cast analysis of state payment for aging - leadingage
TRANSCRIPT
CAST AnAlySiS of STATe
PAymenT for Aging ServiCeS
TeChnologieS (ASTs)
A LeadingAge CAST Report
Primary Author: Scott Peifer, Associate Director, State Policy, CAST
LeadingAge Center for Aging Services Technologies (CAST)
CAST Analysis of State Payment
for Aging Services Technologies (ASTs)”
A program of LeadingAge
2519 Connecticut Ave., NWWashington, DC 20008-1520Phone (202) 508-9416Fax (202) 220-0032
Web site: www.agingtech.org
© Copyright 2011 LeadingAge
LeadingAge Center for Aging Services Technologies:
The LeadingAge Center for Aging Services Technologies (CAST) is focused on development, evaluation and adoption of emerging technologies that will transform the aging experience. As an international coalition of more than 400 technology companies, aging-services organiza-tions, businesses, research universities and government representatives, CAST works under the auspices of LeadingAge, an association of 5,500 not-for-profit organizations dedicated to expanding the world of possibilities for aging.
For more information, please visit http://leadingage.org/cast.aspx.
1
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
A St
ate-
by-S
tate
Ana
lysi
s of
Pay
men
t for
AST
sJa
nu
ary
1,
20
11
This
sum
mar
y ta
ble
des
crib
es t
he
avai
labili
ty o
f M
edic
aid W
aive
r re
imburs
emen
t fo
r Agin
g S
ervi
ces
Tec
hnol
ogie
s(A
STs)
in e
ach s
tate
. W
hile
we
bel
ieve
mos
t in
stan
ces
of r
eim
burs
emen
t hav
e bee
n c
aptu
red b
elow
, th
ere
are
cer
tain
to
be
omis
sion
s. W
e en
visi
on r
epor
t th
is t
o al
so b
e co
nve
rted
into
as a
“liv
ing d
ocum
ent”
on C
AST’s
web
site
and w
ill b
e updat
ed a
s ad
ditio
nal
info
rmat
ion b
ecom
es a
vaila
ble
. In
short
, th
e an
alysi
s re
veal
s th
at w
hile
the
mos
tco
mm
on t
echnol
ogie
s re
imburs
ed a
re P
erso
nal
Em
ergen
cy R
espon
se S
yste
ms
(PERS)
–44
stat
es r
eim
burs
e fo
r PERS
–th
ere
are
an incr
easi
ng n
um
ber
of
stat
es t
hat
are
pro
vidin
g r
eim
burs
emen
t fo
r ot
her
ser
vice
s, s
uch
as
med
icat
ion m
anag
emen
t(1
6 s
tate
s)
and t
elem
onitor
ing/h
ome
tele
hea
lth
(sev
enst
ates
). A
cou
ple
of
stat
es h
ave
rece
ntly
enac
ted p
olic
y ch
ange
to a
dd n
ew r
eim
burs
emen
t fo
r ASTs
while
oth
ers
are
curr
ently
in s
uch
pol
icy
dis
cuss
ions,
as
not
ed in t
he
far
right
colu
mn.
It is
also
im
por
tant
to n
ote
that
tec
hnol
ogy
serv
ice
def
initio
ns
vary
in t
hei
r deg
ree
of flex
ibili
ty f
or incl
usi
on o
f new
tec
hnol
ogie
s, r
angin
g fro
m t
raditio
nal
par
amet
ers
to b
road
lyin
clusi
ve lan
guag
e ab
out
the
goal
s an
d o
bje
ctiv
es o
f te
chnol
ogy-
enab
led s
ervi
ces.
Pen
nsy
lvan
ia h
as t
he
mos
t co
mpre
hen
sive
cov
erag
e fo
r ASTs
in its
Tel
ecar
e pro
gra
m,
incl
udin
g h
ome
tele
hea
lth,
activi
ty/w
elln
ess
mon
itor
ing,
med
icat
ion d
ispen
sing a
nd P
ERS,
but
New
York
, Sou
th C
arol
ina,
and S
outh
D
akot
a al
sohav
e ex
empla
ry r
eim
burs
emen
t pro
gra
ms.
It is
impor
tant
tonot
e th
at t
he
Old
er A
mer
ican
’s A
ct f
undin
g t
hro
ugh T
itle
III
as
wel
l as
Med
icai
d s
tate
pla
n s
ervi
ces
(incl
udin
g P
rogra
ms
of A
ll-In
clusi
ve C
are
for
the
Eld
erly
) dir
ectly
or indir
ectly
cove
r th
ese
serv
ices
,if t
hey
are
incl
uded
in t
he
Sta
te U
nit o
n A
gin
g p
lan o
f se
rvic
es.
Final
ly,
the
VA p
rogra
ms
in t
he
stat
es o
per
ate
an e
xten
sive
tel
ehea
lth p
rogra
m for
vete
rans.
Sta
teS
tate
Reim
bu
rsem
en
t P
rog
ram
sfo
r A
ST
s
(i.e
., H
CBS
Eld
erly
an
d/o
r Ph
ysic
ally
D
isab
led
Adult W
aive
rs)
Typ
es
of
Tech
nolo
gy R
eim
bu
rsed
/D
efi
nit
ion
(i.e
., P
erso
nal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS),
Med
icat
ion D
ispen
sing,
Hom
e Te
lehea
lth,
Rem
ote
Monitoring,
etc.
)
Reim
bu
rsem
en
t R
ate
sS
tate
R
eim
bu
rsem
en
t P
oli
cy N
ote
s
Ala
bam
aS
AIL
Waiv
er
(for
Phys
ical
lyD
isab
led
Adults
Ages
18-6
0)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
AL0
241R
0400.z
ip
PE
RS
PERS S
ervi
ce:
This
ser
vice
will
cov
er t
he
month
ly fee
aft
er t
he
syst
em h
as b
een inst
alle
d. PE
RS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of in
stitutional
izat
ion t
o s
ecure
hel
p in t
he
even
t of
an e
mer
gen
cy. T
he
clie
nt
may
als
o w
ear
a port
able
“hel
p”
butt
on t
o al
low
for
m
obili
ty.
The
syst
em is
connec
ted t
o t
he
per
son’s
phone
and
pro
gra
mm
ed t
o si
gnal
a r
esponse
ce
nte
r once
a “
hel
p”
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts
of th
e day
, an
d h
ave
no r
egula
r ca
reta
ker
for
exte
nded
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
By
pro
vidin
g im
med
iate
acc
ess
to a
ssis
tance
, PE
RS s
erve
s to
pre
vent
inst
itutional
izat
ion o
f th
ose
indiv
idual
s.PE
RS I
nst
alla
tion:
The
sam
e ob
ject
ive,
pro
vider
exp
erie
nce
, et
c.,
for
PERS (
S6161-U
B)
will
apply
fo
r th
is s
ervi
ce.
Pric
e Q
uota
tion
fro
m t
he
Ven
dor
Provi
din
g t
he
Ser
vice
Spec
ifyi
ng t
he
Des
crip
tion
of Pe
rsonal
Em
ergen
cy R
eques
ted.
Set
-up w
ill b
e pro
vided
by
indiv
idual
s w
ho
are
trai
ned
to
inst
all
this
dev
ice
for
spec
ific
consu
mer
s fo
r w
hom
ser
vice
s ar
e bei
ng p
rovi
ded
.The
max
imum
is
a one-
tim
e in
stal
lation c
har
ge.
Once
the
reci
pie
nt
has
had
one
inst
alla
tion,
anoth
er o
ne
cannot
be
appro
ved.
(clic
k fo
r m
ore
pro
gra
m d
etai
ls)
PERS S
ervi
ce:
$30/m
onth
PERS I
nst
alla
tion:
$299 (
one-
tim
e)
Ala
bam
aal
sohas
an
Eld
erly
and
Dis
able
d M
edic
aid
Wai
ver
but
no
PERS o
r oth
er
tech
nolo
gy
reim
burs
emen
t
Ala
ska
None
No a
gin
g s
ervi
ces
tech
nolo
gy
reim
burs
emen
t in
O
lder
Ala
skan
s W
aive
r
LeadingAge Center for Aging Services Technologies (CAST)
2
Ari
zon
a1
11
5 D
em
on
stra
tio
n
Waiv
er
Ari
zon
a H
ealt
h C
are
C
ost
Con
tain
men
t S
yst
em
/ A
rizo
na L
on
g
Term
Care
Syst
em
PE
RS
“Life
Line
Ale
rt”
N/A
Ark
an
sas
AR
Eld
er
Ch
oic
es
(for
old
er a
dults
65 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
AR0195
R0400.z
ip
PE
RS
PERS S
ervi
ce:
Pers
onal
em
ergen
cy r
esponse
sys
tem
(PE
RS)
is a
n e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n e
mer
gen
cy.
The
par
tici
pan
t m
ay a
lso
wea
r a
port
able
"hel
p"
butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e par
tici
pan
t's
phone
and p
rogra
mm
ed
to s
ignal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted.
The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s, a
s sp
ecifie
d h
erei
n.
Pers
onal
em
ergen
cy r
esponse
sys
tem
ser
vice
s ar
e lim
ited
to t
hose
par
tici
pan
ts w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d
hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
vero
utine
super
visi
on.
The
per
sonal
em
ergen
cy r
esponse
sys
tem
is
an in-h
om
e el
ectr
onic
ala
rm
syst
em t
hat
enab
les
an e
lder
ly,
infirm
or
hom
ebound p
artici
pan
t to
sec
ure
im
med
iate
hel
p in t
he
even
t of phys
ical
, em
otional
or
envi
ronm
enta
l em
ergen
cy. T
he
goal
s of th
e per
sonal
em
ergen
cy
resp
onse
sys
tem
are
:1.
To p
rovi
de
a hig
h-r
isk
elder
ly p
artici
pan
t w
ith t
he
secu
rity
and a
ssura
nce
of
imm
edia
te
assi
stan
ce in a
n e
mer
gen
cy, m
akin
g it
poss
ible
for
them
to
rem
ain in t
hei
r hom
e.2.
To e
limin
ate
the
nee
d for
cost
lyin
-hom
e su
per
visi
on p
rovi
ded
by
a pai
d a
tten
dan
t th
at a
lso
affo
rds
the
par
tici
pan
t th
e em
otional
sat
isfa
ctio
n o
r in
dep
enden
t liv
ing.
Pers
onal
em
ergen
cy r
esponse
sys
tem
is
not
inte
nded
to b
e a
univ
ersa
l ben
efit.
It
is s
pec
ific
ally
for
th
ose
"hig
h-r
isk"
par
tici
pan
ts w
hose
nee
ds
are
det
erm
ined
thro
ugh t
he
asse
ssm
ent/
reas
sess
men
t pro
cess
. T
he
criter
ia for
elig
ibili
ty a
re b
ased
on t
he
par
tici
pan
t's
leve
l of
med
ical
vuln
erab
ility
, fu
nct
ional
im
pai
rmen
t an
d s
oci
al iso
lation.
Par
tici
pan
ts o
f th
e per
sonal
em
ergen
cy r
esponse
sy
stem
must
be
phys
ical
ly a
nd m
enta
lly c
apab
le o
f utiliz
ing t
he
serv
ice
or
resi
de
in t
he
hom
e w
ith
a ca
regiv
er w
ho
is c
apab
le o
f utiliz
ing t
he
serv
ice
for
the
ben
efit o
f th
e w
aive
r par
tici
pan
t.N
o lim
it o
n t
he
amount,
fre
quen
cy o
r dura
tion o
f th
e Pe
rsonal
Em
ergen
cy R
esponse
Sys
tem
ser
vice
(clic
k her
e fo
r m
ore
pro
gra
m info
rmat
ion)
PERS S
ervi
ce:
$33 p
er m
onth
PERS I
nst
alla
tion:
$29.9
0
Ark
ansa
s is
co
nsi
der
ing a
ddin
g
a te
lem
onitor
ing/
Hom
e Te
lehea
lth
serv
ice
to t
he
wai
ver,
curr
ently
on h
old
due
toBudget
conce
rns
Cali
forn
iaC
A N
urs
ing
Faci
lity
/A
cute
H
osp
ital W
aiv
er
(for
old
er indiv
idual
s ag
es65 y
rs a
nd o
lder
,Ph
ysic
ally
Dis
able
d (
PD)
indiv
idual
s under
65)
PE
RS
PERS S
ervi
ce:
(exc
ludes
inst
alla
tion a
nd t
esting)
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
is a
n e
lect
ronic
dev
ice
that
enab
les
indiv
idual
s at
hig
h r
isk
of inst
itutional
izat
ion t
o s
ecure
hel
p in t
he
even
t of
an e
mer
gen
cy.
Auth
oriza
tion is
limited
to indiv
idual
s w
ho:
liv
e al
one
or w
ho
are
alone
for
signific
ant
par
ts o
f th
e day
; hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e; a
nd w
ho w
ould
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
PERS I
nst
alla
tion a
nd T
esting:
Inst
alla
tion a
nd t
esting o
f a
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
for
indiv
idual
s at
hig
h
risk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in t
he
even
t of an
em
ergen
cy.
Auth
oriza
tion is
limited
to
indiv
idual
s w
ho:
liv
e al
one
or w
ho
are
alone
for
signific
ant
par
ts o
f th
e day
; hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of t
ime;
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
PERS S
ervi
ce:
Neg
otiat
ed R
ate
PERS I
nst
alla
tion:
Neg
otiat
ed R
ate
CA
ST
W
hit
ep
ap
er:
Sta
te o
f Tec
hnolo
gy
in
Agin
g S
ervi
ces
in
Cal
iforn
iahtt
p:/
/ww
w.a
ahsa
.org
/Work
Are
a/lin
kit.
aspx?
LinkI
den
tifie
r=id
&It
emID
=1
0207
Note
: N
urs
ing
Faci
lity/
Acu
te
Hosp
ital
Wai
ver
due
for
renew
al
Fall
2011, w
ill
hea
r st
akeh
old
er
reco
mm
endat
ions
for
wai
ver
amen
dm
ents
in
Spring
CA
In
Ho
me
Op
era
tio
ns
(for
med
ical
ly fra
gile
, te
chnolo
gy
dep
enden
t in
div
idual
s, n
o m
ax a
ge)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
CA0457
R0100.z
ip
PE
RS
(sam
e as
abov
e)PE
RS S
ervi
ce:
$31.5
1 p
er m
onth
PERS I
nst
alla
tion:
$35 (
one-
tim
e)
3
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
Mo
ney F
ollo
ws
the
Pers
on
htt
p:/
/file
s.m
edi-
cal.ca
.gov/
pubsd
oco
/pu
blic
atio
ns/
mas
ters
-m
tp/p
art2
/hom
ecd_o07.
doc.
Sp
eci
alize
d S
up
ply
(T2028)
/ (M
ed
icati
on
Dis
pen
sin
g &
Oth
er)
Als
o c
lass
ifie
d a
s an
ass
istive
dev
ice.
Item
s des
igned
to a
ccom
modat
e an
indiv
idual
’s f
unct
ional
lim
itat
ions
and p
rom
ote
indep
enden
ce, in
cludin
g,
but
not
limited
to,
lift
chai
rs, st
air
lifts
, dia
bet
ic
shoes
and a
dap
tations
to p
erso
nal
com
pute
rs.
The
nee
d for
item
s m
ust
be
docu
men
ted in t
he
indiv
idual
’s c
om
pre
hen
sive
ser
vice
pla
n w
ith a
n e
xpla
nat
ion o
f how
the
item
(s)
would
pre
vent
elev
atio
n t
o a
hig
her
lev
el o
f ca
re o
r re
turn
to a
hea
lth c
are
faci
lity.
(N
ote
: To
dat
e th
is c
ode
has
bee
n u
sed for
med
icat
ion d
ispen
sing t
echnolo
gie
s an
d s
pec
ial eq
uip
men
t nee
ded
in h
om
es).
Neg
otiat
ed R
ate,
Li
mited
to t
erm
of
365 d
ays
“By
Rep
ort
,” n
ot
to
exce
ed $
7,5
00
Co
lora
do
CO
Su
pp
ort
Liv
ing
S
erv
ices
(for
indiv
idual
s w
ith
Dev
elop
men
tal D
isab
ility
(D
D)
ages
18 -
no
max
ag
e)htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
CO
0293
R0300.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a por
table
"hel
p"
butt
on
to a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
par
tici
pan
t’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a
"hel
p"
butt
on is
activa
ted. The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s. The
par
tici
pan
t an
d t
hei
r ca
se m
anag
er d
evel
op a
pro
toco
l fo
r id
entify
ing w
ho is
to b
e co
nta
cted
if/
when
the
syst
em is
activa
ted.
Colo
rado is
consi
der
ing a
ddin
g
hom
e te
lehea
lth/
tele
monitoring t
o
this
wai
ver.
CO
Eld
erl
y,
Blin
d a
nd
D
isab
led
(for
old
er
indiv
idual
s ag
es 6
5 -
no
max
age
and p
hys
ical
ly
dis
able
d a
ges
18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
CO
0006
R0600.z
ip
Med
icati
on
Rem
ind
er
Syst
em
:(T
he
serv
ice
title
appro
ved in t
he
curr
ent
wai
ver
has
bee
n c
han
ged
fro
m "
Spec
ializ
ed M
edic
al
Equip
men
t an
d S
upplie
s Pr
ovid
er"
to M
edic
atio
n R
emin
der
s)
The
dev
ices
, co
ntr
ols
, or
applia
nce
s w
hic
h e
nab
le a
n indiv
idual
at
hig
h r
isk
of in
stitutional
izat
ion t
o
incr
ease
thei
r ab
ilities
to p
erfo
rm a
ctiv
itie
s of
dai
ly liv
ing, su
ch a
s m
edic
atio
n a
dm
inis
trat
ion.
Med
icat
ion R
emin
der
s sh
all in
clude
dev
ices
or
item
s th
at r
emin
d o
r si
gnal
the
clie
nt
to t
ake
pre
scribed
med
icat
ions
or
oth
er d
evic
es n
eces
sary
for
the
pro
per
funct
ionin
g o
f su
ch ite
ms,
and
dura
ble
and n
on-d
ura
ble
med
ical
equip
men
t not
avai
lable
as
a Sta
te p
lan b
enef
it.
Med
icat
ion
Rem
inder
s sh
all be
consi
der
ed a
ben
efit o
nly
when
rea
sonab
le a
nd n
eces
sary
for
the
trea
tmen
t of
an
indiv
idual
’s illn
ess,
im
pai
rmen
t, o
r dis
abili
ty a
s doc
um
ente
d o
n t
he
ULT
C100.2
and s
ervi
ce
pla
n.
Item
s re
imburs
ed a
s M
edic
atio
n R
emin
der
shal
l be
in a
dditio
n t
o an
y m
edic
al e
quip
men
t an
d
supplie
s fu
rnis
hed
under
the
Med
icai
d S
tate
pla
n.
Med
icat
ion R
emin
der
shal
l be
auth
oriz
ed o
nly
for
in
div
idual
s w
ho
hav
e th
e phys
ical
and m
enta
l ca
pac
ity
to u
tiliz
e th
e par
ticu
lar
syst
em r
eques
ted for
that
clie
nt.
Med
icat
ion R
emin
der
shal
l be
auth
orize
d o
nly
if th
ey a
re in a
ccord
ance
with c
urr
ent
acce
pte
d s
tandar
ds
of m
edic
al p
ract
ice
in t
he
trea
tmen
t of
the
clie
nt’s
conditio
n w
ithout
exce
ss o
r ex
trem
e fu
nct
ion o
r ex
pen
se b
eyond w
hic
h is
nec
essa
ry.
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice,
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy.
The
indiv
idual
may
als
o w
ear
a por
table
“hel
p”
butt
on t
o a
llow
for
mob
ility
. The
syst
em is
connec
ted t
o th
e per
son’s
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted. M
onitoring o
f th
e dev
ice
is incl
uded
in
the
PERS s
ervi
ce.
The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s.
Lim
itat
ions:
PERS s
ervi
ces
are
limited
to
those
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of t
ime
and w
ho
would
oth
erw
ise
require
routine
super
visi
on.
