Autumn Wind Assisted Living Community

Article: How to get Medicare and Medicaid to Pay for Assisted Living

Description

Autumn Wind Assisted Living Community is a charming residential area nestled in Caldwell, Idaho. With its serene surroundings and thoughtful amenities, this picturesque community has captured the hearts of many seniors. It understands the unique needs of seniors with memory challenges, providing secure memory care services and a dedicated memory care courtyard for added comfort and support. To ensure a vibrant and engaging environment, an active resident council encourages residents to actively participate in shaping the community they call home.

Residents can unwind and relax in the beautiful courtyards, adorned with enchanting gardens, a soothing waterfall, and even freshwater fish, adding to the tranquility of the atmosphere. Beyond the serenity, Autumn Wind offers many opportunities for fun and wellness, including engaging educational programs, delightful restaurant-style dining, and a pet-friendly environment that welcomes furry companions. The community also takes pride in its commitment to fostering a sense of purpose, with many volunteer opportunities available for residents to give back and make a difference.

Map

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Details

What does this place offer?

Pets Allowed Yes, Pets Allowed

Room Sizes 294 / 417 / 481 sq. ft

Housing Options Studio / Alcove / 1 Bed

Building Type Single-story

Amenities

Transportation Services

Fitness and Recreation

Type of Care Available

Assisted Living

Claim What’s Yours: Financial Aid for Idaho Seniors

Program

State Program Name

Eligibility

Benefits

Aged and Disabled Waiver

Idaho Medicaid A&D Waiver

General: Age 65+ or 18+ with disability, Idaho resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
ID Specifics: Rural areas prioritized; waitlists possible.

Services: Personal care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care ($55/day), home modifications ($1,000 avg.).

Idaho Senior Solutions

Idaho Senior Solutions (via AAA)

General: Age 60+, Idaho resident, or caregiver of senior.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
ID Specifics: Limited funding; focus on rural access.

Services: In-home respite (4-6 hours/day), adult day care (~$55/day), transportation (~5 trips/month).

Personal Care Services Program (PCSP)

Idaho Medicaid State Plan PCS

General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, needs help with ADLs (e.g., bathing, eating).
Income Limits (2025): ~$1,020/month (individual), ~$1,470/month (couple).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
ID Specifics: Less stringent than A&D Waiver; no nursing home-level care requirement.

Services: Personal care (~4-6 hours/day, e.g., dressing, meal prep), light housekeeping, medication management.

Medicare Medicaid Coordinated Plan (MMCP)

Idaho MMCP

General: Age 65+ or disabled, Idaho resident, dual-eligible (Medicare A/B/D + Medicaid), health needs requiring coordination.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
ID Specifics: Available in select counties (e.g., Ada, Canyon); not statewide.

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($55/day), medical care, home health.

Idaho Home Choice (Money Follows the Person)

Idaho Home Choice

General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, institutionalized 90+ days, intent to return to community.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
sset Limits: $2,000 (individual), $3,000 (couple).
ID Specifics: Focus on rural transitions; capped enrollment.

Services: Transition services (e.g., moving costs, deposits), personal care (4-6 hours/day), home mods ($1,000), respite (~5 days/year).

Medicare Savings Program (MSP)

Idaho Medicare Savings Program

General: Age 65+ or disabled, Idaho resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
ID Specifics: No waitlist; three tiers based on income.

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

National Family Caregiver Support Program (NFCSP) Respite

Idaho NFCSP Respite Care

General: Caregivers of 60+ needing care or 55+ caregivers of others; Idaho resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
ID Specifics: Six AAAs; prioritizes rural, low-income caregivers.

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training.

Senior Community Service Employment Program (SCSEP)

Idaho SCSEP

General: Age 55+, unemployed, low-income, Idaho resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
ID Specifics: Priority for veterans, rural residents.

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

VA Aid and Attendance (A&A) and Housebound Benefits

Idaho VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Idaho resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
ID Specifics: High veteran demand in rural areas.

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Idaho Seniors

Idaho Medicaid A&D Waiver

Aged and Disabled Waiver

Eligibility

General: Age 65+ or 18+ with disability, Idaho resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
ID Specifics: Rural areas prioritized; waitlists possible.

Benefits

Services: Personal care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care ($55/day), home modifications ($1,000 avg.).

Idaho Senior Solutions (via AAA)

Idaho Senior Solutions

Eligibility

General: Age 60+, Idaho resident, or caregiver of senior.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
ID Specifics: Limited funding; focus on rural access.

Benefits

Services: In-home respite (4-6 hours/day), adult day care (~$55/day), transportation (~5 trips/month).

Idaho Medicaid State Plan PCS

Personal Care Services Program (PCSP)

Eligibility

General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, needs help with ADLs (e.g., bathing, eating).
Income Limits (2025): ~$1,020/month (individual), ~$1,470/month (couple).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
ID Specifics: Less stringent than A&D Waiver; no nursing home-level care requirement.

Benefits

Services: Personal care (~4-6 hours/day, e.g., dressing, meal prep), light housekeeping, medication management.

Idaho MMCP

Medicare Medicaid Coordinated Plan (MMCP)

Eligibility

General: Age 65+ or disabled, Idaho resident, dual-eligible (Medicare A/B/D + Medicaid), health needs requiring coordination.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
ID Specifics: Available in select counties (e.g., Ada, Canyon); not statewide.

Benefits

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($55/day), medical care, home health.

Idaho Home Choice

Idaho Home Choice (Money Follows the Person)

Eligibility

General: Age 65+ or disabled, Idaho resident, Medicaid-eligible, institutionalized 90+ days, intent to return to community.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
sset Limits: $2,000 (individual), $3,000 (couple).
ID Specifics: Focus on rural transitions; capped enrollment.

Benefits

Services: Transition services (e.g., moving costs, deposits), personal care (4-6 hours/day), home mods ($1,000), respite (~5 days/year).

Idaho Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, Idaho resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
ID Specifics: No waitlist; three tiers based on income.

Benefits

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

Idaho NFCSP Respite Care

National Family Caregiver Support Program (NFCSP) Respite

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; Idaho resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
ID Specifics: Six AAAs; prioritizes rural, low-income caregivers.

Benefits

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training.

Idaho SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

General: Age 55+, unemployed, low-income, Idaho resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
ID Specifics: Priority for veterans, rural residents.

Benefits

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

Idaho VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Eligibility

General: Age 65+ or disabled veteran/spouse, Idaho resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
ID Specifics: High veteran demand in rural areas.