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Long Term Services and Supports (LTSS)

 

Community Benefits 

Western Sky Community Care covers long-term services.

  • Services provide assistance to help you stay independent.  
  • Services do not provide 24-hour care.
  • Services do not replace natural supports.

You may be eligible for Community benefits if you meet both financial and medical requirements (Nursing Facility Level of Care - NFLOC).

 

Community Benefits offer Agency Based Community Benefits or Self-Directed Community Benefits. 

Agency Based Community Benefits
  • Adult Day Health
  • Assisted Living
  • Behavior Support Consultation
  • Community Transition Services
  • Emergency Response
  • Employment Supports
  • Environmental Modifications
  • HH Aide
  • Nutritional Counseling
  • Personal Care - Consumer Directed
  • Personal Care - Consumer Delegated
  • Private Duty Nursing
  • Respite and Skilled Maintenance Therapy Services
Self-Directed Community Benefits
  • Behavior Support Consultation Services
  • Customized Community Support
  • Emergency Response
  • Employment Supports
  • Environmental Modifications
  • Home Health Aide 
  • Self-Directed Personal Care
  • Nutritional Counseling 
  • Private Duty Nursing 
  • Related Goods
  • Respite
  • Skilled Therapy Services for Adults 
  • Specialized Therapies
  • Transportation (Non-Medical) 

 

SDCB (Self-Directed Community Benefits) does not cover:

  • Clothing
  • Accessories
  • EPSDT
  • Food
  • Shelter 
  • Property related costs
  • Gift cards
  • Gas Cards
  • Purchase of vehicles
  • Vacation Expenses
  • Furniture or Appliances 

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services:
EPSDT is intended to provide medically necessary health services including preventive, treatment and ameliorative services for eligible recipient under 21 years of age: 

  • Private Duty Nursing Services
  • Personal Care Services 
  • Rehabilitation Services 
  • Case Management