Ele
ctro
nic
Mo
nit
ori
ng
On o
ccas
ion “
Ele
ctro
nic
Monitoring”
tech
nolo
gie
s hav
e bee
n r
eim
burs
ed,
no e
stab
lished
rat
e,
neg
otiat
ed b
y ca
re m
anag
er a
t si
ngle
poin
t of
entr
y ag
ency
.
PERS S
ervi
ce:
$45.5
0 p
er m
onth
Med
icat
ion
Rem
inder
:$40.5
8 -
$43.1
8per
month
PERS S
ervi
ce:
$37.5
7 -
$43.1
8
per
month
LeadingAge Center for Aging Services Technologies (CAST)
4
Co
nn
ect
icu
tC
T P
ers
on
al
Care
A
ssis
tan
ce
(for
phys
ical
ly d
isab
led
adults
ages
18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
CT0
301R
0300.z
ip
PE
RS
PERS S
ervi
ce:
An e
lect
ronic
dev
ice
that
enab
les
cert
ain c
onsu
mer
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy;
the
syst
em m
ay incl
ude
a por
table
“hel
p”
butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e per
son’s
tel
ephone
and p
rogra
mm
ed
to s
ignal
a r
esponse
cen
ter
once
“hel
p”
butt
on is
activa
ted. Tra
ined
pro
fess
ional
s sh
all st
aff th
e re
sponse
cen
ter.
Oth
er s
tandar
d:
Has
appro
ved c
ontr
act
thro
ugh D
SS, or
is a
contr
acto
r of th
e dep
artm
ent
to p
rovi
de
PERS for
oth
er
exis
ting D
SS p
rogra
ms,
or
who o
bta
ins
an a
ppro
ved c
ontr
act
thro
ugh D
SS t
o p
rovi
de
PERS
serv
ices
.
Ass
isti
ve T
ech
no
log
yAn ite
m,
pie
ce o
f eq
uip
men
t, o
r pro
duct
sys
tem
,w
het
her
acq
uired
com
mer
cial
ly,
modifie
d,
or
cust
om
ized
, th
at is
use
d t
o in
crea
se,
mai
nta
in,
monitor
or im
pro
ve funct
ional
cap
abili
ties
of
par
tici
pan
ts t
o per
form
Act
ivity
of D
aily
Liv
ing (
AD
L), or
Inst
rum
enta
l Act
ivitie
s of D
aily
Liv
ing
(IAD
L).
Ass
istive
tec
hnolo
gy
serv
ice
mea
ns
a se
rvic
e th
at d
irec
tly
assi
sts
a par
tici
pan
t in
the
sele
ctio
n,
acquis
itio
n,
or
use
of
an a
ssis
tive
tec
hnolo
gy
dev
ice.
Car
e pla
ns
will
be
dev
eloped
bas
ed o
n t
he
nee
ds
iden
tified
in t
he
com
pre
hen
sive
ass
essm
ent.
The
cost
of th
e Ass
istive
Tec
hnolo
gy
cannot
exce
ed t
he
year
ly c
ost
of th
e se
rvic
e it r
epla
ces.
W
hen
an
assi
stiv
e te
chnolo
gy
dev
ice
is iden
tified
that
will
support
the
wai
ver
par
tici
pan
t’s
indep
enden
t fu
nct
ionin
g,
the
serv
ices
will
be
reduce
d c
om
men
sura
te w
ith t
he
cost
of th
e se
rvic
e it r
epla
ces.
This
red
uct
ion
will
be
mad
e w
ith c
onsi
der
atio
n o
f th
e w
aive
r par
tici
pan
t’s
hea
lth a
nd s
afet
y nee
ds.
The
serv
ice
shal
l be
capped
at
an a
nnual
cos
t of
$1000.
For
tele
monitoring s
ervi
ces
must
be
a H
om
e H
ealth A
gen
cy lic
ense
d in t
he
stat
e of Connec
ticu
t as
sp
ecifie
d in S
ubse
ctio
n (
k) s
ection 1
9a-
490 o
f th
e gen
eral
sta
tute
s
PERS S
ervi
ce:
$55 p
er m
onth
Ass
istive
Tec
hnolo
gy
Rat
e$1000 p
er y
ear
Note
: W
hile
oth
ers
stat
es h
ave
AT
in
wai
ver,
the
CT
scop
e an
d
def
initio
n is
bro
ader
than
oth
ers
(i.e
.,
incl
usi
on o
f te
lem
onitoring),
hen
ce its
incl
usi
on
in t
his
sum
mar
y.
CT
HC
BS
fo
r E
lders
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
CT0
140R
0500.z
ip
PE
RS
/ M
ed
icati
on
Dis
pen
sin
g (
“Tw
o-w
ay”
syst
em
s)PE
RS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of in
stitutional
izat
ion t
o
secu
re h
elp in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
per
son's
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
ce
nte
r once
a "
hel
p"
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s 24/7
. P
ERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e, a
nd w
ho w
ould
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on. In
stal
lation,
upke
ep a
nd m
ainte
nan
ce o
f th
e dev
ice
is p
rovi
ded
.
Tele
mo
nit
ori
ng
Tel
emonitoring S
ervi
ces
Prov
ided
by
Hom
e H
ealth A
gen
cies
appro
ved in 2
009-2
010 B
udget
, th
e CT
Dep
artm
ent
of Soci
al S
ervi
ces
(DSS)
has
am
ended
the
wai
ver
to p
erm
it t
elem
onitor
ing a
nd p
olic
y guid
elin
es for
im
ple
men
tation a
re in
dev
elop
men
t. T
elem
onitoring s
ervi
ces
are
to b
e pro
vided
by
hom
e hea
lth a
gen
cies
incl
udin
g c
ove
rage
for
the
cost
of eq
uip
men
t re
nta
l an
d 2
4-h
our
mon
itoring
for
pat
ients
with c
onges
tive
hea
rt fai
lure
or
chro
nic
obst
ruct
ive
pulm
onar
y dis
ease
who m
eet
cert
ain
med
ical
crite
ria.
Fro
m t
he
budget
bill
: “T
his
initia
tive
is
expec
ted t
o re
sult in n
et s
avin
gs
due
to r
educe
d s
kille
d n
urs
ing v
isits
and im
pro
ved d
isea
se m
anag
emen
t, r
equirin
g few
er h
osp
ital
vi
sits
…D
SS w
ill t
rack
both
cost
s an
d s
avin
gs
ove
r a
two-y
ear
per
iod. An e
valu
atio
n w
ill b
e per
form
ed a
t th
e en
d o
f th
e dem
onst
ration p
erio
d t
o co
nfirm
the
pro
gra
m's
cost
effec
tive
nes
s.”
PERS S
ervi
ce(o
ne-
way
):$29.1
7 -
$32.2
1
per
month
(tw
o-w
ay):
$58.3
3-$
64.3
8
PERS I
nst
alla
tion:
$35.0
0 –
$38.6
5
Tel
emonitoring:
TBD
Note
: Tw
o-w
ay
syst
ems
incl
ude
syst
ems
with
med
icat
ion
dis
pen
sing;
very
fe
w t
wo-w
ay h
ave
bee
n u
tiliz
ed t
o
dat
e.
Dela
ware
DE
Eld
erl
y &
Dis
ab
led
(for
old
er indiv
idual
sag
es65 -
no m
ax a
ge
and p
hys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
DE0136
R0500.z
ip
PE
RS
A P
erso
nal
Em
ergen
cy R
esponse
Sys
tem
is
a dev
ice
that
allo
ws
a per
son a
t hig
h r
isk
(for
exam
ple
an
old
er p
erso
nw
ho liv
es a
lone
and h
as a
hea
lth p
roble
m)
to g
et im
med
iate
hel
p in t
he
even
t of
an
em
ergen
cy.
The
per
son w
ho is
usi
ng t
he
syst
em w
ears
a b
utt
on t
hat
he
or
she
can p
ush
if
nee
ded
. The
butt
on c
onnec
ts e
lect
ronic
ally
to t
he
per
son's
phone,
whic
h is
pro
gra
mm
ed t
o s
end a
si
gnal
to a
res
ponse
cen
ter
or
oth
er c
onta
ct p
erso
ns
who
can
then
car
ry o
ut
a se
ries
of ac
tions
to
hel
p t
he
per
son in n
eed.
This
ser
vice
doe
s not
duplic
ate
a se
rvic
e pro
vided
under
the
stat
e pla
n a
s an
exp
anded
EPS
DT s
ervi
ce.
PERS S
ervi
ce:
$24.9
5 –
$34.9
5per
month
Del
awar
e is
co
nsi
der
ing a
ddin
g
reim
burs
emen
t fo
r “P
ERS 2
.0”
tech
nolo
gy
whic
h
does
not
require
push
of a
butt
on,
am
edic
atio
n
dis
pen
sing.
5
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
Flo
rid
aFL A
ged
& D
isab
led
A
du
lt(f
or
old
er indiv
idual
sag
es65 -
no
max
age
and p
hys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
FL0010R
0601.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a port
able
"hel
p"
butt
on t
o al
low
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
par
tici
pan
t's
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a
"hel
p"
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s, a
s sp
ecifie
d
her
ein.
PE
RS I
nst
alla
tion:
Inst
alla
tion o
f th
e PE
RS is
limited
to
thre
e in
stal
lations
per
lifet
ime.
The
Com
munity
Car
e Pr
ovi
der
Agen
cy m
ust
ensu
re t
he
PERS c
ontr
acto
r m
eets
all
applic
able
lic
ensu
re a
nd c
ertifica
tion s
tandar
ds.
PERS S
ervi
ce:
$40 p
er m
onth
PERS I
nst
alla
tion:
$95 p
er
inst
alla
tion,
3 lifet
ime
FL C
han
nelin
g f
or
the
Fra
il E
lderl
y(f
or
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
ag
e)htt
ps:
//w
ww
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s.gov/
Med
icai
dStW
aivP
rogD
emo
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ip
PE
RS
PERS S
ervi
ce:
Pers
onal
em
ergen
cy r
esponse
sys
tem
(PE
RS)i
s an
ele
ctro
nic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e per
son's
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted.
The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s, a
s sp
ecifie
d in t
he
serv
ice
pro
vider
qual
ific
atio
ns.
PE
RS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
The
serv
ices
are
pro
vided
as
det
aile
d in t
he
appro
ved c
are
pla
n.
PERS S
ervi
ce:
$30.1
9 -
$36.6
9per
month
Geo
rgia
GA
Eld
erl
y &
Dis
ab
led
(for
old
er indiv
idual
sag
es65 y
rs -
no
max
ag
e, a
nd P
D indiv
idual
s ag
es 0
–64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
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ads/
GA0112
R0500.z
ip
PE
RS
PERS S
ervi
ce:
The
Em
ergen
cy R
esponse
Ser
vice
s (E
RS)
syst
em m
onitor
s m
ember
’s s
afet
y an
d
pro
vides
mem
ber
s ac
cess
to
emer
gen
cy inte
rven
tion for
a m
edic
al o
r en
viro
nm
enta
l cr
isis
. The
elec
tronic
com
munic
atio
n b
etw
een t
he
mem
ber
and a
cen
tral
monitoring s
tation p
rovi
des
ser
vice
s se
ven d
ays
a w
eek,
tw
enty
-fou
r hours
a d
ay,
to s
oci
ally
-iso
late
d a
nd g
eogra
phic
ally
-iso
late
d
enro
lled m
ember
s. T
he
ERS s
yste
m is
connec
ted t
o th
e m
ember
’s t
elep
hone
and p
rogra
mm
ed t
o
signal
a r
esponse
once
act
ivat
ed fro
m a
dev
ice
that
is
worn
or
atta
ched
to t
he
mem
ber
. E
RS h
om
e units,
whic
h a
re inst
alle
d b
y a
licen
sed L
ow V
oltag
e Contr
acto
r, a
re p
rogra
mm
ed t
o d
ial a
toll-
free
num
ber
to a
cces
s th
e ce
ntr
al m
onitoring s
tation.
Month
ly t
esting is
pro
vided
by
the
ERS P
rovi
der
to
det
ect
any
mal
funct
ion w
ith t
he
syst
em a
nd t
o e
nsu
re t
hat
the
mem
ber
is
able
to u
se t
he
syst
em p
roper
ly.
Mem
ber
s hav
e ac
cess
to a
toll-
free
num
ber
to
conta
ct c
ust
omer
ser
vice
or
to
report
rep
airs
. In
the
even
t of
pow
er fai
lure
in t
he
hom
e, t
he
hom
e unit h
as a
bat
tery
bac
k-up t
o pro
vide
a m
inim
um
of
twel
ve h
ours
oper
atio
n o
f th
e ERS u
nit.
Hea
ring im
pai
red m
ember
s ar
e pro
vided
TD
D/T
TY s
ervi
ce a
nd m
ember
s w
hose
lan
guag
e is
oth
er t
han
Englis
h a
re g
iven
acc
ess
to
an inte
rpre
ter.
In t
he
even
t of
hosp
ital
izat
ion,
the
ERS s
yste
m r
emai
ns
in t
he
mem
ber
’s h
om
ean
d
serv
ices
are
cove
red for
up t
o si
xty-
two d
ays
to a
void
additio
nal
inst
alla
tion c
ost
.
PERS S
ervi
ce:
$31.5
3 p
er m
onth
$7.8
8 p
er w
eek
PERS I
nst
alla
tion:
$94.6
0 (
per
unit)
Haw
aii
HI
-N
urs
ing
Hom
e
Wit
hou
t W
alls
(for
old
er a
nd d
isab
led
indiv
idual
s)htt
p:/
/haw
aii.gov/
dhs/
mai
n/h
ar/h
ar_cu
rren
t/17-
1438.p
df
PE
RS
PERS S
ervi
ce:
Em
ergen
cy a
larm
res
ponse
sys
tem
mea
ns
an e
lect
ronic
sys
tem
pla
ced in h
om
es o
f hig
h r
isk
clie
nts
to e
nab
le t
hem
to
secu
re im
med
iate
hel
p in t
he
even
t of
a p
hys
ical
, em
otio
nal
, or
envi
ronm
enta
l em
ergen
cy.
PERS S
ervi
ce:
N/A
Idah
oID
Ag
ed
& D
isab
led
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and indiv
idual
s w
/PD
ag
es18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
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ads/
ID1076R
0400.z
ip
PE
RS
PERS S
ervi
ce:
This
ser
vice
is
des
igned
to m
onitor
wai
ver
par
tici
pan
t sa
fety
and/o
r pro
vide
wai
ver
par
tici
pan
t ac
cess
to
emer
gen
cy c
risi
s in
terv
ention for
emotional
, m
edic
al o
r en
viro
nm
enta
l em
ergen
cies
thro
ugh t
he
pro
visi
on o
f co
mm
unic
atio
n c
onnec
tion s
yste
ms.
By
pro
vidin
g im
med
iate
ac
cess
to
assi
stan
ce,
PERS s
erve
s to
pre
vent
inst
itutional
izat
ion.
PERS s
ervi
ces
are
limited
to
those
in
div
idual
s w
ho
rent
or o
wn t
hei
r ow
n h
om
e, w
ho
are
alone
for
signific
ant
par
ts o
f th
e day
, an
d
hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
ve
routine
super
visi
on.
Oth
er s
tandar
d:
Dem
onst
rate
that
the
dev
ices
inst
alle
d in w
aive
r par
tici
pan
ts’ hom
es m
eet
Feder
al
Com
munic
atio
ns
Sta
ndar
ds
or U
nder
write
r’s
Labora
tory
sta
ndar
ds
or
equiv
alen
t st
andar
ds.
M
onitoring m
ust
be
per
form
ed b
y a
trai
ned
pro
fess
ional
ID
APA
16.0
3.1
0.3
29.1
1,
“Med
icai
d
PERS S
ervi
ce:
$33.8
3 p
er m
onth
PERS I
nst
alla
tion:
$56.8
9 (
incl
udes
1
stm
onth
ser
vice
)
LeadingAge Center for Aging Services Technologies (CAST)
6
Enhan
ced P
lan B
enef
it.”
Illin
ois
IL H
CB
S W
aiv
er
for
Pers
on
s w
ho
are
E
lderl
y(f
or
old
er indiv
idual
sag
es65 -
no
max
age
and p
hys
ical
ly d
isab
led
indiv
idual
s 60-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
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nlo
ads/
IL0143R
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ip
PE
RS
PERS S
ervi
ce:
Em
ergen
cy h
ome
resp
onse
ser
vice
(EH
RS)
is d
efin
ed a
s a
24-h
our
emer
gen
cy
com
munic
atio
n lin
k to
ass
ista
nce
outs
ide
the
par
tici
pan
t's
hom
e fo
r par
tici
pan
ts b
ased
on h
ealth
and s
afet
y nee
ds
and m
obili
ty lim
itat
ions.
This
ser
vice
is
pro
vided
by
a tw
o-w
ay v
oic
e co
mm
unic
atio
n s
yste
m c
onsi
stin
g o
f a
bas
e unit a
nd a
n a
ctiv
atio
n d
evic
e w
orn
by
the
par
tici
pan
t th
at w
ill a
uto
mat
ical
ly lin
k th
e par
tici
pan
t to
a p
rofe
ssio
nal
ly s
taffed
suppor
t ce
nte
r. T
he
suppor
t ce
nte
r as
sess
es t
he
situ
atio
n a
nd d
irec
ts a
n a
ppro
priat
e re
sponse
when
ever
this
sys
tem
is
engag
ed
by
a par
tici
pan
t. T
he
purp
ose
of pro
vidin
g E
HRS is
to im
pro
ve t
he
indep
enden
ce a
nd s
afet
y of
par
tici
pan
ts in t
hei
r ow
n h
om
es in a
ccor
dan
ce w
ith t
he
auth
orize
d p
lan o
f ca
re,
and t
her
eby
hel
p
reduce
the
nee
d for
nurs
ing h
om
e ca
re.
Ser
vice
s co
ver
both
initia
l one
tim
e in
stal
lation a
nd m
onth
ly r
enta
l co
sts.
PERS S
ervi
ce:
$28 p
er m
onth
PERS I
nst
alla
tion:
$30 (
one-
tim
e)
IL P
ers
on
s w
/D
isab
ilit
ies
(for
phys
ical
ly d
isab
led
indiv
idual
s ag
es 0
–59)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
IL0142R
0500.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
cert
ain indiv
idual
s to
sec
ure
hel
p in a
n
emer
gen
cy.
The
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o al
low
for
mobili
ty. T
he
syst
em is
connec
ted t
o t
he
per
son's
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
cen
ter
once
a
"hel
p"
butt
on is
activa
ted. T
rain
ed p
rofe
ssio
nal
s st
aff th
e re
sponse
cen
ter.
PE
RS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d
hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
ve
routine
super
visi
on. T
his
ser
vice
has
tw
o co
mponen
ts:
an initia
l in
stalla
tion f
ee a
nd a
mon
thly
se
rvic
e fe
e. T
he
amount,
dura
tion,
and s
cope
of se
rvic
es is
bas
ed o
n t
he
det
erm
inat
ion o
f nee
d
asse
ssm
ent
conduct
ed b
y th
e ca
se m
anag
er a
nd t
he
serv
ice
cost
max
imum
det
erm
ined
by
the
DO
N s
core
.
PERS S
ervi
ce:
$28 p
er m
onth
Inst
alla
tion:
$30 p
er u
nit
Ind
ian
aIN
Ag
ed
an
d D
isab
led
(for
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
, phys
ical
ly
dis
able
d/d
isab
led o
ther
ag
es 0
-64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
IN0210R
0400.z
ip
PE
RS
PERS S
ervi
ce:
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
is a
n e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy.
The
indiv
idual
m
ay a
lso w
ear
a port
able
hel
p b
utt
on t
o al
low
for
mobili
ty.
The
syst
em is
connec
ted t
o th
e per
son’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted.
