Independent at home
With a little extra help when you need it
What is Preferred Pathways?
Are Medicaid ADvantage services the right path for you?
A lot of people could benefit from a little extra help with preparing their meals, keeping their homes neat, or personal grooming. That doesn't mean that it's time for a nursing home.
In fact, there's a better solution for many people: in-home care through the Medicaid ADvantage (Aging and Disabled) program.
Our goal is to keep you independent and safe at home because that's where you belong.
No Out-of-Pocket
Cost for Qualified Individuals
The ADvantage Waiver Program is designed to help people who are Aging or who have a Disability stay safe in their homes rather than go to a long-term care facility. There is no cost to you if you are:
Eligible for Medicaid ADvantage and need a nursing home level of care
Age 65 or older, OR
Age 21 or older with a physical disability, OR
Age 21 to 65 with a developmental disability and without certain medical problems that affect your brain.
Areas We Serve
Choosing Preferred Pathways
Call for an assessment
Develop a custom care plan
Thrive in your own home
How we offer help in your home:
Case Management
Case Managers assess your long-term goals, develop and adjust your care plan as needed, and connect you with community resources.
Personal Care Assistant
PCAs assist with personal hygiene, meal prep, medication reminders, light housekeeping, mobility and fitness, and running errands.
Community Connections
We connect you with services like transportation, wheelchair ramps, free prescription glasses, community groups, and more.
Advanced Support
Our staff helps manage chronic conditions by assisting with routine ostomy and catheter care, giving medication reminders, and more.
Respite Care
Respite care provides temporary relief for caregivers on a short-term, regular, or extended basis with 2 to 7 hours of service per day.
Companionship
Our focus on companionship and truly getting to know our Members fights loneliness and is the most important service that we offer.
Here's what our members and families have to say:
Frequently Asked Questions about our Medicaid ADvantage services:
These are services provided through the Medicaid ADvantage program and are different from other home health services. The program provides care to Medicaid-eligible Members who can live safely and independently at home instead of moving to a long-term care facility.
Case Managers work with you and your family to create a Member-centered plan of care. We also connect you with community resources to help meet your needs. This can include things like grab bars, eyeglasses, or wheelchair ramps to improve your safety.
Personal Care Assistants can help with housekeeping, laundry, errands, meal preparation or home-delivered meals, and more. We provide the extra help you need to stay in your own home.
There is no out-of-pocket cost to you if you qualify for the Medicaid ADvantage program. Medicaid pays for the services if you:
- Need a nursing home level of care
- Are age 65 or older, OR
- Are age 19 or older with a physical disability, OR
- Are age 19 to 65 with a developmental disability, and without certain medical problems that affect the brain
- Are eligible for Medicaid
The ADvantage program is specific to Medicaid, so other insurance coverage would not apply.
Your case manager will work with you and/or your family to develop a Member-centered plan to meet your needs. The visits will be based on that plan. Personal Care Assistants generally work with you from 2 – 16 hours a week. They can come daily if needed. Case Managers meet with you at least monthly to ensure you are receiving the services you need.
The services can last as long as you need them. There is no cut-off period if you qualify for the program. Many of our Members have used our services for years. The goal is to allow you to live safely and independently at home for as long as possible.
No. We do not usually provide a skilled level of care that requires a doctor’s order. However, if you have a specific medical need, we can bring in skilled nursing or home health to provide medical care under a doctor’s order.
You would apply through the Oklahoma Department of Human Services. Our agency can help you with this.
- There are financial income and asset limits for ADvantage program eligibility. Certain assets are considered exempt. For example, your home and furniture are exempt up to a certain limit.
- There are also financial allowances made for your spouse. The spouse is entitled to have enough funds with which to live. A certain amount of an applicant’s income can be transferred to the spouse. This means it is not included in eligibility income.
- These requirements are subject to change, so please contact our office or the Oklahoma Department of Human Services for current information.
OUR AGENCIES
Care & Comfort at Home
A Path Of Care is your resource to find the right care in the right setting — your home. Our agencies include:
Keep doing what you love in your own home
With the extra support you need
