pace.