The
resp
onse
cen
ter
is s
taff
ed 2
4 h
ours
dai
ly/
7 d
ays
per
wee
k by
trai
ned
pro
fess
ional
s.N
ot
allo
wed
: •
The
repla
cem
ent
cost
of lo
st o
r dam
aged
equip
men
t.•
Rei
mburs
emen
t is
not
avai
lable
for
Per
sonal
Em
ergen
cy R
esponse
Sys
tem
Suppor
ts w
hen
the
indiv
idual
req
uires
const
ant
super
visi
on t
o m
ainta
in h
ealth a
nd s
afet
y.•
Ser
vice
s to
par
tici
pan
ts r
ecei
ving A
dult F
ost
er C
are.
• Ser
vice
s to
par
tici
pan
ts r
ecei
ving A
ssis
ted L
ivin
g.
PERS S
ervi
ce:
$35.8
7 -
$42.7
7per
month
IN D
evelo
pm
en
tal
Dis
ab
ilit
ies
(for
indiv
idual
s w
/autism
, M
enta
l Ret
ardat
ion (
MR),
DD
ag
es 0
-no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
IN0378R
0200.z
ip
Ele
ctro
nic
mon
ito
rin
gEle
ctro
nic
Monitoring/S
urv
eilla
nce
Sys
tem
& O
n-S
ite
Res
pon
se incl
udes
the
pro
visi
on o
f ov
ersi
ght
and m
onitor
ing w
ithin
the
resi
den
tial
set
ting o
f ad
ult w
aive
r par
tici
pan
ts t
hro
ugh o
ff-s
ite
elec
tronic
su
rvei
llance
. A
lso incl
uded
is
the
pro
visi
on o
f st
and-b
y in
terv
ention s
taff p
repar
ed for
pro
mpt
engag
emen
t w
ith t
he
par
tici
pan
t(s)
and/o
r im
med
iate
dep
loym
ent
to t
he
resi
den
tial
set
ting.
Act
ivitie
s Allo
wed
:•
Ele
ctro
nic
Monitoring/S
urv
eilla
nce
Sys
tem
& O
n-S
ite
Res
ponse
may
be
inst
alle
d in r
esid
ential
se
ttin
gs
in w
hic
h a
ll re
sidin
g a
dult p
artici
pan
ts,
thei
r guar
dia
ns
and t
hei
r su
pport
tea
ms
reques
t su
ch s
urv
eilla
nce
and m
onitoring in p
lace
of on-s
ite
staf
fing.
•U
se o
f th
e sy
stem
may
be
rest
rict
ed t
o ce
rtai
n h
ours
thro
ugh t
he
Indiv
idual
ized
Support
Pla
ns
of
the
par
tici
pan
ts invo
lved
(s
ee lin
k to
wai
ver
for
additio
nal
det
ails
)
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy.
The
indiv
idual
may
als
o w
ear
a por
table
hel
p
butt
on t
o a
llow
for
mob
ility
. The
syst
em is
connec
ted t
o th
e per
son’s
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted.
The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s.Allo
wab
le A
ctiv
itie
s: •
PERS is
limited
to
those
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
Ele
ctro
nic
M
onitoring:
$4.5
5 p
er h
our,
av
e. 2
,776 h
ours
per
per
son
PERS S
ervi
ce:
$46.2
9 -
$53.1
2
per
month
7
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of t
ime,
and
who
would
oth
erw
ise
require
exte
nsi
ve s
uper
visi
on. •
Dev
ice
Inst
alla
tion s
ervi
ce •
Ongoin
g m
onth
ly
mai
nte
nan
ce o
f dev
ice.
Ser
vice
Sta
ndar
ds:
• M
ust
be
incl
uded
in t
he
indiv
idual
’s p
lan o
f ca
re.
Docu
men
tation S
tandar
ds:
• I
den
tified
nee
d in t
he
POC/C
CB •
Docu
men
tation o
f ex
pen
se for
inst
alla
tion •
Docu
men
tation o
f m
onth
ly r
enta
l fe
e
Iow
aIA
HC
BS
Waiv
er
for
Pers
on
s w
/P
hysi
cal
Dis
ab
ilit
ies
(for
phys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8-6
4
yrs)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
IA0345R
0200.z
ip
PE
RS
PERS S
ervi
ce:
per
sonal
em
ergen
cy r
esponse
syst
em is
an e
lect
ronic
dev
ice
that
tra
nsm
its
a si
gnal
to
a c
entr
al m
onitoring s
tation t
o s
um
mon a
ssis
tance
in t
he
even
t of an
em
ergen
cy w
hen
the
consu
mer
is
alone.
The
required
com
ponen
ts a
re:
an in h
ome
med
ical
com
munic
atio
ns
tran
smitte
r an
d r
ecei
ver;
a r
emote
pota
ble
act
ivat
or,
a ce
ntr
al m
onitor
ing s
tation w
ith b
acku
p s
yste
ms
staf
fed
by
trai
ned
att
endan
ts a
t al
l tim
es,
curr
ent
dat
a file
s at
the
centr
al m
onitoring s
tation c
onta
inin
g
resp
onse
pro
toco
ls a
nd p
erso
nal
, m
edic
al a
nd e
mer
gen
cy info
rmat
ion for
eac
h c
onsu
mer
.PE
RS I
nst
alla
tion:
A u
nit o
f se
rvic
e is
a o
ne
tim
e in
stal
lation f
ee o
r one
month
of se
rvic
e, m
axim
um
units
per
sta
te fis
cal ye
ar s
hal
l be
one
initia
l in
stal
lation a
nd 1
2 m
onth
s of se
rvic
e. The
initia
l one
tim
e fe
e has
an u
pper
lim
it a
nd t
he
on g
oin
g m
onth
ly fee
has
an u
pper
lim
it.
The
indiv
idual
s’ p
lan
of ca
re w
ill a
ddre
ss h
ow
the
consu
mer
hea
lth c
are
nee
ds
are
bei
ng m
et.
Ser
vice
s m
ust
be
auth
orize
d in t
he
serv
ice
pla
n T
he
Iow
a D
epar
tmen
t of H
um
an S
ervi
ces,
ser
vice
wor
ker
will
m
onitor
the
pla
n.
PERS S
ervi
ce:
$39 –
$47.4
0per
month
PERS I
nst
alla
tion:
$39 -
$60.9
6(o
ne-
tim
e)
NO
TE:
During
2011 r
ule
s w
ill b
e im
ple
men
ted
whic
h w
ill e
xpan
d
cove
rage
of P
ERS
under
the
HCBS
wai
vers
to incl
ude
per
sonal
loc
ator
syst
ems.
IA H
CB
S E
lderl
y(o
lder
indiv
idual
s ag
es
65 -
no
max
)htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
IA4155R
0400.z
ip
PE
RS
PERS S
ervi
ce:
(sam
e as
abov
e def
initio
n)
The
case
man
ager
/ser
vice
wor
ker,
consu
mer
or
the
consu
mer
’s, sh
ould
info
rm P
rovi
der
s of th
e ERS r
epre
senta
tive
as
soon a
s poss
ible
when
the
serv
ice
is n
o longer
nee
ded
.
PERS S
ervi
ce:
$37.5
6 p
er m
onth
PERS I
nst
alla
tion:
$48.2
9 p
er m
onth
Du
rab
le M
ed
ical
Eq
uip
men
t fo
r H
om
e
Healt
h P
rovid
ers
(ava
ilable
in a
bove
w
aive
rs a
nd o
ther
s)htt
p:/
/ww
w.d
hs.
iow
a.go
v/polic
yanal
ysis
/Polic
yMan
ual
Pages
/Man
ual
_D
oc
um
ents
/Pro
vman
/med
equip
Au
tom
ate
d M
ed
icati
on
Dis
pen
sers
(A
92
80
) Pr
ior
auth
oriza
tion is
required
for
auto
mat
ed m
edic
atio
n d
ispen
sers
. Appro
val w
ill b
e gra
nte
d w
hen
pre
scribed
for
mem
ber
s w
ho m
eet
allof
the
follo
win
g c
onditio
ns:
♦
The
mem
ber
is
taki
ng t
wo o
r m
ore
med
icat
ions
pre
scribed
mor
e th
an o
nce
per
day
. ♦
The
avai
labili
ty o
f a
care
giv
er is
limited
or
non-e
xist
ent.
♦
The
mem
ber
has
a d
iagnosi
s in
dic
atin
g c
ognitiv
e im
pai
rmen
t or
age-
rela
ted f
acto
rs t
hat
aff
ect
the
abili
ty t
o re
mem
ber
to
take
med
icat
ions.
♦
Less
cost
ly a
lter
nat
ives
such
as
med
iset
s an
d t
elep
hone
rem
inder
s hav
e fa
iled.
Tele
ph
on
e m
on
ito
rin
g (
S5
18
5)
serv
ice
may
be
allo
wed
when
: ♦
The
med
icat
ions
pre
scribed
and t
he
mem
ber
’s c
onditio
n n
eces
sita
te t
hat
the
med
icat
ion b
e ta
ken
at a
cer
tain
tim
e to
avo
id c
omplic
atio
ns,
and
♦The
mem
ber
liv
es a
lone
or o
ther
s liv
ing in t
he
mem
ber
’s h
om
e ar
e unab
le t
o p
rovi
de
assi
stan
ce,
and
♦The
mem
ber
has
no
oth
er s
ervi
ces
com
ing into
the
hom
e or
the
freq
uen
cy is
insu
ffic
ient.
Blo
od
Pre
ssu
re M
on
ito
rsBlo
od p
ress
ure
monitors
are
cove
red w
hen
ord
ered
for
a co
nditio
n o
r dis
ease
that
war
rants
in-
hom
e m
onitoring d
aily
to
wee
kly
and r
ecord
ing w
ith r
evie
w b
y th
e phys
icia
n o
n a
reg
ula
r bas
is.
Exa
mple
s in
clude
poly
cyst
ic r
enal
dis
ease
, re
nal
fai
lure
, ca
rdia
c def
ects
, an
d m
edic
atio
ns
that
cr
eate
hyp
erte
nsi
on o
r hyp
ote
nsi
on.
Monitors
are
als
o c
over
ed w
hen
pre
scribed
for
any
mem
ber
w
ho h
as e
nd-s
tage
renal
dis
ease
and t
he
equip
men
t is
appro
priat
e fo
r hom
e use
(Cov
erag
e diffe
rs
from
Med
icar
e).
Auto
mat
ed
Med
icat
ion
Dis
pen
sers
:Rat
ere
quires
prior
appro
val w
ith
neg
otiat
ed p
rice
Tel
ephone
Monitoring:
Rat
e re
quires
prior
appro
val an
d a
re
man
ual
ly p
rice
d
Blo
od P
ress
ure
M
onitors
:$48.8
8 p
er m
onth
LeadingAge Center for Aging Services Technologies (CAST)
8
Kan
sas
KS
Ph
ysi
cal D
isab
ilit
y(f
or
phys
ical
ly d
isab
led
indiv
idual
s ag
es 1
6-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
KS0304
R0300.z
ip
PE
RS
PERS S
ervi
ce:
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
s (P
ERS)
invo
lve
the
use
of el
ectr
onic
dev
ices
w
hic
h e
nab
le c
erta
in c
onsu
mer
s at
hig
h r
isk
of inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy.
The
consu
mer
may
als
o w
ear
a port
able
"hel
p"
butt
on t
o al
low
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e co
nsu
mer
's t
elep
hone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
the
"hel
p"
butt
on is
activa
ted. P
ERS is
limited
to t
hos
e in
div
idual
s w
ho
live
alone,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r at
tendan
t (f
orm
al o
r in
form
al)
for
exte
nded
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
PERS I
nst
alla
tion:
The
pla
cem
ent
of el
ectr
onic
PERS d
evic
es in a
consu
mer
's r
esid
ence
. P
ERS
inst
alla
tion is
for
those
cer
tain
consu
mer
s at
hig
h r
isk
of in
stitutional
izat
ion t
o s
ecure
hel
p in a
n
emer
gen
cy.
Thes
e co
nsu
mer
s hav
e m
et t
he
asse
ssed
nee
d o
f a
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
.To a
void
any
over
lap o
f se
rvic
es,
PERS is
limited
to
those
ser
vice
s not
cove
red t
hro
ugh r
egula
r Sta
te P
lan M
edic
aid a
nd w
hic
h c
annot
be
pro
cure
d fro
m o
ther
for
mal
or
info
rmal
res
ourc
es.
HCBS-
PD w
aive
r fu
ndin
g is
use
d a
s th
e fu
ndin
g s
ourc
e of la
st r
esor
t an
d r
equires
prior
auth
oriz
atio
n f
rom
th
e PD
Pro
gra
m M
anag
er. •
Mai
nte
nan
ce o
f re
nta
l eq
uip
men
t is
the
resp
onsi
bili
ty o
f th
e pro
vider
. •
Rep
air/
repla
cem
ent
of e
quip
men
t is
not
cove
red. •
Ren
tal of th
e PE
RS S
yste
m is
cove
red;
purc
has
e is
not.
• C
all lig
hts
do n
ot
mee
t th
is d
efin
itio
n.
• M
axim
um
of tw
o PE
RS I
nst
alla
tions
per
ca
lendar
yea
r.
PERS S
ervi
ce:
$35 p
er m
onth
PERS I
nst
alla
tion:
$50 p
er u
nit
(max
tw
o p
er y
r)
Ho
me
an
d C
om
mu
nit
y
Base
d S
erv
ices
for
the
Fra
il E
lderl
y(f
or
old
er indiv
idual
s ag
es 6
5 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
KS0303
R0300.z
ip
Med
icati
on
rem
ind
er
Def
initio
n:
Provi
des
a s
ched
ule
d r
emin
der
to a
par
tici
pan
t w
hen
it’s
tim
e fo
r him
/her
to
take
m
edic
atio
ns.
The
rem
inder
may
be
a phone
call,
an a
uto
mat
ed r
ecord
ing,
or a
n a
uto
mat
ed a
larm
, dep
endin
g o
n t
he
pro
vider
’s s
yste
m.
LIM
ITATI
ON
S:
• M
ainte
nan
ce o
f re
nta
l eq
uip
men
t is
the
resp
onsi
bili
ty o
f th
e pro
vider
.•
Rep
air/
repla
cem
ent
of r
enta
l eq
uip
men
t is
not
cove
red.
• Ren
tal, b
ut
not
purc
has
e, o
f th
is s
ervi
ce is
cove
red.
• This
ser
vice
is
limited
to
thos
e par
tici
pan
ts w
ho
live
alone,
or w
ho
are
alone
a si
gnific
ant
port
ion
of th
e day
in r
esid
ential
set
tings,
and h
ave
no
regula
r ca
reta
ker
for
exte
nded
per
iods
of tim
e, a
nd
who o
ther
wis
e re
quire
exte
nsi
ve r
outine
super
visi
on.
• Thes
e sy
stem
s m
ay b
e m
ainta
ined
on a
month
ly r
enta
l bas
is e
ven if
the
par
tici
pan
t is
adm
itte
d
to a
nurs
ing fac
ility
or
acute
car
e fa
cilit
y fo
r a
pla
nned
brief
sta
y per
iod n
ot
to e
xcee
d t
he
two
month
s fo
llow
ing t
he
month
of
adm
issi
on in a
ccord
ance
with p
ublic
ass
ista
nce
polic
y.•
This
ser
vice
is
avai
lable
in t
he
par
tici
pan
t’s
pla
ce o
f re
siden
ce,
excl
udin
g a
dult c
are
hom
es.
PE
RS
(Sam
e as
KS P
hys
ical
Dis
abili
ty d
efin
itio
n a
bov
e)
Ho
me T
ele
healt
hw
as a
ppro
ved b
y th
e le
gis
latu
re a
nd a
dded
to t
he
Kan
sas
HCBS/F
E w
aive
r pro
gra
m b
udget
in 2
009/2
010.
Imple
men
tation o
f th
e se
rvic
e w
as p
lace
d o
n h
old
when
des
ignat
ed
fundin
g w
as d
iver
ted t
o fill
hole
s in
the
wai
ver.
Med
icat
ion
Rem
inder
:$15.9
1 p
er m
onth
PERS S
ervi
ce:
$26.5
2 p
er m
onth
PERS I
nst
alla
tion:
$56.2
5 p
er u
nit
(max
tw
o p
er y
r)
Ken
tuck
yN
one
No a
gin
g s
ervi
ces
tech
nolo
gy
reim
burs
emen
t in
KY H
&CB W
aive
r fo
r Eld
erly
&
Dis
able
d
Lo
uis
ian
aLA
-E
lderl
y a
nd
D
isab
led
Ad
ult
Waiv
er
(ED
A)
(eld
erly
& d
isab
led
adults)
htt
p:/
/ww
w.d
hh.louis
ian
a.gov/
offic
es/m
iscd
ocs/
docs
-
PE
RS
(d
efin
itio
n u
nav
aila
ble
) PE
RS S
ervi
ce:
$27 p
er m
onth
PERS I
nst
alla
tion:
$30 p
er u
nit
9
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
105/E
DA%
20W
AIV
ER%
20FA
CT%
20SH
EET%
20E
ff%
207-4
-10.p
df
Main
eM
EE
lderl
y a
nd
Ad
ult
s w
ith
Dis
ab
ilit
ies
(for
old
er indiv
idual
s 64+
and d
isab
led
per
sons
18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
ME0276
R0300.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mob
ility
. The
syst
em is
connec
ted t
o th
e per
son's
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts
of th
e day
, an
d h
ave
no r
egula
r ca
regiv
er for
ext
ended
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
Rei
mburs
emen
t is
lim
ited
to
the
inst
alla
tion f
ee a
nd t
he
month
ly p
hone
char
ge
for
the
emer
gen
cy r
esponse
sys
tem
and t
he
hom
e unit c
om
munic
ator.
Cap
abili
ty o
f PE
RS p
rovi
der
to
set
up e
ffec
tive
PERS s
yste
m in w
aive
r par
tici
pan
t's
hom
e an
d
monitor
that
sys
tem
on a
month
ly b
asis
.
PERS S
ervi
ce:
$34.3
6 p
er m
onth
PERS I
nst
alla
tion:
Act
ual
Fee
ME
Co
nsu
mer
Dir
ect
ed
Pers
on
al
Ass
ista
nce
Serv
ices
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age,
phys
ical
ly d
isab
led a
ges
18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
ME0127
R0500.z
ip
PE
RS
PERS S
ervi
ce:
Sam
e as
above
.Pr
ovi
der
s m
ust
hav
e dem
onst
rate
d c
apac
ity
to s
erve
as
a ce
ntr
al e
mer
gen
cy r
esponse
cen
ter
with
24/7
abili
ty.
PERS S
ervi
ce:
$35 p
er m
onth
Mary
lan
dM
D L
ivin
g a
t H
om
e(f
or
phys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8 –
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
MD
0353
R0200.z
ip
PE
RS
PERS S
ervi
ce:
A p
erso
nal
em
ergen
cy r
esponse
sys
tem
is
an e
lect
ronic
dev
ice,
pie
ce o
f eq
uip
men
t or
syst
em w
hic
h,
upon a
ctiv
atio
n,
enab
les
a par
tici
pan
t to
sec
ure
hel
p in a
n e
mer
gen
cy 2
4 h
ours
per
day
, se
ven d
ays
per
wee
k.
Ther
e ar
e a
variet
y of dev
ices
and s
yste
ms
avai
lable
to
mee
t in
div
idual
nee
ds
and p
refe
rence
s of LA
H p
artici
pan
ts c
hoosi
ng t
his
ser
vice
. PE
RS m
ay b
e use
d in
the
hom
e ex
clusi
vely
or
in t
he
hom
e an
d c
omm
unity;
som
e m
odel
s of
fer
Glo
bal
Posi
tionin
g
Sys
tem
s te
chnolo
gy
to a
cces
s as
sist
ance
in a
multip
le c
om
munity
sett
ings.
Lik
ewis
e, m
odes
of
acce
ss t
o th
e PE
RS m
onitoring s
yste
m a
re a
dap
ted t
o m
eet
the
indiv
idual
funct
ional
nee
ds
of t
he
par
tici
pan
t; for
exam
ple
, pro
vider
s of
fer
sip/p
uff m
odel
s, p
ush
butt
on a
cces
s an
d m
odific
atio
ns
of
push
butt
on m
odel
s. T
his
ser
vice
may
incl
ude
any
or a
ll of th
e fo
llow
ing c
omponen
ts:
purc
has
e/in
stal
lation;
mai
nte
nan
ce/
repai
r; a
nd/o
r th
e m
onth
ly c
ost
of
monitoring a
PERS d
evic
e.
