Expanded Service Payments for the Elderly and Disabled (Ex-SPED) Program
The Expanded-SPED program pays for in-home and community-based services for people who would otherwise receive care in a licensed basic care facility.
Covered Services Include
- Adult Family Foster Care - Provides a safe, supervised family living environment, 24 -hours per day in a state-licensed setting
- Case Management - Assesses needs, helps with care planning, provider selection, referrals, and service monitoring
- Chore Service - Includes snow removal and heavy cleaning
- Emergency Response System (Lifeline) - Provides telephone emergency response
- Environmental Modifications (Limited) - Modifies the home to enhance client independence (e.g. install safety rails)
- Family Home Care - Reimburses a family caregiver who meets the relationship requirements defined by state law and resides in a client's home 24-hours per day
- Homemaker - Provides house cleaning, laundry, and/or meal preparation services
- Respite Care - Provides temporary relief to the full-time caregiver
Eligibility Requirements
- Receives or is eligible for Medicaid, and
- Receives or is eligible for Social Security Income (SSI), and
- Is not severely impaired in the Activities of Daily Living of toileting, transferring, eating, and
- Is impaired in three of four Instrumental Activities of daily Living: meal preparation, housework, laundry, or taking medications OR
- Has health, welfare, or safety needs, including supervision or structured environment, otherwise requiring care in a basic care facility, and
- Is not living in an institution or dormitory, and
- Has needs within the scope of covered services
Seeking Services
For information about services in your area, contact your County Social Service Office.
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