Twin Oaks Estate, Inc

Eligibility

General

Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.

MO specifics

A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

• A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.

Eligibility

General

Adults 18 or older with active qualifying Medicaid coverage, assessed nursing-facility-level care needs and authorized personal care. Consumer-directed services additionally require a physical disability and ability to self-direct.

What it provides

• Authorized assistance with daily activities through agency or consumer-directed services. Qualifying RCF/ALF residents may receive agency personal care for needs beyond the facility’s basic licensing obligations.

Eligibility

General

MO HealthNet-eligible people age 63 or older with assessed needs that would require nursing-home care without waiver services.

MO specifics

Minimum age is 63, not 65; current Medicaid financial standards and functional assessment apply.

What it provides

• Authorized homemaker; chore; respite; home-delivered meals and adult day care.

Eligibility

General

Adults age 21 or older with Alzheimer's disease or a related disorder who meet Medicaid and nursing-facility-level-of-care requirements and can receive approved care at home.

What it provides

• Authorized structured caregiving support in the home under the waiver and provider plan.

Eligibility

General

Caregiver living in the same home as a Missouri resident with probable Alzheimer's disease or a related dementia; residents of long-term-care facilities are excluded.

MO specifics

Enrollment is first-come, first-served subject to funding.

What it provides

• Customized caregiver training; approved respite-related financial relief and assistive technology; availability depends on funding.

Eligibility

General

People age 63 or older or adults with a physical disability who have lived in a nursing facility for at least 60 days and have qualifying MO HealthNet coverage before transition. Additional Medicare and safe-community-placement rules apply.

What it provides

• Transition planning; housing search; community support connections and help setting up a home; followed by supports during the transition period.

Eligibility

General

People meeting MO HealthNet aged, blind or disabled coverage criteria; a need for help with one ADL is not a universal eligibility requirement for medical coverage.

MO specifics

Spenddown may be relevant depending on the coverage category.

What it provides

• MO HealthNet medical coverage; personal care and other long-term services require their own assessment and authorization.

Eligibility

General

Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.

MO specifics

Applications are administered by the state Medicaid program.

What it provides

• Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.