Ther
e ar
e diffe
rent
rate
s es
tablis
hed
for
eac
h o
f th
e th
ree
com
ponen
ts o
f th
e PE
RS s
ervi
ce.
Lim
itat
ions:
Ther
e is
a o
ne
unit m
axim
um
annual
ly f
or
inst
alla
tion;
ther
e is
no
max
imum
for
mai
nte
nan
ce;
and
ther
e is
a o
ne
unit m
axim
um
per
month
for
PERS m
onitoring;
Ther
e ar
e m
axim
um
fee
s es
tablis
hed
fo
r ea
ch P
ERS c
om
ponen
t. U
nits
for
each
typ
e of se
rvic
e ar
e id
entified
sep
arat
ely
in t
he
par
tici
pan
t's
pla
n o
f se
rvic
e; u
nits
subm
itte
d for
pay
men
t m
ay n
ot
exce
ed w
hat
is
appro
ved in t
he
par
tici
pan
t's
pla
n o
f se
rvic
e.O
ther
sta
ndar
d:
To p
artici
pat
e in
the
Progra
m a
s a
pro
vider
of per
sonal
em
ergen
cy r
esponse
sys
tem
s, a
pro
vider
sh
all:
Be
the
store
, ve
ndor,
org
aniz
atio
n,
or
com
pan
y w
hic
h s
ells
, re
nts
, in
stal
ls,
serv
ices
, or
runs
the
dev
ice
or s
ervi
ce;
Prov
ide
or
arra
nge
for
any
inst
alla
tion,
serv
icin
g,
trai
nin
g, or
monitoring
required
for
the
dev
ice
or
syst
em;
and A
ssure
that
any
resp
onse
cen
ter
is:
Res
ponsi
ble
for
m
onitoring o
r re
spondin
g t
o a
notifica
tion o
f an
em
ergen
cy b
y th
e sy
stem
; an
d A
deq
uat
ely
staf
fed
24 h
ours
a d
ay, 7 d
ays
a w
eek
by
pro
per
ly t
rain
ed s
taff
. I
n a
dditio
n, pro
vider
s m
ust
mee
t th
e co
nditio
ns
des
crib
ed in C
OM
AR 1
0.0
9.5
5.0
5 u
nder
"gen
eral
req
uirem
ents
."
PERS S
ervi
ce:
$45 p
er m
onth
PERS I
nst
alla
tion:
$54 –
59
(one
per
yea
r)
PERS M
ainte
nan
ce:
$45 p
er r
epai
r ca
ll
MD
Old
er
Ad
ult
s W
aiv
er
(for
old
er indiv
idual
sag
es65 -
no
max
age)
PE
RS
(def
initio
n n
ot
avai
lable
))PE
RS S
ervi
ce:
$45 p
er m
onth
PERS I
nst
alla
tion:
LeadingAge Center for Aging Services Technologies (CAST)
10
htt
p:/
/ww
w.d
hm
h.s
tate
.m
d.u
s/m
ma/
wai
verp
rog
ram
s/pdf/
Old
erAdultW
aive
rFac
tshee
t-1.p
df
Act
ual
appro
ved
dev
ice
cost
up t
o
$1,0
00 o
ne-
tim
e
Mass
ach
use
tts
MA
Fra
il E
lder
(for
old
er indiv
idual
s ag
es 6
0 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
MA0059
R0500.z
ip
Ho
me B
ase
d W
an
deri
ng
Resp
on
se S
yst
em
Hom
e Bas
ed W
ander
ing R
esponse
Sys
tem
is
a co
mm
unic
atio
ns
aler
ting s
yste
m for
clie
nts
that
w
ander
. A lig
htw
eight,
wat
erpro
of,
hyp
oal
lerg
enic
, ta
mper
pro
of ap
plia
nce
, w
hic
h s
ends
radio
fr
equen
cy s
ignal
s to
a b
ase
unit w
orn
by
the
clie
nt.
The
care
giv
er s
ets
a del
ay a
nd r
ange
sett
ing
crea
ting a
“sa
fe z
one”
for
the
clie
nt
to a
mbula
te w
ithin
. The
bas
e unit a
ctiv
ates
an a
larm
that
al
erts
car
egiv
ers
in t
he
hom
e, a
s w
ell as
a m
onitoring s
tation
when
the
clie
nt
leav
es t
he
“saf
e zo
ne”
. The
monitoring s
tation is
staf
fed 2
4 h
ours
per
day
, se
ven d
ays
a w
eek
by
trai
ned
at
tendan
ts w
ho
rece
ive
and p
roce
ss t
he
emer
gen
cy c
all an
d e
nsu
re t
he
tim
ely
notifica
tion o
f th
e ap
pro
priat
e in
div
idual
s an
d/o
r em
ergen
cy s
ervi
ces
to a
ssis
t th
e per
son w
ho h
as w
ander
ed a
way
fr
om
the
“saf
e zo
ne”
.Educa
tion,
Tra
inin
g,
Super
visi
on:
Provi
der
s m
ust
ensu
re e
ffec
tive
tra
inin
g o
f st
aff m
ember
s in
all
aspec
ts o
f th
eir
job d
uties
, in
cludin
g h
andlin
g e
mer
gen
cy s
ituat
ions,
and e
stab
lish p
roce
dure
s fo
r ap
pra
isin
g s
taff p
erfo
rman
ce
and for
effe
ctiv
ely
modifyi
ng p
oor
per
form
ance
wher
e it e
xist
s.(s
ee w
aive
r lin
k fo
r ad
ditio
nal
pro
gra
m d
etai
ls)
Hom
e Bas
ed
Wan
der
ing
Res
ponse
Sys
tem
: $44.6
0 -
$50.2
0per
month
Mass
Healt
h P
rog
ram
Du
rab
le M
ed
ical
Eq
uip
men
t
PE
RS
PE
RS S
ervi
ce:
Effec
tive
Feb
ruar
y 1, 2009,
Mas
sHea
lth w
ill r
equire
in-h
om
e in
stal
lation o
f PE
RS
only
if th
ere
is n
o one
else
ava
ilable
to inst
all th
e PE
RS,
such
as
the
mem
ber
, th
e m
ember
’s
care
giv
er,
or a
fam
ily m
ember
. D
ME p
rovi
der
s of PE
RS m
ust
ass
ess
the
mem
ber
’s n
eed for
in-
hom
e in
stal
lation w
hen
the
pro
vider
rec
eive
s a
refe
rral
for
PERS,
and m
ust
mai
nta
in
docu
men
tation o
f su
ch a
sses
smen
t in
the
mem
ber
’s r
ecor
d. If
oth
er o
ptions
exis
t fo
r th
e m
ember
to
inst
all th
e PE
RS, pro
vider
s m
ay d
eliv
er t
he
PERS t
o th
e m
ember
by
mai
l (r
eturn
rec
eipt
required
). I
f a
PERS is
del
iver
ed b
y m
ail, t
hen
the
pro
vider
must
not
subm
it a
cla
im t
o M
assH
ealth
for
the
PERS inst
alla
tion.
PERS R
ates
: The
Div
isio
n o
f H
ealth C
are
Finan
ce a
nd P
olic
y (D
HCFP
) has
ass
igned
a n
ew p
aym
ent
rate
for
the
renta
l of a
per
sonal
em
ergen
cy r
esponse
sys
tem
(PE
RS):
Ser
vice
Code
S5161.
The
rate
can
be
view
ed a
t th
e D
HCFP
Web
site
(ww
w.m
ass.
gov/
dhcf
p).
DH
CFP
has
adopte
d t
his
amen
dm
ent
to 1
14.3
CM
R 2
2.0
0:
Dura
ble
Med
ical
Equip
men
t, O
xygen
and R
espirat
ory
Ther
apy,
as
an e
mer
gen
cy r
egula
tion e
ffec
tive
Feb
ruar
y 1, 2009,
to im
ple
men
t budget
red
uct
ions
in
acco
rdan
ce w
ith M
.G.L
. c.
29 §
9C.
PERS S
ervi
ce:
Rat
es u
nav
aila
ble
Mic
hig
an
MI
Ch
oic
e(f
or
old
er indiv
idual
sag
es 6
5 -
no
max
age
and p
hys
ical
dis
able
d
indiv
idual
s ag
es 1
8-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
MI0
233R
0301.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a port
able
“hel
p”
butt
on t
o al
low
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
par
tici
pan
t’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a
“hel
p”
butt
on is
activa
ted. I
nst
alla
tion,
upke
ep a
nd m
ainte
nan
ce o
f dev
ices
/sys
tem
s ar
e al
so
pro
vided
.Li
mitat
ions:
PERS d
oes
not
cove
r m
onth
ly t
elep
hone
char
ges
ass
oci
ated
with p
hone
serv
ice.
PERS S
ervi
ce:
$28.6
4 -
$29.2
5per
month
(incl
udin
g
inst
alla
tion)
Min
neso
taM
inn
eso
taC
are
(MH
CP
Prov
ider
Man
ual
, Chap
ter
24)
(MN
Sta
tute
, Sec
tion
256B.0
625)
Tele
ho
meca
reSin
ce 2
001,
Min
nes
ota
’s s
ubsi
diz
ed s
tate
hea
lth c
are
pro
gra
m M
innes
ota
Car
e co
vers
hom
e ca
resk
illed
nurs
e vi
sits
pro
vided
via
“te
lehom
ecar
e,”
for
serv
ices
whic
h d
o not
require
han
ds-
on c
are
bet
wee
n t
he
hom
e ca
re n
urs
e an
d r
ecip
ient.
All
skill
ed n
urs
e vi
sits
pro
vided
thro
ugh t
eleh
om
ecar
e m
ust
hav
e prior
auth
oriza
tion a
nd w
illbe
cove
red a
t th
e sa
me
rate
as
skill
ed n
urs
e vi
sits
pro
vided
in
-per
son.
Tele
hom
ecar
e se
rvic
es a
re d
efin
ed a
s sk
illed
nurs
e vi
sits
del
iver
ed t
hro
ugh t
echnolo
gy
to e
nhan
ce s
ervi
ce d
eliv
ery
options
that
hel
p a
ddre
ss c
lient
acce
ss t
o nee
ded
ser
vice
s re
late
d t
osh
ort
ages
of
hea
lthca
re p
rofe
ssio
nal
s, logis
tica
l bar
rier
s, p
rovi
der
res
ponsi
venes
s, a
nd c
ontinuity
of
care
iss
ues
that
may
red
uce
the
com
pre
hen
sive
nes
s an
d s
ucc
essf
ul outc
om
e of
a s
upport
ive
hom
e an
d c
om
munity-
bas
ed s
ervi
ce p
lan.
The
pro
visi
on o
f te
lehom
ecar
e m
ust
be
mad
e vi
a liv
e, t
wo-w
ay inte
ract
ive
audio
visu
al t
echnolo
gy
and m
ay b
e au
gm
ente
d b
y utiliz
ing s
tore
-and-f
orw
ard t
echnolo
gie
s. I
ndiv
idual
ly iden
tifiab
le p
atie
nt
Tel
ehom
ecar
e:
Neg
otiat
ed R
ates
CA
ST
W
hit
ep
ap
er:
Sta
te o
f Tec
hnolo
gy
in
Agin
g S
ervi
ces
in
Min
nes
ota
(htt
p:/
/ww
w.a
ahs
a.org
/Work
Are
a/li
nki
t.as
px?
LinkI
den
tifier
=id
&It
emID
=10203)
11
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
dat
a ob
tain
ed t
hro
ugh r
eal-
tim
e or
stor
e-an
d-f
orw
ard t
echnolo
gy
must
be
mai
nta
ined
as h
ealth
reco
rds.
If
the
video
is
use
d for
rese
arch
, tr
ainin
g,
or o
ther
purp
oses
unre
late
d t
o th
e ca
re o
f th
e pat
ient,
the
iden
tity
of th
e pat
ient
must
be
conce
aled
. M
ultip
le d
aily
ski
lled n
urs
e vi
sits
pro
vided
vi
a te
lehom
ecar
e ar
e al
low
ed,
but
cove
rage
of t
eleh
om
ecar
e is
lim
ited
to t
wo
visi
ts p
er d
ay.
MN
Eld
erl
y W
aiv
er
(for
indiv
idual
s 65 a
nd
old
er)
Tele
ho
meca
re
(sam
e as
above
)
Med
icati
on
Mon
ito
rin
g/
Dis
pen
sin
g
Med
icat
ion m
onitoring/d
ispen
sing u
nits
are
bill
ed a
s “e
xten
ded
supplie
s an
d e
quip
men
t”
Tel
ehom
ecar
e:N
egotiat
ed r
ates
Med
icat
ion
Monitoring:
County
agen
cy
det
erm
ined
rat
es
Alt
ern
ati
ve C
are
(A
C)
Pro
gra
m(M
N S
tatu
te,
Sec
tion
256B.0
913).
Tele
ho
meca
re P
ara
pro
fess
ion
al V
isit
sCov
ers
tele
hom
ecar
e sk
illed
nurs
ing v
isits
sim
ilar
to t
hos
eunder
Min
nes
ota
Car
e, b
ut
limited
to
one
per
day
, al
so p
rovi
des
cov
erag
e fo
r te
lehom
ecar
e under
“dis
cret
ionar
y se
rvic
es,”
whic
h incl
ude
subst
itution f
or in-p
erso
n p
arap
rofe
ssio
nal
vis
its.
Tel
ehom
ecar
e par
apro
fess
ional
vis
it p
aram
eter
s:•
Tel
ehom
ecar
e co
nduct
ed b
y par
apro
fess
ional
work
er•
Inte
rmitte
nt,
vis
ual
conta
cts
•Fl
exib
le a
nd indiv
idual
ized
to c
lient
nee
ds;
sch
edule
, fr
equen
cy,
dura
tion
•Conta
ct g
uid
e/pla
n for
the
wor
ker
Conduct
ed in c
onju
nct
ion w
ith in-h
om
e su
pport
ive
serv
ices
by
sam
e w
ork
erU
nits
of se
rvic
e an
d p
aym
ent
rate
are
neg
otiat
ed b
etw
een t
he
serv
ice
pro
vider
and
the
loca
l le
ad a
gen
cy u
nder
an a
gre
emen
t or
contr
act
follo
win
g r
evie
w a
nd a
ppro
val by
the
dep
artm
ent.
Work
ers
are
trai
ned
and o
rien
ted o
n:
tele
hom
ecar
e eq
uip
men
t; e
ach c
lient’s
care
nee
ds/
conta
ct p
lan;
sched
ule
, guid
elin
es,
and p
aram
eter
s of
conta
cts;
guid
elin
es for
rep
orting t
o pro
fess
ional
sta
ff.
Med
icati
on
Mon
ito
rin
g/
Dis
pen
sin
g
Med
icat
ion m
onitoring is
reim
burs
able
thro
ugh s
om
e co
unties
’ al
tern
ativ
e ca
re w
aive
r pro
gra
ms
as
“dis
cret
ionar
y fu
nds.
” The
reim
burs
ed p
ort
ion is
incl
uded
in t
he
month
ly c
ap for
pat
ients
under
ea
ch w
aive
r.
Tel
ehom
ecar
e:
Neg
otiat
ed r
ates
Med
icat
ion
Monitoring:
County
agen
cy
det
erm
ined
rat
es
Mis
siss
ipp
iN
one
No t
echnolo
gy
reim
burs
emen
t in
M
S E
lder
ly a
nd
Dis
able
d W
aive
r
Mis
sou
riN
one,
PERS b
eing
dis
cuss
edPE
RS
reim
burs
emen
t cu
rren
tly
bei
ng
dis
cuss
ed for
MO
Aged
& D
isab
led
Wai
ver
but
not
expec
ted t
o be
added
in t
he
nea
r fu
ture
.
Mo
nta
na
MT
Big
Sky B
on
an
za(f
or
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and d
isab
led/p
hys
ical
ly
dis
able
d a
ges
0-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
MT0442
R0100.z
ip
Co
nsu
mer
Dir
ect
ed
Go
od
s an
d S
erv
ices
Thes
e ar
e se
rvic
es,
suppor
ts, su
pplie
s or
goo
ds
not
oth
erw
ise
pro
vided
thro
ugh t
his
wai
ver
or
the
Med
icai
d S
tate
Pla
n.
Thes
e item
s co
uld
incl
ude
The
purc
has
e of
applia
nce
s an
d v
ans,
with o
r w
ithout
modific
atio
ns,
when
crite
ria
and D
epar
tmen
t ap
pro
val is
in p
lace
. T
hes
e item
s m
ust
ad
dre
ss a
n iden
tified
nee
d in t
he
consu
mer
's p
erso
n-c
ente
red s
ervi
ce a
nd s
upport
pla
n a
nd m
eet
the
follo
win
g r
equirem
ents
. T
he
item
or
serv
ice
would
:•
dec
reas
e th
e nee
d for
oth
er M
edic
aid s
ervi
ces,
•pro
mote
incl
usi
on in t
he
com
munity,
•pro
mote
the
indep
enden
ce o
f th
e co
nsu
mer
,•
fulfill
a m
edic
al,
soci
al,
or
funct
ional
nee
d b
ased
on u
niq
ue
cultura
l ap
pro
aches
, or
Consu
mer
Direc
ted
Good
s an
d
Ser
vice
s$150 p
er s
ervi
ce
Rat
es a
re
esta
blis
hed
utiliz
ing t
he
low
est
of th
e fo
llow
ing:
1.
The
pro
vider
’s
Note
: Agin
g
Ser
vice
s Tec
hnolo
gie
s not
explic
itly
re
fere
nce
din
Consu
mer
D
irec
ted G
oods
and S
ervi
ces,
but
could
pote
ntial
ly
be
reim
burs
ed
LeadingAge Center for Aging Services Technologies (CAST)
12
•in
crea
se t
he
per
son's
saf
ety
in t
he
hom
e en
viro
nm
ent.
In a
dditio
n g
oods
and s
ervi
ces
purc
has
ed m
ust
mee
t th
e fo
llow
ing c
rite
ria:
•M
eet
the
consu
mer
's iden
tified
nee
ds
and o
utc
om
es a
s outlin
ed in t
hei
r se
rvic
e pla
n:
and
•G
ood
s an
d s
ervi
ces
colle
ctiv
ely
must
pro
vide
an a
lter
nat
ive
to inst
itutional
pla
cem
ent:
and
•Be
a co
st-e
ffec
tive
mea
ns
of ad
dre
ssin
g a
n iden
tified
nee
d in t
he
serv
ice
pla
n:
and
•Be
of so
le b
enef
it t
o t
he
consu
mer
.
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in t
he
even
t of
an e
mer
gen
cy.
The
consu
mer
may
als
o w
ear
por
table
"hel
p"
butt
on t
o a
llow
for
mobili
ty. T
he
syst
em is
connec
ted t
o th
e per
son's
phon
e an
d
pro
gra
mm
ed t
o si
gnal
a r
espon
se c
ente
r once
a "
hel
p"
butt
on is
activa
ted.
The
resp
onse
cen
ter
is
staf
fed b
y tr
ained
pro
fess
ional
s.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no r
egula
r ca
reta
ker
for
exte
nded
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
usu
al a
nd
cust
om
ary
(bill
ed)
char
ges
; or
2.
The
rate
neg
otiat
ed w
ith
pro
vider
s by
the
Dep
artm
ent,
the
FM o
r co
nsu
mer
PERS S
ervi
ceRen
tal:
$69 p
er m
onth
PERS S
ervi
ce
Purc
has
e:
$800 p
er ite
m
PERS I
nst
alla
tion:
$100 p
er ite
m
under
par
amet
ers
Neb
rask
aN
E H
CB
S f
or
Ag
ed
&A
du
lts
& C
hil
dre
n
w/
Dis
ab
ilit
ies
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
& P
D
indiv
idual
s ag
es 0
-64)
htt
p:/
/ww
w.h
hs.
stat
e.ne
.us/
HCS/S
ervi
ces/
PERS.
htm
PE
RS
PERS S
ervi
ce:
A c
omm
unic
atio
n d
evic
e, s
om
etim
es c
alle
d lifel
ine,
whic
h y
ou c
an u
se t
o ca
ll fo
r hel
p in a
n e
mer
gen
cy.
