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Developmentally Disabled
- General Services
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Adult Day Care
Adult Day Health Care
Home Health Care
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Nursing Services

Intermediate Care Facility for the Developmentally Disabled — Nursing: This facility provides 24-hour personal care, developmental services, and nursing supervision for 4 to 15 people who have intermittent recurring needs for skilled nursing care but have been certified by a physician as not requiring continuous skilled nursing care. The facility serves medically fragile persons who have developmental disabilities or demonstrate significant developmental delay that may lead to a developmental disability if not treated.

Residential Care

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Assisted Living— Elderly (Age 60+)

This setting provides 24-hour non-medical care, supervision, and assistance with activities of daily living, such as bathing and grooming. Facilities may provide incidental medical services under special care plans as well as hospice or dementia care. This category includes Residential Care Facilities for the Elderly (RCFE) and Continuing Care Retirement Communities (CCRC).

Habilitation Services

Intermediate Care Facility for the Developmentally Disabled — Habilitative: This facility provides 24-hour personal care, habilitation, developmental, and supportive health services to 15 or fewer residents who have intermittent recurring needs for nursing services, but have been certified by a physician as not requiring availability of continuous skilled nursing care. The term "habilitative" means services are provided for the purpose of enhancing, or preventing the regression of intellect, functional skills and the emotional well-being of the person. Typically, care is provided in a group home setting.

Continuing Care Retirement Community

Residential Care Facility for the Elderly

Home Health Care

Home health care provides patients with chronic health conditions or those recovering from an illness or hospitalization with the help they need to remain living at home, as independently as possible. Care ranges from skilled nursing, such as giving injections, changing bandages, and rehabilitation, to help with daily activities, such as bathing and preparing meals. Home health care from one of California’s 1,200 agencies can be one of the least expensive types of long term care. Monthly costs can range from $300 to $900 for part-time help to $8,000 for full-time help. Medicare and private insurance commonly pay for most of these services for a designated period of time; be sure to check your eligibility and authorizations.

Hospice

Hospice provides comfort care for terminally ill patients. Hospice caregivers can help with the patient’s daily activities and medical needs and also help the patient and family deal with the psychological and spiritual needs when facing the end of life. Hospice care can be received at home or in a facility. Family and friends often provide what comfort care they are able, with skilled help from the hospice staff tailored to their needs. Hospice providers do not necessarily provide round-the-clock care and the length of time for services (for example nursing, social work, etc.) varies.

There are over 250 hospice programs in California. While the costs can run to thousands of dollars per month, the services are commonly covered by insurance. In addition, many hospice programs offer services to those in need regardless of their ability to pay.

Adult Day Health Care

This daytime-only setting provides limited medical care, social activities, and support services for adults with multiple or chronic health conditions. It gives the regular caregivers some respite from their duties. It is ideal for a patient moving home after a hospital or nursing home stay, and for those who want to avoid moving into a long term care facility. ADHC services from one of California’s 330 agencies can cost from $65 to $150 per day. Typically private insurance does not cover this cost; however, Medi-Cal does cover adult day health care for Medi-Cal beneficiaries.

Adult Residential Facility

Residential Facility for the Chronically Ill

Social Rehabilitation Facility

Transitional Housing Placement

Community Treatment Facility

Children's Residential Care

This setting provides 24-hour nonmedical care and supervision for those age 17 years and younger. Residential care offers a continuum of structure, supervision, and service levels. Facilities vary by the type of services and areas of focus they provide and include Community Treatment Facilities, Group Homes, Small Family Homes, and Transitional Housing Placement.

Community Treatment Facility

Group Home

Small Family Home

Transitional Housing Placement

Adult Day Care

This daytime-only setting provides clients with limited health monitoring, mind and body exercise, social activities, meals, transportation, and support services. It offers a safe, supervised environment for adults with physical or mental disabilities, as well as respite for the regular caregivers from their daily duties. About 900 licensed providers offer services in a cost range of $60 to $120 per day. Typically insurance does not cover this cost.

Skilled Nursing

Skilled nursing facilities (often called nursing homes) provide housing, meals, skilled and intensive medical care, personal care, social services, and social activities to people who have physical or behavioral conditions that prevent them from living alone. Medicare and private insurance typically cover short term nursing home stays for skilled care needs, but they do not cover long term stays. Cost of care in one of California’s 1,300 nursing facilities averages $6,600 per month, but is often covered by indigent care programs such as Medi-Cal.

General Services

Intermediate Care Facility for the Developmentally Disabled — General: This facility provides 24-hour personal care, habilitation, developmental, and supportive health services to 16 or more clients whose primary need is for developmental services and who have a recurring but intermittent need for skilled nursing services.

Small Family Home

Developmentally Disabled

Adult Residential Care (Age 18 to 59)

This setting provides room and board as well as limited nursing and personal care, along with cooking and cleaning services, for adults aged 18 to 59 who may have physical, developmental, and/or mental disabilities.

Group Home

Nursing Facilities

Congregate Living

This home-like setting offers 24-hour skilled nursing care that generally is more intensive than in nursing facilities. Clients may be terminally ill or have severe physical or mental disabilities and are not able to care for themselves. Congregate living health facilities (CLHFs) generally have fewer than a dozen beds and might specialize in particular types of care, such as brain injuries. There are only about 40 such providers in California. The cost varies widely and they generally accept payments only from individuals or private insurance. Common sources of help, such as Medicare, Medigap, and Medi-Cal, typically do not cover this care.

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