This
dev
ice
is o
ften
wor
n a
round t
he
nec
k to
mak
e it a
vaila
ble
at
all tim
es.
PERS S
ervi
ce:
Rat
e in
form
atio
n
not
avai
lable
Nevad
aN
V F
rail
Eld
erl
y(f
or
old
er a
nd d
isab
led
indiv
idual
s ag
es 6
5 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NV0152
R0500.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e per
son's
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s. PE
RS s
ervi
ces
are
limited
to
those
indiv
idual
s w
ho
live
alone,
or w
ho a
re
alone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e,
and w
ho w
ould
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
The
serv
ice
com
ponen
ts incl
ude
both
the
inst
alla
tion o
f th
e unit a
nd m
onth
ly m
onitoring.
PERS S
ervi
ce:
$40 -
$48.6
2
per
month
PERS I
nst
alla
tion:
$45 -
$54.7
0
(one
tim
e)
NV
HC
BW
fo
r P
ers
on
s w
ith
Ph
ysi
cal
Dis
ab
ilit
ies
(for
old
er indiv
idual
sag
es65 -
no
max
age
and P
D a
ges
0-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NV4150
R0400.z
ip
PE
RS
PE
RS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a port
able
“hel
p”
butt
on t
o al
low
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
par
tici
pan
t’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a
“hel
p”
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s. This
wai
ver
serv
ice
purc
has
es t
he
dev
ice
and f
unds
ongoin
g m
onitoring a
t a
month
ly s
ervi
ce c
ost.
Oth
er s
tandar
ds:
M
ust
be
enro
lled a
s a
wai
ver
serv
ices
pro
vider
; D
ocu
men
tation s
how
ing t
axpay
er iden
tifica
tion n
um
ber
.
PERS S
ervi
ce:
$45.5
0 -
$53.4
4
per
month
Purc
has
e price
neg
otiat
ed
New
H
am
psh
ire
NH
Hom
e a
nd
C
om
mu
nit
y B
ase
d
Care
fo
r th
e E
lderl
y
an
d C
hro
nic
ally I
ll
(for
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
ag
e, a
nd p
hys
ical
ly
dis
able
d indiv
idual
s ag
es P
ER
SPE
RS S
ervi
ce:
An e
lect
ronic
dev
ice
that
enab
les
par
tici
pan
ts a
t hig
h r
isk
of in
stitutional
izat
ion a
nd
who a
re a
lone
for
per
iods
of t
ime
to s
um
mon h
elp in a
n e
mer
gen
cy. T
he
Part
icip
ant
may
als
o w
ear
a por
table
“hel
p”
butt
on t
o a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
Part
icip
ant’s
tele
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
cen
ter
when
act
ivat
ed. T
he
resp
onse
cen
ter
is
staf
fed b
y tr
ained
pro
fess
ional
s 24 h
ours
/day
, se
ven d
ays/
wee
k.Li
mitat
ions:
Ser
vice
s ar
e lim
ited
to p
artici
pan
ts w
ho liv
e al
one
or w
ho
are
alone
for
signific
ant
par
ts o
f th
e day
PERS S
ervi
ce:
$32.8
8 -
$34.2
5per
month
13
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
18-6
4 y
rs)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NH
0060
R0500.z
ip
who w
ould
oth
erw
ise
require
exte
nsi
ve s
uper
visi
on.
Must
be
esta
blis
hed
em
ergen
cy r
esponse
busi
nes
s
NH
HC
BC
-EC
I(f
or
old
er indiv
idual
s ag
es 6
5 -
no
max
age,
phys
ical
ly d
isab
led a
nd
dis
able
d o
ther
s ag
es 1
8-
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NH
0060
R0501.z
ip
PE
RS
PERS S
ervi
ce:
(sam
e as
abov
e)“S
tatu
s, J
anuar
y 2010:
BEAS c
onduct
ed a
surv
ey o
f th
e per
sonal
em
ergen
cy r
esponse
pro
vider
s,
and,
bas
ed o
n t
he
info
rmat
ion g
ather
ed, BEAS d
ecid
ed h
ow
to a
ppro
priat
ely
support
auth
oriza
tions
of em
ergen
cy r
esponse
ser
vice
s,b
oth
wit
h a
nd
wit
hou
t m
ed
icati
on
dis
pen
sin
g s
yst
em
s.”
PERS S
ervi
ce:
$32.8
8 -
$34.2
5per
month
New
Jers
ey
NJ
Glo
bal O
pti
on
s fo
r Lo
ng
Term
Care
(for
old
er indiv
idual
sag
es65 -
no
max
age
and indiv
idual
s w
/PD
ag
es21-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NJ0
032R
0401.z
ip
PE
RS
PERS S
ervi
ce:
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
is
an e
lect
ronic
dev
ice,
whic
h e
nab
les
cert
ain
indiv
idual
s at
hig
h r
isk
of inst
itutional
ization t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
al
so w
ear
a por
table
“hel
p”
butt
on t
o a
llow
for
mobili
ty. T
he
syst
em is
connec
ted t
o th
e per
son’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted. P
erso
nal
Em
ergen
cy R
esponse
Sys
tem
. T
rain
ed p
rofe
ssio
nal
s Sta
ff t
he
resp
onse
cen
ter.
Med
icati
on
Dis
pen
sin
gA P
erso
nal
Em
ergen
cy R
esponse
Sys
tem
unit m
ay a
lso
incl
ude
an e
lect
ronic
med
icat
ion-d
ispen
sing
dev
ice
that
allo
ws
for
a se
t am
ount
of m
edic
atio
ns
to b
e dis
pen
sed a
s per
the
dos
age
inst
ruct
ions.
If
the
med
icat
ion is
not
rem
oved
fro
m t
he
unit in a
tim
ely
man
ner
the
unit w
ill “
lock
” th
at d
osa
ge,
not
allo
win
g t
he
par
tici
pan
t ac
cess
to t
he
mis
sed m
edic
atio
n.
Bef
ore
lock
ing,
the
unit w
ill u
se a
se
ries
of ve
rbal
and/o
r au
ditor
y re
min
der
s th
at t
he
par
tici
pan
t is
to t
ake
his
or
her
med
icat
ion.
If
ther
e is
no
resp
onse
, a
tele
phone
call
will
be
mad
e to
the
par
tici
pan
t, p
artici
pan
t’s
conta
ct p
erso
n,
and c
are
man
agem
ent
site
in t
hat
ord
er u
ntil a
“liv
e” p
erso
n is
reac
hed
.Li
mitat
ions:
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
ser
vice
s ar
e lim
ited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no r
egula
r ca
regiv
er for
exte
nded
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on
PERS S
ervi
ce:
$45 -
$49.1
7per
month
PERS I
nst
alla
tion:
$75 p
er u
nit
PERS
reim
burs
emen
t bas
ed o
n r
eport
ed
cost
s. Som
e in
clude
purc
has
ed
units,
plu
s in
stal
lation,
plu
s m
onth
ly fee
.
Oth
ers
are
inst
alla
tion p
lus
month
ly fee
/ren
tal
com
bin
ed.
New
Mexic
oN
M C
oo
rdin
ate
d L
on
g
Term
Serv
ices
(for
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
ag
ean
d d
isab
led a
ges
0–
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NM
0479
R0000.z
ip
PE
RS
PERS S
ervi
ce:
Em
ergen
cy R
esponse
ser
vice
s pro
vide
an e
lect
ronic
dev
ice
that
enab
les
a par
tici
pan
t to
sec
ure
hel
p in a
n e
mer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a port
able
“hel
p”
butt
on
to a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
par
tici
pan
t’s
phone
and p
rogra
mm
ed t
o si
gnal
a
resp
onse
cen
ter
when
a “
hel
p”
butt
on is
activa
ted. The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s.Em
ergen
cy r
esponse
ser
vice
s in
clude
month
ly m
onitoring s
ervi
ces
only
: tw
enty
-four
(24)
hour
monitoring for
alar
ms;
chec
king s
yste
ms
month
ly o
r m
ore
freq
uen
tly,
if w
arra
nte
d b
y el
ectr
ical
outa
ges
, se
vere
wea
ther
, et
c.;
and r
eport
ing p
artici
pan
t em
ergen
cies
and c
han
ges
in t
he
par
tici
pan
t’s
conditio
n t
hat
may
aff
ect
serv
ice
del
iver
y.Em
ergen
cy c
ateg
orie
s co
nsi
st o
f em
ergen
cy r
esponse
and e
mer
gen
cy r
esponse
hig
h n
eed.
Lim
itat
ions:
Em
ergen
cy r
esponse
ser
vice
s ar
e lim
ited
to m
onth
ly m
onitor
ing s
ervi
ces
only
. Sta
rt-u
p/i
nitia
tion is
no longer
incl
uded
in t
his
ser
vice
.
A p
rovi
der
of
this
ser
vice
will
either
abso
rb t
he
cost
of
the
inst
alla
tion o
r neg
otiat
e an
arr
angem
ent
with t
he
MCO
Contr
acto
r fo
r re
imburs
emen
t.
PERS S
ervi
ce:
$46.8
8 -
$56
per
month
No inst
alla
tion
reim
burs
emen
t
NM
Mi
Via
NF
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and d
isab
led indiv
idual
s ag
es 0
-64)
PE
RS
PERS S
ervi
ce:
(sam
e as
abov
e, e
xcep
t st
art-
up/i
nst
alla
tion is
reim
burs
ed).
Oth
er s
tandar
ds:
Appro
ved E
mer
gen
cy R
esponse
Pro
vider
; m
ust
com
ply
with a
ll la
ws,
rule
s an
d r
egula
tions
from
the
Feder
al T
rade
Com
munic
atio
n C
om
mis
sion for
Tel
ecom
munic
atio
ns
PERS S
ervi
ce:
$35.5
9 –
$41.3
1per
month
PERS I
nst
alla
tion:
LeadingAge Center for Aging Services Technologies (CAST)
14
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NM
0449
R0100.z
ip
$290.9
1 -
$377.7
0
(per
ite
m)
New
Yo
rkN
Y L
on
g T
erm
Ho
me
Healt
h C
are
Pro
gra
m(f
or
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and p
hys
ical
ly d
isab
led
ages
0–
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NY0034
R0600.z
ip
Ass
isti
ve T
ech
no
log
y (
Incl
ud
es
PE
RS
)This
ser
vice
supple
men
ts t
he
Med
icai
d S
tate
Pla
n S
ervi
ce for
dura
ble
med
ical
equip
men
t an
d
supplie
s w
hic
h p
rovi
des
a b
road
ran
ge
of s
pec
ial m
edic
al e
quip
men
t an
d s
upplie
s.
The
Med
icai
d
Sta
te P
lan a
nd a
ll oth
er s
ourc
es m
ust
be
explo
red a
nd u
tiliz
ed b
efor
e co
nsi
der
ing A
ssis
tive
Tec
hnolo
gy.
An A
ssis
tive
Tec
hnolo
gic
al d
evic
e m
ay incl
ude
an ite
m,
pie
ce o
f eq
uip
men
t, o
r pro
duct
sy
stem
, w
het
her
acq
uired
com
mer
cial
ly,
modifie
d, or
cust
omiz
ed,
that
is
use
d t
o incr
ease
, m
ainta
in,
or
impro
ve f
unct
ional
cap
abili
ties
of w
aive
r par
tici
pan
ts.
Ass
istive
Tec
hnolo
gy
is a
se
rvic
e th
at d
irec
tly
assi
sts
a w
aive
r par
tici
pan
t in
the
sele
ctio
n,
acquis
itio
n,
or
use
of an
ass
istive
te
chnolo
gy
dev
ice.
This
ser
vice
will
only
be
appro
ved w
hen
the
reques
ted e
quip
men
t an
d s
upplie
s im
pro
ve o
r m
ainta
in t
he
wai
ver
par
tici
pan
t’s
leve
l of
indep
enden
ce,
abili
ty t
o a
cces
s nee
ded
su
pport
s an
d s
ervi
ces
in t
he
com
munity
or
the
wai
ver
par
tici
pan
t’s
safe
ty. T
his
ser
vice
incl
udes
th
e Pe
rsonal
Em
ergen
cy R
esponse
Ser
vice
s (P
ERS)
whic
h is
incl
uded
in t
he
appro
ved W
aive
r an
d
expan
ds
the
types
of dev
ices
cove
red.
Docu
men
tation in t
he
pla
n o
f ca
re m
ust
des
crib
e how
the
wai
ver
par
tici
pan
t’s
expec
ted u
se,
purp
ose
and inte
nded
pla
ce o
f use
hav
e bee
n m
atch
ed t
o fea
ture
s of th
e pro
duct
s re
ques
ted in
ord
er t
o ac
hie
ve t
he
des
ired
outc
om
e in
an e
ffic
ient
and c
ost
effec
tive
man
ner
.
The
serv
ice
pro
vider
is
resp
onsi
ble
for
tra
inin
g t
he
wai
ver
par
tici
pan
t, n
atura
l su
pport
s an
d p
aid
staf
f w
ho
will
be
assi
stin
g t
he
wai
ver
par
tici
pan
t in
usi
ng t
he
equip
men
t or
supplie
s.The
pro
visi
on o
f Ass
istive
Tec
hnolo
gy
under
this
wai
ver
is c
ost
-effec
tive
and n
eces
sary
to
avoid
in
stitutional
izat
ion.
Lim
itat
ions:
Ass
istive
Tec
hnolo
gy
must
be
docu
men
ted in t
he
pla
n o
f ca
re a
nd p
rovi
ded
by
NYSD
OH
appro
ved
LTH
HCP
agen
cies
either
direc
tly
or t
hro
ugh c
ontr
actu
al a
rran
gem
ent.
Ass
istive
Tec
hnolo
gy
(incl
udin
g P
ERS):
Bas
ed o
n a
ctual
co
sts
plu
s an
ad
min
istr
ativ
e fe
e.
NYSD
OH
has
as
signed
sep
arat
e ra
te c
odes
at
a fixe
d c
ost
per
unit
for
thes
e se
rvic
es
to t
rack
the
amount/
cost
of
each
ser
vice
that
is
pro
vided
.
9/1
/2010 W
aive
r Ren
ewal
adds
a new
wai
ver
serv
ice
of
Ass
istive
Tec
hnolo
gy
whic
h
inco
rpora
tes
the
curr
ent
wai
ver
serv
ice
of P
erso
nal
Em
ergen
cy
Res
ponse
Ser
vice
s (P
ERS)
into
a n
ew
bro
ader
ser
vice
def
initio
n.
Tele
healt
h H
om
e C
are
S
erv
ices
(NY
M
ed
icaid
)
Ho
me T
ele
healt
h
The
New
Yor
k le
gis
latu
re in 2
007 e
nac
ted a
Med
icai
d “
Hom
e Tel
ehea
lth”
pro
gra
m o
n a
n 1
8-m
onth
pilo
t bas
is for
tel
ehea
lth a
nd m
edic
atio
n m
anag
emen
t te
chnolo
gie
s. T
he
pro
gra
m incl
udes
m
onitoring o
f vi
tal si
gns,
pat
ient
educa
tion,
med
icat
ion m
anag
emen
t, e
quip
men
t m
ainte
nan
ce,
and
revi
ew o
f pat
ient
tren
ds
and/o
r ch
anges
in p
atie
nt
conditio
n a
nd iden
tifica
tion o
f pro
ble
mat
ic
chan
ges
req
uirin
g inte
rven
tion
. Elig
ible
pro
vider
s ar
e hom
e hea
lth a
gen
cies
and long-t
erm
hom
e hea
lth p
rogra
ms
that
are
com
munity
bas
ed o
r af
filia
ted w
ith a
nurs
ing h
om
e or
hosp
ital
.
Patien
t el
igib
ility
for
purp
ose
s of th
is d
emonst
ration m
ust
be
det
erm
ined
thro
ugh b
oth
a
phys
icia
n’s
ord
er a
nd a
pat
ient
risk
ass
essm
ent
tool to
be
adm
inis
tere
d b
y th
e hom
e ca
re p
rovi
der
. This
ris
k as
sess
men
t to
ol ca
n b
e ag
ency
spec
ific
but
must
inco
rpor
ate
such
var
iable
s as
whet
her
an
indiv
idual
: is
at
risk
for
hos
pital
izat
ion o
r em
ergen
cy c
are
visi
ts;
lives
alo
ne;
has
a d
ocu
men
ted
his
tory
of or
is a
t hig
h r
isk
of r
equirin
g u
nsc
hed
ule
d n
urs
ing v
isits
or
inte
rven
tions;
has
a h
isto
ry o
f non-c
om
plia
nce
adher
ing t
o dis
ease
man
agem
ent
reco
mm
endat
ions;
requires
on-g
oin
g s
ympto
m
man
agem
ent
rela
ted t
o dys
pnea
, fa
tigue,
pai
n,
edem
a, o
r m
edic
atio
n s
ide
effe
cts
or a
dve
rse
effe
cts;
res
ides
in a
med
ical
ly u
nder
-ser
ved, ru
ral, o
r geo
gra
phic
ally
inac
cess
ible
are
a; r
equires
fr
equen
t phys
icia
n’s
off
ice
visi
ts;
has
difficu
lty
trav
elin
g t
o an
d fro
m h
om
e fo
r m
edic
al
appoin
tmen
ts;
and
has
the
funct
ional
abili
ty t
o w
ork
with t
he
tele
hea
lth m
onitor
ing e
quip
men
t, in
term
s of
sig
ht,
hea
ring,
man
ual
dex
terity
, co
mpre
hen
sion a
nd a
bili
ty t
o co
mm
unic
ate.
In F
ebru
ary
2008 t
he
NY
Dep
artm
ent
of H
ealth r
elea
sed t
he
pilo
t pro
gra
m r
egula
tions
conta
inin
g
thre
e tier
s fo
r m
onth
ly r
eim
burs
emen
t dep
endin
g o
n t
he
deg
ree
to w
hic
h t
echnolo
gie
s w
ere
inte
gra
ted w
ith p
oin
t of
car
e so
ftw
are
and e
lect
ronic
med
ical
rec
ord
s.
In O
ctob
er, 2009 t
he
NY
Dep
artm
ent
of H
ealth m
ade
the
Hom
e Tel
ehea
lth P
rogra
m a
sta
ndar
d
par
t of its
stat
e M
edic
aid p
rogra
m a
nd c
onve
rted
the
reim
burs
emen
t st
ruct
ure
to
dai
ly r
ates
ef
fect
ive
Januar
y 1, 2010. In
stal
lation c
ontinues
at
$50 p
er inst
alla
tion w
ith m
onitoring T
ier
1
reim
burs
ed a
t $8.8
8 p
er d
ay a
nd T
ier
2 a
t $10.1
9 p
er d
ay. Tie
r 3 inte
roper
abili
ty h
as n
ot
yet
bee
n
real
ized
sta
tew
ide;
ther
efor
e no d
aily
rat
e has
bee
n s
et.
Hom
e Te
lehea
lth:
Tie
r 1:
$8.8
8 p
er
day
per
pat
ient
FDA a
ppro
ved
Cla
ss I
I D
evic
e Cap
able
of
inte
roper
abili
ty
with P
oin
t of Car
e (P
OC)
Soft
war
e
Tie
r 2:
$10.1
9 p
er
day
per
pat
ient
Inte
rconnec
ted
with P
OC s
oftw
are
Tie
r 3:
(TBD
)
Inte
rconnec
ted
with E
MR a
nd
stat
ewid
e hea
lth
info
rmat
ion
net
work
Hom
e Te
lehea
lth
Inst
alla
tion F
ee:
$50 p
er u
ser
(one-
tim
e)
15
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
No
rth
Caro
lin
aN
C C
AP
Ch
oic
e –
IP(f
or
old
er indiv
idual
s ag
es 6
5 y
r -
no m
ax
age,
dis
able
d a
ges
18-
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
NC0412
R0100.z
ip
Tele
ph
on
e A
lert
(P
ER
S)
PERS S
ervi
ce:
Ele
ctro
nic
dev
ice
whic
h e
nab
les
cert
ain p
artici
pan
ts a
t hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
par
tici
pan
t m
ay a
lso
wea
r a
“hel
p”
butt
on
to a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
per
son’s
phone
and p
rogra
mm
ed t
o s
ignal
a
resp
onse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s. Tel
ephone
Ale
rt is
limited
to
those
par
tici
pan
ts w
ho
live
alone,
or
are
alone
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
Tel
ephone
aler
t pro
vider
s m
ust
hav
e ca
pab
ility
to p
rovi
de
24-h
our
monitor
ing s
yste
m in
acco
rdan
ce w
ith s
ervi
ce d
efin
itio
n.
PERS S
ervi
ce:
$31.2
3 -
$34.1
3per
month
No
rth
Dako
taN
D M
ed
icaid
Waiv
er
HC
BS
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and d
isab
led a
ges
16-
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
ND
0273
R0300.z
ip
PE
RS
PE
RS S
ervi
ce:
The
purp
ose
of Em
ergen
cy R
esponse
Sys
tem
s is
to a
llow
indiv
idual
s to
acc
ess
emer
gen
cy c
all sy
stem
s during t
he
abse
nce
of hum
an a
ssis
tance
.Li
mitat
ions:
Lim
ited
to p
erso
ns
cognitiv
ely
and p
hys
ical
ly c
apab
le o
f ac
tiva
ting t
he
emer
gen
cy c
all.
This
ser
vice
is
not
avai
lable
to
indiv
idual
s w
ho liv
e w
ith s
om
eone
unle
ss t
he
indiv
idual
is
inca
pac
itat
ed o
r th
eir
per
iodic
abse
nce
pre
sents
a s
afet
y risk
.
PERS S
ervi
ce:
$27.7
5 -
$31.8
5per
month
Oh
ioO
H P
ass
po
rt(f
or
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
ag
ean
d d
isab
led a
ges
60-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
OH
0198
R0400.z
ip
PE
RS
PERS S
ervi
ce:
ERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
par
tici
pan
t m
ay a
lso w
ear
a port
able
‘hel
p’ butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted
to t
he
wai
ver
par
tici
pan
t’s
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
cen
ter
once
a ‘hel
p’ butt
on
is a
ctiv
ated
. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s, a
s sp
ecifie
d h
erei
n.”
E
RS
serv
ices
are
des
igned
for
those
indiv
idual
s w
ho
live
alone,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
and h
ave
no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e.This
ser
vice
cove
rs inst
alla
tion a
nd m
onth
ly fee
s.At
the
end o
f M
arch
2010, 72 p
erce
nt
or 2
1,0
64 o
f PA
SSPO
RT c
lients
wer
e re
ceiv
ing “
Em
ergen
cy
Res
ponse
Sys
tem
(ERS)”
ser
vice
s.
Ho
me M
ed
ical E
qu
ipm
en
t an
d S
up
pli
es
(incl
udes
Med
icati
on
Dis
pen
sers
)In
cludes
rei
mburs
emen
t fo
r th
e use
of
med
icat
ion d
ispen
sers
hom
e m
edic
al e
quip
men
t but
is n
ot
separ
atel
y del
inea
ted. O
hio
Adm
inis
trat
ive
Cod
e 173-3
9-0
2.7
bro
adly
def
ines
hom
e m
edic
al
equip
men
t an
d s
upplie
s as
“…
item
s an
d/o
r su
pplie
s el
igib
le t
o b
e purc
has
ed, in
stal
led a
nd/o
r re
nte
d…
that
enab
le t
he
consu
mer
to funct
ion w
ith g
reat
er indep
enden
ce in t
he
hom
e an
d h
elp
pre
vent
the
consu
mer
’s p
lace
men
t in
a n
urs
ing fac
ility
.” O
ther
ite
ms
occu
pyi
ng t
his
cat
egor
y in
clude
wal
ker
bas
kets
or
tray
s, r
oom
monitors
, ea
ting a
nd d
ress
ing a
ssis
tive
dev
ices
, et
c. I
n F
Y 2008, ap
pro
xim
atel
y 77,2
85 u
nits
of hom
e m
edic
al e
quip
men
t w
ere
bill
ed for
ato
tal of $5.9
mill
ion
or
$76 p
er u
nit.
A p
er ite
m r
ate
is u
sed for
hom
e m
edic
al e
quip
men
t an
d s
upplie
s. The
cost
of
the
item
can
not
exce
ed t
he
max
imum
Med
icai
d s
tate
pla
n r
ate.
The
cost
of an
ite
m t
hat
does
not
hav
e an
es
tablis
hed
Med
icai
d r
ate
is r
eim
burs
ed a
t a
per
ite
m b
id r
ate
subm
itte
d a
nd a
gre
ed t
o in w
riting
by
the
PASSPO
RT a
dm
inis
trat
ive
agen
cy (
PAA)
prior
to d
eliv
ery
of t
he
item
.
PERS S
ervi
ce:
$28.7
2 -
$29.5
8per
month
Hom
e M
edic
al
Equip
men
t &
Supplie
s (M
edic
atio
n
Dis
pen
sers
):Pe
r item
bid
rat
e
CA
ST
W
hit
ep
ap
er:
Sta
te o
f Tec
hnolo
gy
in
Agin
g S
ervi
ces
in
Ohio
htt
p:/
/ww
w.a
ahsa
.org
/Work
Are
a/lin
kit.
aspx?
LinkI
den
tifie
r=id
&It
emID
=1
2082&
libID
=1209
6 Ohio
is
revi
ewin
g
avai
lable
te
chnolo
gie
s an
d
is p
lannin
g t
o ex
pan
d c
ove
rage
to incl
ude
oth
er
Agin
g S
ervi
ces
Tec
hnolo
gie
s su
ch
as T
elem
onitoring
OH
Tra
nsi
tio
ns
II
Ag
ing
Carv
e O
ut
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and for
dis
able
d
indiv
idual
s ag
es 6
0-6
4)
htt
ps:
//w
ww
.cm
s.gov/
M
PE
RS
PE
RS S
ervi
ce:
Em
ergen
cy R
esponse
Ser
vice
s (E
RS)
are
in-h
om
e, t
wen
ty-f
our-
hour
com
munic
atio
n c
onnec
tion
syst
ems
that
enab
le a
consu
mer
to s
ecure
im
med
iate
ass
ista
nce
during a
med
ical
, phys
ical
, em
otional
or
envi
ronm
enta
l em
ergen
cy. E
RS c
an m
eet
the
nee
ds
of co
nsu
mer
s w
ho
live
alone,
are
al
one
for
signific
ant
par
ts o
f th
eday
, or
hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of t
ime
and
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on. T
he
Sta
te p
ays
for
inst
alla
tion,
test
ing a
nd
PERS S
ervi
ce:
$44.8
1 -
$47.5
4per
month
PERS I
nst
alla
tion:
$44.8
1 -
$47.5
4per
unit
LeadingAge Center for Aging Services Technologies (CAST)
16
edic
aidStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
OH
0440
R0100.z
ip
month
ly m
ainte
nan
ce o
f ERS e
quip
men
t. Ther
e ar
e se
par
ate
bill
ing c
odes
for
eac
h u
nder
the
wai
ver.
The
pro
vider
must
be
iden
tified
as
the
pro
vider
, an
d h
ave
spec
ifie
d o
n t
he
All
Ser
vice
s Pl
an,
the
num
ber
of
hours
for
whic
h t
he
pro
vider
is
auth
orize
d t
o fu
rnis
h s
ervi
ces
to t
he
consu
mer
. Ser
vice
s per
form
ed b
y a
pro
vider
must
not
exce
ed t
he
month
ly d
olla
r am
ount
allo
cate
d t
o th
at
spec
ific
pro
vider
on t
he
All
Ser
vice
s Pl
an.
OH
Hom
e C
are
(for
indiv
idual
s w
/phys
ical
dis
abili
ties
ag
es 0
-59)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
OH
0337
R0200.z
ip
PE
RS
PE
RS S
ervi
ce:
(sam
e as
abov
e)PE
RS S
ervi
ce:
$33.2
0 -
$49.0
3per
month
PERS I
nst
alla
tion:
$33.2
0 -
$49.0
3per
unit
Okla
ho
ma
OK
Med
ically F
rag
ile
(for
med
ical
ly fra
gile
an
d t
echnolo
gy
dep
enden
t in
div
idual
s ag
es 1
9 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
OK0811
R0000.z
ip
PE
RS
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of in
stitutional
izat
ion t
o
secu
re h
elp in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mobili
ty.
The
syst
emis
connec
ted t
o t
he
per
son's
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
ce
nte
r once
a "
hel
p"
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts
of th
e day
, an
d h
ave
no r
egula
r ca
regiv
er for
ext
ended
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
The
serv
ice
is a
uth
orize
d b
y th
e m
ember
’s S
ervi
ce P
lan a
nd is
nec
essa
ry t
o pre
vent
inst
itutional
izat
ion.
This
ser
vice
incl
udes
both
the
unit a
nd t
he
monitor
ing.
Am
ount,
fre
quen
cy a
nd d
ura
tion o
f se
rvic
e is
prior
auth
orize
d in a
ccor
dan
ce w
ith s
ervi
ce p
lan.
PERS S
ervi
ce:
$30.6
9 -
$32.5
6
per
month
NO
TE:
The
Okl
ahom
a Adva
nta
ge
Wai
ver
(aged
, dis
able
d
and D
D r
equirin
g
nurs
ing fac
ility
le
vel of ca
re)
does
not
hav
e te
chnolo
gy
reim
burs
emen
t
Ore
go
nS
en
iors
an
d P
eo
ple
w
ith
Dis
ab
ilit
ies
(per
sons
with p
hys
ical
dis
abili
ties
)htt
p:/
/ww
w.o
regon.g
ov/
DH
S/s
pd/q
a/ap
d_w
aive
r_0185.p
df?
ga=
t
PE
RS
PE
RS
Serv
ice:
Def
initio
n n
ot
avai
lable
PERS S
ervi
ce:
Rat
e not
avai
lable
Pen
nsy
lvan
iaP
A H
CB
W f
or
Indiv
idual
s Aged
60 &
O
ver
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and indiv
idual
s w
/PD
ag
es 6
0-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
PA0279R
0300.z
ip
Tele
Care
Tel
eCar
e is
a m
odel
of ca
re t
hat
inte
gra
tes
soci
al a
nd h
ealthca
re s
ervi
ces
that
are
suppor
ted b
y in
nova
tive
tec
hnolo
gie
s to
sust
ain a
nd p
rom
ote
indep
enden
ce,
qual
ity
of lif
e an
d r
educe
the
nee
d
for
nurs
ing h
om
e pla
cem
ent.
Tel
eCar
e in
cludes
Hea
lth S
tatu
s M
easu
ring a
nd M
onitoring S
ervi
ces,
M
edic
atio
n D
ispen
sing a
nd P
assi
ve S
afet
y M
onitoring. By
utiliz
ing in-h
om
e te
chnolo
gy,
more
options
are
avai
lable
to
assi
st a
nd s
uppor
t in
div
idual
s so
that
they
can
rem
ain in t
hei
r ow
n h
om
es.
•H
ealt
h S
tatu
s M
easu
rin
g a
nd
Mo
nit
ori
ng
(Ho
me T
ele
healt
h/T
ele
mo
nit
ori
ng
): U
sing
wirel
ess
tech
nolo
gy
or
a phone
line,
this
ser
vice
incl
udes
ele
ctro
nic
com
munic
atio
n b
etw
een t
he
consu
mer
and h
ealthca
re p
rovi
der
that
foc
use
s on c
olle
ctin
g v
ital
sig
ns
info
rmat
ion s
uch
as
puls
e oxi
met
ry a
nd b
lood p
ress
ure
that
ass
ists
the
hea
lthca
re p
rovi
der
in a
sses
sing t
he
consu
mer
’s
conditio
n,
and p
rovi
din
g e
duca
tion a
nd c
onsu
ltat
ion.
Must
be
order
ed b
y a
phys
icia
n a
nd p
rovi
ded
by
a H
om
e H
ealth A
gen
cy. P
hys
iolo
gic
al M
onitor
ing incl
udes
inst
alla
tion a
nd d
aily
monitoring.
•A
ctiv
ity a
nd
Sen
sor
Mo
nit
ori
ng:
This
typ
e of se
rvic
e em
plo
ys s
enso
r-bas
ed t
echnolo
gy
on a
24/7
day
bas
is b
y re
mote
ly m
onitoring a
nd p
assi
vely
tra
ckin
g c
onsu
mer
s’ d
aily
routines
and m
ay
report
on t
he
follo
win
g:
wak
e up t
imes
, ove
rnig
ht
bat
hro
om
usa
ge,
pote
ntial
bat
hro
om
fal
l,
med
icat
ion u
sage,
mea
l pre
par
atio
n a
nd r
oom
tem
per
ature
. Act
ivity
and S
enso
r M
onitor
ing
incl
udes
inst
alla
tion a
nd m
onth
ly m
onitor
ing.
NO
TE:
Incl
uded
in t
he
month
ly f
ee is
the
pro
visi
on
of
pers
on
al em
erg
en
cy r
esp
on
se s
yst
em
(P
ER
S)
that
is
required
in c
onju
nct
ion w
ith t
his
se
rvic
e. P
ERS is
subje
ct t
o a
ll of th
e cu
rren
t re
quirem
ents
under
the
Options
and A
gin
g W
aive
r se
rvic
es d
efin
itio
ns.
•
Med
icati
on
Dis
pen
sin
g a
nd
Mo
nit
ori
ng:
To a
ssis
t co
nsu
mer
s by
dis
pen
sing a
nd m
onitoring
med
icat
ion c
om
plia
nce
. Rem
ote
monitor
ing s
yste
m t
hat
is
per
sonal
ly p
re-p
rogra
mm
ed for
eac
h
consu
mer
to
dis
pen
se a
nd m
onitor
com
plia
nce
and n
otifies
the
pro
vider
or
fam
ily c
areg
iver
of
Tel
ecar
e:
Hea
lth S
tatu
s M
easu
ring a
nd
Monitoring
Ser
vice
: $10 p
er d
ayIn
stal
lation:
$90
(one-
tim
e)
Act
ivity
and
Sen
sor
Monitoring
Ser
vice
(co
nta
ins
PERS):
$80 p
er m
onth
Inst
alla
tion:
$200
Med
icat
ion
Dis
pen
sing a
nd
Monitoring
Ser
vice
:$50 p
er m
onth
CA
ST
W
hit
ep
ap
er:
Sta
te o
f Tec
hnolo
gy
in
Agin
g S
ervi
ces
in
Pennsy
lvan
iahtt
p:/
/ww
w.a
ahsa
.org
/Work
Are
a/lin
kit.
aspx?
LinkI
den
tifie
r=id
&It
emID
=1
0209
17
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
mis
sed d
ose
s or
non-c
omplia
nce
with m
edic
atio
n t
her
apy.
All
Tel
eCar
e par
tici
pan
ts a
re a
sses
sed for
serv
ice,
fre
quen
cy,
and d
ura
tion o
f se
rvic
e bas
ed u
pon
nee
ds
iden
tified
and d
ocu
men
ted in t
he
par
tici
pan
t’s
indiv
idual
ser
vice
pla
n.
Part
icip
ants
can
only
re
ceiv
e Te
leCar
e se
rvic
es w
hen
they
mee
t el
igib
ility
crite
ria
spec
ifie
d in t
he
Tel
eCar
e Ser
vice
s APD
an
d t
he
serv
ices
are
not
cove
red u
nder
by
Med
icar
e or
oth
er t
hird p
arty
res
ourc
es. T
he
Car
e M
anag
er is
resp
onsi
ble
for
verify
ing t
hat
third p
arty
lim
itat
ions
hav
e bee
n e
xhau
sted
prior
to
fundin
g s
ervi
ces
thro
ugh t
he
Agin
g W
aive
r. D
ocu
men
tation t
hat
the
serv
ices
are
not
avai
lable
must
be
mai
nta
ined
in t
he
indiv
idual
’s f
ile a
nd u
pdat
ed a
nnual
ly.
Med
icat
ion D
ispen
sing s
ervi
ces
can n
ot
be
pro
vided
at
the
sam
e tim
e as
Per
sonal
Ass
ista
nce
Ser
vice
s, P
erso
nal
Car
e Ser
vice
s, H
om
e H
ealth C
are
Aid
e Ser
vice
s or
in-h
om
e Res
pite
Ser
vice
s.
PA T
elec
are
Prog
ram
Det
ails
: htt
p:/
/ww
w.a
ahsa
.org
/Work
Are
a/lin
kit.
aspx?
LinkI
den
tifier
=id
&It
emID
=10903
PA
Op
tion
s P
rog
ram
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and indiv
idual
s w
/PD
ag
es 6
0-6
4;
not
Med
icai
d fin
anci
ally
el
igib
le)
Tele
Care
Pennsy
lvan
ia b
egan
its
pro
gra
m a
s a
Med
icai
d-w
aive
r dem
onst
ration in S
epte
mber
2007, an
d
rece
ived
CM
S a
ppro
val to
incl
ude
it in its
wai
ver
pro
gra
m b
egin
nin
g in J
uly
2008. The
stat
e at
that
tim
e ex
pan
ded
the
pro
gra
m b
eyond M
edic
aid-e
ligib
le c
onsu
mer
s to
those
in its
slid
ing-s
cale
“O
ptions”
pro
gra
m. O
ptions
pro
gra
m c
onsu
mer
s w
hos
e in
com
e is
bel
ow
125%
of th
e Fe
der
al
Pove
rty
Leve
l G
uid
elin
e do
not
pay
a c
ost
shar
e. T
he
scal
e rise
s to
300%
of
the
Feder
al P
ove
rty
Leve
l G
uid
elin
e, a
t w
hic
h p
oin
t th
e co
nsu
mer
would
be
resp
onsi
ble
for
100%
of th
e co
st o
f O
ptions
Ser
vice
s in
cludin
g T
eleC
are.
Rat
es s
ame
as
above
PA
In
dep
en
den
ce(f
or
phys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8 –
60)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
PA0319R
0300.z
ip
PE
RS
PE
RS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
whic
h e
nab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
indiv
idual
may
als
o w
ear
apor
table
“hel
p”
butt
on t
o al
low
for
mobili
ty. T
he
syst
em is
connec
ted t
o t
he
per
son’s
phone
and p
rogra
mm
ed t
o si
gnal
a r
esponse
cen
ter
once
a
“hel
p”
butt
on is
activa
ted. T
he
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s, a
s sp
ecifie
d.
The
PERS v
endor
must
pro
vide
24 h
our
staf
fing, by
trai
ned
oper
ator
s of
the
emer
gen
cy r
esponse
ce
nte
r, 3
65 d
ays
a ye
ar. I
nst
alla
tion a
nd m
ainte
nan
ce a
re incl
uded
in t
his
ser
vice
. A
ll oth
er
med
ical
equip
men
t an
d s
upplie
s th
at w
ill b
e of va
lue
to t
he
par
tici
pan
t to
mai
nta
in s
afet
y in
the
hom
e ca
n b
e purc
has
ed u
sing “
Acc
essi
bili
ty A
dap
tations,
Equip
men
t, T
echnolo
gy
and M
edic
al
Supplie
s”.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s (1
) w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts o
f th
e day
and (
2)
hav
e no r
egula
r ca
regiv
er for
ext
ended
per
iods
of t
ime,
or
live
with a
n
indiv
idual
that
may
be
limited
in t
hei
r ab
ility
to a
cces
s a
tele
phone
quic
kly
when
a p
artici
pan
t has
an
em
ergen
cy,
and (
3)
who
would
oth
erw
ise
require
exte
nsi
ve r
outine
monitoring a
nd a
ssis
tance
.
PERS c
over
s th
e ac
tual
cos
t of th
e se
rvic
e an
d d
oes
not
incl
ude
any
additio
nal
adm
inis
trat
ive
cost
s.Sm
oke
det
ecto
rs w
ill n
ot
be
bill
ed u
nder
PERS. S
moke
det
ecto
rs w
ill b
e bill
ed u
nder
Acc
essi
bili
ty
Adap
tations,
Equip
men
t, T
echnolo
gy
and M
edic
al S
upplie
s.The
freq
uen
cy a
nd d
ura
tion o
f th
is s
ervi
ce a
re b
ased
upon t
he
par
tici
pan
t’s
nee
ds
as iden
tified
and
docu
men
ted in t
he
par
tici
pan
t’s
serv
ice
pla
n.
PERS S
ervi
ce:
The
Rat
es for
PERS
are
appro
ved o
n
the
Indiv
idual
Ser
vice
Pla
n (
ISP)
by
OLT
L on a
cas
e by
case
bas
is.
Rh
od
e I
slan
dR
ho
de I
slan
d G
lob
al
Co
nsu
mer
Ch
oic
e
Co
mp
act
(elig
ible
popula
tion)
htt
p:/
/ww
w.g
ove
rnor.
ri.
gov
/doc
um
ents
/RI_
Glo
bal
_Consu
mer
_Com
pac
t_G
lobal
_W
aive
r.pdf
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
Rhode%
20Is
land%
20G
lobal
%20
Consu
mer
%20Choic
e%2
PE
RS
PE
RS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy.
The
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mob
ility
. The
syst
em is
connec
ted t
o th
e per
son's
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted.
Tra
ined
pro
fess
ional
s st
aff
the
resp
onse
cen
ter,
as
spec
ifie
d b
y Cen
ter
for
Adult H
ealth c
ontr
act
stan
dar
ds.
This
ser
vice
incl
udes
cove
rage
for
inst
alla
tion a
nd a
month
ly s
ervi
ce fee
. Pr
ovid
ers
are
resp
onsi
ble
to
insu
re t
he
upke
ep a
nd m
ainte
nan
ce o
f th
e D
evic
es/s
yste
ms.
PERS S
ervi
ce:
Rat
e not
avai
lable
LeadingAge Center for Aging Services Technologies (CAST)
18
0Com
pac
t%20Fa
ct%
20S
hee
t.pdf
So
uth
C
aro
lin
aS
C-
Ch
oic
e(f
or
elder
ly/d
isab
led
indiv
idual
s)htt
p:/
/ww
w.s
cdhhs.
gov/
dhhsn
ew/i
nsi
ded
hhs/
bur
eaus/
Bure
auof
LongTer
mCar
eSer
vice
s/doc
/tel
emonitoring%
20sc
ope.
htt
p:/
/ww
w.s
cdhhs.
gov/
dhhsn
ew/i
nsi
ded
hhs/
bur
eaus/
Bure
auof
LongTer
mCar
eSer
vice
s/doc
/tel
emonitoring%
20ap
plic
atio
n.p
df
Du
rab
le M
ed
ical
Eq
uip
men
t (I
ncl
ud
es
PE
RS
)Pr
ovi
des
equip
men
t an
d s
upplie
s th
at g
ive
ther
apeu
tic
ben
efits,
life-
sust
ainin
g n
utr
itio
n,
or a
llow
a
per
son t
o p
erfo
rm c
erta
in t
asks
that
they
could
n't b
ecau
se o
f a
med
ical
conditio
n. D
ura
ble
med
ical
eq
uip
men
t is
med
ical
equip
men
t th
at c
an w
ithst
and r
epea
ted u
se a
nd is
suitab
le for
use
in t
he
hom
e.
Tele
mo
nit
ori
ng
Serv
ice (
Ho
me T
ele
healt
h)
The
Tel
emonitor
ing s
ervi
ce is
avai
lable
to
Com
munity
Choic
es p
artici
pan
ts t
o m
ainta
in a
nd
pro
mote
thei
r hea
lth s
tatu
s th
rough m
edic
al t
elem
onitor
ing o
f body
wei
ght,
blo
od p
ress
ure
, oxy
gen
sat
ura
tion, blo
od g
luco
se lev
els,
and b
asic
hea
rt r
ate
info
rmat
ion.
The
obje
ctiv
es o
f th
e Tel
emonitoring s
ervi
ce a
re t
o m
ainta
in a
nd p
rom
ote
the
hea
lth s
tatu
s of
M
edic
aid h
om
e an
d c
om
munity-
bas
ed w
aive
r par
tici
pan
ts t
hro
ugh m
edic
alte
lem
onitoring o
f bod
y w
eight,
blo
od p
ress
ure
, oxy
gen
sat
ura
tion,
blo
od g
luco
se lev
els,
and b
asic
hea
rt r
ate
info
rmat
ion.
Conditio
ns
of P
artici
pat
ion -
Provi
der
s1.
Provi
der
s m
ust
hav
e eq
uip
men
t th
at r
ecord
s at
a m
inim
um
the
par
tici
pan
t’s
bod
y w
eight,
blo
od
pre
ssure
, ox
ygen
sat
ura
tion, blo
od g
luco
se lev
els,
and b
asic
hea
rt r
ate
info
rmat
ion. All
agen
cies
m
ust
als
o hav
e nurs
ing p
erso
nnel
and h
ealth c
are
pro
fess
ional
s ab
le t
o c
arry
out
the
duties
of th
e se
rvic
e des
crib
ed b
elow
.2.
Provi
der
s m
ust
agre
e to
par
tici
pat
e in
all
com
ponen
ts o
f th
e Car
e Cal
l m
onitor
ing a
nd p
aym
ent
syst
em a
nd h
ave
the
capab
ility
to
rece
ive
and r
espond t
o au
thoriza
tions
for
serv
ice
in a
n e
lect
ronic
fo
rmat
.3.
Provi
der
s m
ust
hav
e at
lea
st o
ne
(1)
year
of ex
per
ience
or
oth
erw
ise
dem
onst
rate
com
pet
ency
in
the
pro
visi
on o
f th
is s
ervi
ce.
Conditio
ns
of P
artici
pat
ion –
Com
munity
Choic
es W
aive
r Pa
rtic
ipan
tsCom
munity
Choic
es w
aive
r par
tici
pan
ts m
ust
mee
t th
e fo
llow
ing c
rite
ria
in o
rder
to b
e co
nsi
der
ed
for
the
tele
monitor
ing s
ervi
ce:
-Hav
e a
prim
ary
dia
gnosi
s of
Insu
lin D
epen
den
t D
iabet
es M
ellit
us,
Hyp
erte
nsi
on, Chro
nic
O
bst
ruct
ive
Pulm
onar
y D
isea
se,
and/o
r Conges
tive
Hea
rt F
ailu
re;
and
-Hav
e a
his
tory
of at
lea
st t
wo
hosp
ital
izat
ions
and/o
r em
ergen
cy r
oom
vis
its
in t
he
pas
t 12
month
s; a
nd
-Hav
e a
prim
ary
care
phys
icia
n t
hat
appro
ves
the
use
of th
e te
lem
onitor
ing s
ervi
ce a
nd is
sole
ly
resp
onsi
ble
for
rec
eivi
ng a
nd a
ctin
g u
pon t
he
info
rmat
ion r
ecei
ved v
ia t
he
tele
monitor
ing s
ervi
ce;
and
-Be
capab
le o
f usi
ng t
he
tele
monitoring e
quip
men
t an
d t
ransm
itting t
he
nec
essa
ry d
ata
or
hav
e an
in
div
idual
ava
ilable
to t
hem
that
is
capab
le o
f utiliz
ing t
he
tele
monitoring e
quip
men
t an
d
tran
smitting d
ata
to t
he
tele
monitoring p
rovi
der
.
At
a m
inim
um
, CLT
C s
hal
l per
form
a r
e-as
sess
men
t of th
e te
lem
onitoring s
ervi
ce n
eed a
t re
-ev
aluat
ion o
f le
vel of ca
re.
The
re-a
sses
smen
t by
CLT
C s
hal
l be
done
to a
sses
s w
het
her
or
not
any
of th
e ab
ove
conditio
ns
hav
e ch
anged
and t
o a
sses
s th
e co
ntinuin
g n
eed for
the
serv
ice.
DM
E/P
ERS
Ser
vice
:$36 p
er m
onth
DM
E/P
ERS
Inst
alla
tion:
$36 o
ne-
tim
e
Tel
emonitoring:
$10 p
er d
ay(n
o m
axim
um
num
ber
of day
s per
yea
r)
NO
TE:
South
Car
olin
a’s
tele
monitoring
serv
ice
star
ted a
s a
reim
burs
ed S
C
Choic
e w
aive
r se
rvic
e in
Fe
bru
ary
2009.
Curr
ently
ther
e ar
e 99 o
pen
au
thoriza
tions
for
the
serv
ice.
The
dec
isio
n w
as m
ade
to inst
itute
the
serv
ice
by
exec
utive
sta
ff a
t SCD
HH
S w
ith t
he
goal
of re
duci
ng
hosp
ital
and
emer
gen
cy r
oom
vi
sits
.
So
uth
Dakota
SD
–E
lderl
y(f
or
old
er indiv
idual
s)S
peci
alize
d m
ed
ical eq
uip
men
t an
d s
up
pli
es:
An e
lect
ronic
dev
ice
whic
h is
pro
gra
mm
ed t
o
auto
mat
ical
ly d
ispen
se m
edic
atio
ns
and/o
r te
lehea
lth e
quip
men
t th
at m
onitors
hea
lth s
tatu
s.
•M
ed
icati
on
Dis
pen
sers
•T
ele
healt
h E
qu
ipm
en
t (h
om
e t
ele
healt
h)
Spec
ializ
ed M
edic
al
Equip
men
t an
d
Supplie
s:N
ot
to e
xcee
d
$250 p
er m
onth
, in
cludin
g
Med
icat
ion
Dis
pen
sers
and
Tel
ehea
lth
Equip
men
t
Note
: SD
curr
ently
contr
acts
with 7
pro
vider
agen
cies
to
pro
vide
tele
hea
lth/
med
icat
ion
man
agem
ent
serv
ices
.
The
SD
Eld
erly
w
aive
r ex
pires
fal
l
19
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
PE
RS
PERS S
ervi
ce:
A d
evic
e w
hic
h a
lert
s des
ignat
ed indiv
idual
s to
res
pond t
o an
em
ergen
cy s
ituat
ion
Tel
ehea
lth
Inst
alla
tion:
$30
Tel
ehea
lth C
linic
al
Monitoring:
$150 -
$217
per
month
Tel
ehea
lth N
urs
e Ass
essm
ent:
$36.8
4 p
er h
our
PERS S
ervi
ce:
$45 p
er m
onth
2011, st
aff
now
re
view
ing t
he
curr
ent
wai
ver
and d
evel
opin
g
our
renew
al
wai
ver
applic
atio
n,
whic
h m
ay o
r m
ay
not
chan
ge
pro
gra
m
par
amet
ers.
Ten
ness
ee
TN
HC
BS
Eld
erl
y a
nd
D
isab
led
(for
old
er indiv
idual
s ag
es65 y
rs -
no
max
ag
e, d
isab
led a
ges
21-
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
TN
0381
R0101.z
ip
PE
RS
PE
RS S
ervi
ce:
An e
lect
ronic
dev
ice
whic
h e
nab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
um
mon h
elp in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
“h
elp”
butt
on t
o a
llow
for
mobili
ty.
The
syst
em is
connec
ted t
o t
he
per
son’s
phone
and
pro
gra
mm
ed t
o si
gnal
a r
espon
se c
ente
r once
a “
hel
p”
butt
on is
activa
ted.
The
resp
onse
cen
ter
is
staf
fed b
y tr
ained
pro
fess
ional
s.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho a
re a
lone
for
signific
ant
par
ts o
f th
e day
, w
ho h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of t
ime,
and w
ho
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
PERS I
nst
alla
tion:
Inst
alla
tion is
limited
to o
ne
(1)
inst
alla
tion p
er w
aive
r ye
ar.
PERS S
ervi
ce:
$43.5
3 -
$49.0
1per
month
PERS I
nst
alla
tion:
$52.5
5 –
$59.1
4one
per
yea
r
Texas
TX
Co
mm
un
ity B
ase
d
Alt
ern
ati
ves
(for
old
er indiv
idual
sag
es65 y
rs -
no
max
ag
ean
d d
isab
led a
ges
21-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
TX0266R
0301.z
ip
PE
RS
PE
RS S
ervi
ce:
Em
ergen
cy R
esponse
Ser
vice
s (E
RS)
pro
vides
par
tici
pan
ts a
n e
lect
ronic
dev
ice
that
en
able
s ce
rtai
n indiv
idual
s at
hig
h r
isk
of inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
“hel
p”
butt
on t
o a
llow
for
mob
ility
. The
syst
em is
connec
ted t
o
the
per
son’s
phone
and p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a “
hel
p”
butt
on is
activa
ted.
Tra
ined
pro
fess
ional
s st
aff
the
resp
onse
cen
ter.
ERS s
ervi
ces
are
limited
to t
hos
e in
div
idual
s w
ho
live
alone,
who
are
alone
for
signific
ant
par
ts o
f th
e day
, or
hav
e no
regula
r ca
regiv
er for
ext
ended
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
The
Sta
te a
llow
s a
par
tici
pan
t to
sel
ect
a re
lative
or
legal
guar
dia
n,
oth
er t
han
a leg
ally
res
ponsi
ble
indiv
idual
, to
be
thei
r pro
vider
for
this
ser
vice
if
the
rela
tive
or
legal
guar
dia
n m
eets
the
requirem
ents
for
this
typ
e of pro
vider
.
PERS S
ervi
ce:
$24.8
4 -
$30.1
1per
month
Tex
as h
as p
endin
g
bill
that
aim
s to
hel
p p
rovi
de
tele
med
icin
e,te
lehea
lth,
tele
monitoring
med
ical
ser
vice
s to
cer
tain
M
edic
aid
reci
pie
nts
:htt
p:/
/ww
w.leg
is.s
tate
.tx.
us/
tlodocs
/82R/b
illte
xt/p
df/
HB00070I.
pdf#
nav
pan
es=
0
Uta
hU
T N
ew
Ch
oic
es
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and d
isab
led a
nd
phys
ical
ly d
isab
led a
ges
21 –
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
UT0439
R0100.z
ip
Med
icati
on
Rem
ind
er
Syst
em
(Not
Face
-To-F
ace)
Med
icat
ion R
emin
der
Ser
vice
:M
edic
atio
n R
emin
der
Sys
tem
pro
vides
a m
edic
atio
n r
emin
der
by
a th
ird p
arty
entity
or
indiv
idual
th
at is
not
the
clin
icia
n r
esponsi
ble
for
pre
scribin
g a
nd/o
r cl
inic
ally
man
agin
g t
he
indiv
idual
, not
the
entity
res
ponsi
ble
for
the
adm
inis
trat
ion o
f m
edic
atio
n,
and n
ot
the
entity
res
ponsi
ble
for
the
pro
visi
on o
f nurs
ing o
r per
sonal
car
e, a
tten
dan
t ca
re, or
com
pan
ion c
are
serv
ices
. S
ervi
ces
invo
lve
non f
ace-
to-f
ace
med
icat
ion r
emin
der
tec
hniq
ues
(e.
g. phon
e ca
lls,
tele
com
munic
atio
n d
evic
es,
med
icat
ion d
ispen
ser
dev
ices
with e
lect
ronic
ala
rms
whic
h a
lert
the
indiv
idual
and a
cen
tral
re
sponse
cen
ter
staf
fed w
ith q
ual
ifie
d indiv
idual
s, e
tc.)
Med
icat
ion I
nst
alla
tion/S
et-U
p a
nd A
dm
inis
trat
ion:
Ser
vice
s of
an indiv
idual
auth
orize
d b
y Sta
te law
to
set-
up m
edic
atio
ns
in c
onta
iner
s th
at f
acili
tate
sa
fe a
nd e
ffec
tive
sel
f-ad
min
istr
atio
n w
hen
indiv
idual
dose
bubblin
g p
acka
gin
g b
y a
phar
mac
y is
not
avai
lable
and a
ssis
tance
with s
elf-
adm
inis
trat
ion is
not
cove
red a
s an
ele
men
t of an
oth
er
wai
ver
serv
ice.
Nurs
es m
ay a
lso a
ssis
t in
div
idual
s in
the
adm
inis
trat
ion o
f m
edic
atio
ns
as p
art
of a
Med
icat
ion
Rem
inder
Sys
tem
Ser
vice
:$49.9
8 -
$54.1
0per
month
Med
icat
ion
Rem
inder
Sys
tem
In
stal
lation:
$20.1
6 –
$21.8
2per
unit
LeadingAge Center for Aging Services Technologies (CAST)
20
med
icat
ion m
ainte
nan
ce r
egim
en.
PE
RS
An e
lect
ronic
dev
ice
that
enab
les
an indiv
idual
to s
ecure
hel
p in a
n e
mer
gen
cy t
hro
ugh a
co
nnec
tion t
o a
sig
nal
res
ponse
cen
ter
that
is
staf
fed b
y tr
ained
pro
fess
ional
s on a
24 h
our
per
day
, se
ven d
ays
a w
eek
bas
is.
-Pe
rsonal
Em
ergen
cy R
esponse
Sys
tem
s (P
ERS)
Res
ponse
Cen
ter
Ser
vice
:pro
vides
ongoi
ng
acce
ss t
o a
signal
res
ponse
cen
ter
that
is
staf
fed t
wen
ty-f
our
hours
per
day
, se
ven d
ays
aw
eek
by
trai
ned
pro
fess
ional
s re
sponsi
ble
for
sec
uring a
ssis
tance
in t
he
even
t of
an e
mer
gen
cy.
-Pe
rsonal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
Purc
has
e, R
enta
l &
Rep
air:
Provi
des
an e
lect
ronic
dev
ice
of a
type
that
allo
ws
the
indiv
idual
to s
um
mon a
ssis
tance
in a
n
emer
gen
cy.
The
dev
ice
may
be
any
one
of a
num
ber
of su
ch d
evic
es b
ut
must
be
connec
ted t
o a
si
gnal
res
ponse
cen
ter.
-Pe
rsonal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
Inst
alla
tion,
Tes
ting &
Rem
ova
l:Pr
ovi
des
inst
alla
tion,
test
ing,
and r
emov
al o
f th
e PE
RS e
lect
ronic
dev
ice
by
trai
ned
per
sonnel
.
PERS S
ervi
ce:
$32.6
6-
$35.3
5per
month
PERS P
urc
has
e,
Ren
tal, R
epai
r:$207.0
4-
$224.1
0
per
unit
PERS I
nst
alla
tion,
Tes
ting &
Rem
ova
l:$43.5
3-$
47.1
2 p
er
serv
ice
Verm
on
tV
erm
on
t C
ho
ices
Fo
r C
are
(old
er V
erm
onte
rs a
nd
peo
ple
with p
hys
ical
dis
abili
ties
)htt
p:/
/ww
w.d
das
.ver
mo
nt.
gov/
ddas
-pro
gra
ms/
pro
gra
ms-
cfc/
Ass
isti
ve D
evic
es
Ass
istive
Dev
ice
is d
efin
ed a
s an
ite
m,
whet
her
acq
uired
com
mer
cial
ly o
r off t
he
shel
f, w
hic
h is
use
d t
o incr
ease
, m
ainta
in,
or
impro
ve funct
ional
cap
abili
ties
. Such
dev
ices
are
inte
nded
to r
epla
ce
funct
ional
abili
ties
lost
to t
he
indiv
idual
bec
ause
of
his
or
her
dis
abili
ty a
nd m
ust
be
use
d in
per
form
ing A
ctiv
itie
s of
Dai
ly L
ivin
g (
AD
L) o
r In
stru
men
tal Act
ivitie
s of
Dai
ly L
ivin
g (
IAD
L).
For
all in
div
idual
s w
ho r
equire
Ass
istive
Dev
ices
or
Hom
e M
odific
atio
ns
acco
rdin
g t
o t
he
serv
ice
def
initio
ns,
DAIL
will
auto
mat
ical
ly a
ppro
ve t
he
follo
win
g ite
ms
without
prior-
auth
oriza
tion
. The
case
man
ager
must
subm
it a
n A
ssis
tive
Dev
ice
& H
om
e M
odific
atio
n form
that
incl
udes
the
item
(s)
bei
ng r
eques
ted a
nd d
ocu
men
tation o
f nee
d.
Am
ong t
echnolo
gie
s lis
ted a
re:
•A
dap
tive t
ele
ph
on
es
wit
h larg
e n
um
bers
•M
ed
icati
on
Rem
ind
er
Un
its
•W
an
der
Devic
es
(for
per
sons
with d
emen
tia
only
)
PE
RS
PE
RS S
ervi
ce:
Pers
onal
Em
ergen
cy R
esponse
Sys
tem
(PE
RS)
is a
n e
lect
ronic
dev
ice
that
enab
les
indiv
idual
s at
hig
h r
isk
of inst
itutional
ization t
o s
ecure
hel
p in a
n e
mer
gen
cy. The
syst
em is
connec
ted t
o th
e per
son's
phon
e an
d p
rogra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on
is a
ctiv
ated
. Pr
ofes
sional
ly t
rain
ed P
ERS s
taff a
sses
s th
e nat
ure
of th
e em
ergen
cy a
nd o
bta
in
appro
priat
e hel
p for
the
indiv
idual
as
nec
essa
ry.
Lim
itat
ions
1.
PERS s
ervi
ces
as d
efin
ed in t
his
sec
tion a
re lim
ited
to indiv
idual
s ap
pro
ved b
y D
AIL
for
serv
ices
in
the
Hom
e-Bas
ed s
etting.
2.
PERS s
ervi
ces
are
limited
to a
max
imum
of
twel
ve (
12)
month
s of
ser
vice
per
cal
endar
yea
r.
3.
PERS s
ervi
ces
are
limited
to t
hose
indiv
idual
s w
ho liv
e al
one,
or
who
are
alone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
ext
ended
per
iods
of tim
e.
4.
PERS s
ervi
ces
are
limited
to indiv
idual
s w
ho a
re a
ble
to e
ffec
tive
ly u
tiliz
e PE
RS e
quip
men
t.
Ass
istive
Dev
ices
:(i
.e.,
adap
tive
te
lephones
, M
edic
atio
n
Rem
inder
Units,
W
ander
Dev
ices
):$750 m
ax p
er y
ear
PERS S
ervi
ce:
$30 p
er m
onth
Vir
gin
iaV
A E
lderl
y o
r D
isab
led
w
/C
on
sum
er
Dir
ect
ion
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
VA0321
R0204.z
ip
PE
RS
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
cert
ain indiv
idual
s at
hig
h r
isk
of
inst
itutional
izat
ion t
o s
ecure
hel
p in a
n e
mer
gen
cy. T
he
indiv
idual
may
als
o w
ear
a por
table
"hel
p"
butt
on t
o a
llow
for
mob
ility
. T
he
syst
em is
connec
ted t
o th
e per
son's
phone
and p
rogra
mm
ed t
o
signal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted. P
ERS s
ervi
ces
are
limited
to t
hose
in
div
idual
s w
ho
live
alone,
or
who a
re a
lone
for
signific
ant
par
ts o
f th
e day
, an
d h
ave
no r
egula
r ca
regiv
er for
ext
ended
per
iods
of t
ime,
and w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on. P
ERS s
ervi
ces
are
also
lim
ited
to
those
rec
ipie
nts
ages
14 a
nd o
lder
.
Med
icati
on
Mon
ito
rin
gW
hen
med
ical
ly a
ppro
priat
e, t
he
PERS d
evic
e ca
n b
e co
mbin
ed w
ith a
med
icat
ion m
onitoring
syst
emto
monitor
med
icat
ion c
omplia
nce
.
PERS S
ervi
ce:
$31.3
5 p
er m
onth
PERS I
nst
alla
tion:
$52.2
5 (
one-
tim
e)
PERS N
urs
ing R
N
$12.9
4 p
er h
our
PERS N
urs
ing L
PN
$10.9
4 p
er h
our
21
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
Oth
er s
tandar
ds:
A P
ERS p
rovi
der
may
be
a ce
rtifie
d h
om
e hea
lth o
r per
sonal
car
e ag
ency
, a
long-t
erm
hom
e hea
lth
care
pro
gra
m, a
hos
pital
, or
any
oth
er e
ntity
cap
able
of pro
vidin
g P
ERS s
ervi
ces
eith
er d
irec
tly
or
thro
ugh s
ubco
ntr
acts
.A P
ERS p
rovi
der
may
als
o b
e a
monitor
ing a
gen
cy t
hat
is
capab
le o
f re
ceiv
ing s
ignal
s fo
r hel
p fro
m
an indiv
idual
's P
ERS e
quip
men
t 24 h
ours
per
day
, se
ven d
ays
per
wee
k; d
eter
min
ing w
het
her
an
emer
gen
cy e
xist
s; a
nd n
otify
ing a
n e
mer
gen
cy r
esponse
org
aniz
atio
n o
r an
em
ergen
cy r
esponder
th
at t
he
PERS indiv
idual
nee
ds
emer
gen
cy h
elp.
A P
ERS p
rovi
der
must
com
ply
with a
ll ap
plic
able
Virgin
ia s
tatu
tes
and a
ll ap
plic
able
reg
ula
tions
of
the
Dep
artm
ent
of M
edic
al A
ssis
tance
Ser
vice
s (D
MAS)
and a
ll oth
ergove
rnm
enta
l ag
enci
es h
avin
g
jurisd
iction o
ver
the
serv
ices
to b
e per
form
ed.
The
PERS p
rovi
der
has
the
prim
ary
resp
onsi
bili
ty t
o fu
rnis
h,
inst
all, m
ainta
in,
test
, an
d s
ervi
ce t
he
PERS e
quip
men
t as
req
uired
, as
wel
l as
to a
ppro
priat
ely
resp
ond t
o si
gnal
s fo
r hel
p.
a) T
he
PERS p
rovi
der
must
pro
per
ly inst
all al
l PE
RS e
quip
men
t in
to a
PERS indiv
idual
's funct
ionin
g
tele
phone
line
and m
ust
furn
ish a
ll su
pplie
s nec
essa
ry for
inst
allin
g t
his
equip
men
t;b)
A P
ERS p
rovi
der
must
mai
nta
in a
ll in
stal
led P
ERS e
quip
men
t in
pro
per
work
ing o
rder
;c)
A P
ERS p
rovi
der
must
mai
nta
in a
dat
a re
cord
for
eac
h P
ERS indiv
idual
at
no a
dditio
nal
cost
to
DM
AS;
d)
The
PERS p
rovi
der
must
pro
vide
an e
mer
gen
cy r
esponse
cen
ter
staf
fed w
ith t
rain
ed e
mer
gen
cy
resp
onse
oper
ator
s av
aila
ble
on a
24-h
our
bas
is, 365 d
ays
per
yea
r. The
PERS p
rovi
der
must
en
sure
that
the
monitor
ing a
gen
cy is
able
to
resp
ond t
o th
e in
div
idual
when
an indiv
idual
sig
nal
s fo
r hel
p. (s
ee w
aive
r lin
k fo
r ad
ditio
nal
pro
gra
m d
etai
ls)
Med
icat
ion
Monitoring S
ervi
ce
$52.2
5/m
o.
Med
icat
ion
Monitoring I
nst
all
$78.3
8
VA
Tech
no
log
y
Ass
iste
d(f
or
old
er indiv
idual
s ag
es 6
5 y
rs -
no
max
ag
ean
d d
isab
led
indiv
idual
sag
es0
-64
yrs)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
VA4149
R0200.z
ip
PE
RS
(sa
me
as E
lder
ly o
r D
isab
led w
aive
r def
initio
n)
PERS
(sam
e as
ED
w
aive
r but
without
RN
/LPN
Ser
vice
)
Wash
ing
ton
WA
CO
PES
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and d
isab
led/p
hys
ical
ly
dis
able
d a
ges
18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WA0049
R0600.z
ip
PE
RS
/ M
ed
icati
on
Rem
ind
ers
PERS S
ervi
ce:
PERS is
an e
lect
ronic
dev
ice
that
enab
les
wai
ver
par
tici
pan
ts t
o se
cure
hel
p in a
n
emer
gen
cy.
The
par
tici
pan
t m
ay a
lso w
ear
a por
table
"hel
p"
butt
on t
oal
low
for
mobili
ty.
The
syst
em is
pro
gra
mm
ed t
o s
ignal
a r
esponse
cen
ter
once
a "
hel
p"
butt
on is
activa
ted.
Med
icat
ion R
emin
der
Ser
vice
: Som
e PE
RS s
yste
ms
can a
lso
incl
ude
med
icat
ion r
emin
der
s. P
ERS
cannot
be
use
d s
ole
ly for
the
purp
ose
of m
edic
atio
n r
emin
der
s.
The
resp
onse
cen
ter
is s
taffed
by
trai
ned
pro
fess
ional
s. P
ERS s
ervi
ces
are
limited
to t
hos
e in
div
idual
s w
ho
live
alone
or w
ith o
ther
s w
ho c
annot
sum
mon h
elp in a
n e
mer
gen
cy, or
who a
re
alone
or w
ith o
ther
s w
ho
cannot
sum
mon h
elp in a
n e
mer
gen
cy for
sig
nific
ant
par
ts o
f th
e day
, an
d h
ave
no
regula
r ca
regiv
er for
exte
nded
per
iods
of tim
e, a
nd w
ho
would
oth
erw
ise
require
exte
nsi
ve r
outine
super
visi
on.
Inst
alla
tion a
nd m
ainte
nan
ce o
f th
e PE
RS s
yste
m is
incl
uded
in t
he
serv
ice.
Ser
vice
pro
vided
only
as
iden
tified
in t
he
par
tici
pan
t's
CARE a
sses
smen
t an
d p
lan.
The
par
tici
pan
t m
ust
liv
e al
one
or w
ith o
ther
s w
ho
cannot
sum
mon h
elp in a
n e
mer
gen
cy o
r m
ust
be
alone
with n
o r
egula
r ca
regiv
er for
ext
ended
per
iods
of t
ime.
PERS/M
edic
atio
n
Rem
inder
Ser
vice
:$33.9
0 -
$35.1
0per
month
WA
Med
ically N
eed
y
In-H
om
e(f
or
old
er indiv
idual
sag
es65 -
no
max
age
and d
isab
led a
ges
18-
PE
RS
/ M
ed
icati
on
Rem
ind
ers
(sam
e as
above
)PE
RS/M
edic
atio
n
Rem
inder
Ser
vice
:$35.4
0 -
$40.2
0
per
month
LeadingAge Center for Aging Services Technologies (CAST)
22
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WA0419
R0100.z
ip
West
Vir
gin
iaW
V A
ged
& D
isab
led
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and p
hys
ical
ly d
isab
led
indiv
idual
s ag
es 1
8-6
4)
Part
icip
an
t-D
irect
ed
Go
od
s an
d S
erv
ices
Equip
men
t or
supplie
s not
oth
erw
ise
pro
vided
thro
ugh t
he
AD
W o
r th
rough t
he
Med
icai
d S
tate
Pla
n
that
addre
ss a
n iden
tified
nee
d in t
he
Part
icip
ant-
Direc
ted S
ervi
ce P
lan (
incl
udin
g im
pro
ving a
nd
mai
nta
inin
g t
he
mem
ber
's o
ppor
tunitie
s fo
r fu
ll m
ember
ship
in t
he
com
munity)
and m
eet
the
follo
win
g r
equirem
ents
: t
he
item
or
serv
ice
would
dec
reas
e th
e nee
d for
oth
er M
edic
aid s
ervi
ces;
an
d/o
r pro
mote
incl
usi
on in t
he
com
munity;
and/o
r in
crea
se t
he
mem
ber
's s
afet
y in
the
hom
e en
viro
nm
ent;
and,
the
mem
ber
doe
s not
hav
e th
e fu
nds
to p
urc
has
e th
e item
or
serv
ice
or t
he
item
or
serv
ices
is
not
avai
lable
thro
ugh a
noth
er s
ourc
e. Pa
rtic
ipan
t D
irec
ted G
ood
s an
d S
ervi
ces
are
purc
has
ed fro
m t
he
mem
ber
's b
udget
. E
xper
imen
tal or
pro
hib
ited
tre
atm
ents
are
exc
luded
.
Part
icip
ant
Direc
ted G
ood
s an
d S
ervi
ces
must
be
docu
men
ted in t
he
Part
icip
ant-
Direc
ted S
ervi
ce
Plan
.
Mem
ber
s in
the
Part
icip
ant-
Direc
ted M
odel
can
al
so u
se u
p t
o one-
thousa
nd (
$1000)
dolla
rs o
f th
eir
budget
eac
h y
ear
to p
urc
has
e Pa
rtic
ipan
t-D
irec
ted G
oods
and S
ervi
ces
(PD
GS).
NO
TE:
While
no
spec
ific
ref
eren
ces
are
mad
e to
agin
g
serv
ices
te
chnolo
gie
s in
Pa
rtic
ipan
t-D
irec
ted G
oods
and S
ervi
ces,
such
te
chnolo
gie
s m
ay
fit
within
pro
gra
m
par
amet
ers
WV
MR
/D
D(f
or
indiv
idual
s w
/Men
tal
Ret
ardat
ion/D
evel
opm
enta
l D
isab
ilities
ages
0-
no m
ax a
ge)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WV0133
R0500.z
ip
Ele
ctro
nic
Mo
nit
ori
ng
Ele
ctro
nic
Monitoring/S
urv
eilla
nce
and O
n-S
ite
Res
ponse
is
a new
wai
ver
serv
ice
that
incl
udes
the
pro
visi
on o
f ove
rsig
ht
and m
onitoring w
ithin
the
resi
den
tial
set
ting o
f w
aive
r par
tici
pan
ts t
hro
ugh
off-s
ite
elec
tronic
surv
eilla
nce
. Als
o in
cluded
in t
his
is
the
pro
visi
on o
f st
and-b
y in
terv
ention s
taff
pre
par
ed for
pro
mpt
engag
emen
t w
ith t
he
par
tici
pan
t(s)
and/o
r im
med
iate
dep
loym
ent
to t
he
resi
den
tial
set
ting.
Ele
ctro
nic
Monitoring/S
urv
eilla
nce
Sys
tem
and O
n-S
ite
Res
ponse
may
be
inst
alle
d in r
esid
ential
se
ttin
gs
in w
hic
h a
ll re
sidin
g p
artici
pan
ts,
thei
r guar
dia
ns
and t
hei
r su
ppor
t te
ams
reques
t su
ch
surv
eilla
nce
and m
onitoring in p
lace
of on-s
ite
staf
fing.
Use
of th
e sy
stem
may
be
rest
rict
ed t
o c
erta
in h
ours
thro
ugh t
he
Indiv
idual
Pro
gra
m P
lans
of t
he
par
tici
pan
tsin
volv
ed.
(see
wai
ver
link
for
additio
nal
pro
vider
det
ails
)
Ele
ctro
nic
M
onitoring
$4.5
4 p
er h
our,
av
erag
e of
4,9
85
hours
per
co
nsu
mer
per
yea
r
Wis
con
sin
WI
SD
S -
Eld
erl
y a
nd
P
hysi
cally D
isab
led
(for
old
er indiv
idual
sag
es65 y
rs -
no
max
and d
isab
led a
ges
18-
64)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WI0
485
R0000.z
ip
PE
RS
PE
RS S
ervi
ce:
A p
erso
nal
em
ergen
cy r
esponse
sys
tem
is
a se
rvic
e th
at p
rovi
des
im
med
iate
as
sist
ance
in t
he
even
t of
a p
hys
ical
, em
otional
, or
envi
ronm
enta
l em
ergen
cy t
hro
ugh a
co
mm
unity-
bas
ed e
lect
ronic
com
munic
atio
ns
dev
ice.
This
ser
vice
can
pro
vide
a direc
t lin
k to
hea
lth
pro
fess
ional
s, e
nab
ling t
he
use
r to
sec
ure
an im
med
iate
res
ponse
by
the
activa
tion o
f an
ele
ctro
nic
co
mm
unic
atio
ns
unit in t
he
par
tici
pan
t’s
hom
e. A
llow
able
ite
ms
under
this
ser
vice
may
als
o incl
ude
a ce
llula
r te
lephone
and c
ellu
lar
serv
ice
use
d w
hen
a c
onve
ntional
PERS s
yste
m is
not
feas
ible
.The
PERS p
rovi
der
should
ass
ure
that
thes
e dev
ices
, w
her
e ap
plic
able
, m
eet
Feder
al
Com
munic
atio
n C
om
mis
sion s
tandar
ds
or U
nder
write
rs L
abora
tory
sta
ndar
ds
or t
he
equiv
alen
t.The
inst
alla
tion o
f PE
RS s
yste
ms
should
be
done
by
qual
ifie
d inst
alle
rs r
epre
senting t
he
hea
lth
agen
cy m
anag
ing t
he
per
sonal
em
ergen
cy r
esponse
sys
tem
. I
n t
he
even
t th
ese
inst
alle
rs a
re n
ot
avai
lable
the
agen
cy s
hould
see
k ex
per
ience
d t
echnic
ians
to c
om
ple
te n
eces
sary
lin
e ad
apta
tions.
PERS S
ervi
ce:
$41 p
er m
onth
WI
Co
mm
un
ity
Op
tio
ns
Pro
gra
m(f
or
old
erin
div
idual
s ag
es 6
5 -
no
max
age
and p
hys
ical
ly d
isab
led
indiv
idual
sag
es18-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WI0
154
R0500.z
ip
PE
RS
(sa
me
asab
ove)
PERS S
ervi
ce:
$15.4
7 -
$18.1
6per
month
WI
Fam
ily C
are
-A
ged
/P
hysi
cal
Dis
ab
ilit
y
PE
RS
PERS S
ervi
ce:
Pers
onal
em
ergen
cy r
esponse
sys
tem
(PE
RS)
is a
ser
vice
that
pro
vides
a d
irec
t te
lephonic
or
oth
er e
lect
ronic
com
munic
atio
ns
link
bet
wee
n s
om
eone
livin
g in t
he
com
munity
and
PERS S
ervi
ce:
$182.5
5 -
$223.5
6
tota
l per
month
23
CAST Analysis of State Payment for Aging Services Technologies (ASTs)
(for
old
er indiv
idual
s ag
es 6
5 -
no
max
age
and p
hys
ical
ly
dis
able
d/d
isab
led o
ther
ag
es 1
8-6
4)
htt
ps:
//w
ww
.cm
s.gov/
Med
icai
dStW
aivP
rogD
emo
PGI/
dow
nlo
ads/
WI0
367
R0200.z
ip
hea
lth p
rofe
ssio
nal
s to
sec
ure
im
med
iate
ass
ista
nce
in t
he
even
t of a
phys
ical
, em
otional
or
envi
ronm
enta
l em
ergen
cy. P
ERS m
ay a
lso
incl
ude
cellu
lar
tele
phone
serv
ice
use
d w
hen
a
conve
ntional
PERS is
less
cost
-eff
ective
or
is n
ot
feas
ible
. T
his
ser
vice
may
incl
ude
inst
alla
tion,
upke
ep a
nd m
ainte
nan
ce o
f dev
ices
or
syst
ems
as a
ppro
priat
e.
Wyo
min
gW
Y -
LT
C/
HC
BS
W
aiv
er
(for
elder
ly &
phys
ical
ly
dis
able
d indiv
idual
s)
PE
RS
PERS S
ervi
ce:
This
is
an e
lect
ronic
ala
rm s
yste
m t
hat
a c
lient
wea
rs o
n h
is p
erso
n w
hic
h a
llow
s him
to s
um
mon h
elp in a
nem
ergen
cy.
PERS S
ervi
ce:
$45 p
er m
onth
PERS I
nst
alla
tion
$70 p
er u
nit
NO
TE:
Wyo
min
g is
report
edly
re
imburs
ing for
H
om
e Te
lehea
lth/
Rem
ote
M
onitoring
Ser
vice
s th
rough
Med
icai
d W
aive
r.
Pendin
g
Confirm
atio
n.
2519 Connecticut Avenue, NWWashington, DC 20008-1520
www.agingtech.org
Phone (202) 508-9463Fax (202) 220-0032