Aging/Disability Resource Center

The objective of the ADRC is to be a “one-stop shop” for senior information and resources.

Community Services & Long Term Care

There is at least one Senior Center in every county in the BRADD. At the centers older persons can become acquainted with each other and learn about services available in the community.

State Homecare Program

Provides an array of essential services in the home of those Kentuckians over the age of 60 whose functional limitations and lack of adequate informal support creates a danger of institutional placement.

Medicaid Waiver PDS Programs

With PDS, an individual can choose who, when, how, and where non-medical services are to be provided.

Family Caregiver Support Programs

A federally funded program providing services to primary unpaid caregivers who are assisting elderly or raising a grandchild.

State Health Insurance Program

Provides assistance with access in public and private benefits that can often times be confusing to navigate.

Veteran Directed Home & Community Based Services

The purpose is to provide services based off personal needs to the eligible veterans in their own home, which will help to maintain his/her safety, health, and welfare.

Area Agency on Aging & Independent Living

is the recognized leader dedicated to providing access to a wide array of comprehensive community-based services and resources for older persons, disabled individuals and their caregivers, which will enable them to maintain independence, dignity, and quality of life while living in their own home and communities.

In order to fulfill our vision AAAIL administers programs like the Federal Older American’s Act, State Homecare, Center For Medicare and Medicaid, Medicaid Waiver programs and more .

Title III Older Americans Act Services

The Title III Older Americans Act program provides for home and community-based services for elderly individuals 60 years of age and older. Included in the OAA is a wide array of in – home services such as assessment, case management, home-delivered meals, personal care, and home management. Older American’s Act also covers services offered through senior centers. Senior Centers are located in every county in the BRADD region. At the centers, elderly individuals can become acquainted with each other and learn about services available in the community. Services at Senior Centers include congregate meals, transportation, disease prevention and health promotion services, information and assistance, outreach, transportation, public information, disease prevention and health promotion.

Homecare

The Homecare Program provides an array of essential services in the home of those Kentuckians over the age of 60 whose functional limitations and lack of adequate informal support creates a danger of institutional placement. Services include homemaker, personal care, home management, home delivered meals, respite, escort and assessment/case management.

Assessment: The collection and evaluation of information about a person’s situation and functioning to determine the applicant’s or recipient’s service level and development of a plan of care utilizing a holistic, person-centered approach by a qualified case manager.

Case Management: A process, coordinated by a case manager, for linking a client to appropriate, comprehensive, and timely home or community based services as identified in the Plan of Care.

Home Management: Provision of assistance with Instrumental Activities of Daily Living (IADLS) that include general household activities such as shopping, laundry and routine household care, provided by a trained homemaker.

Personal Care: Provision of assistance with Activities of Daily Living (ADLs) such as dressing, bathing, toileting, transferring in and out of bed/chair and walking. This service is provided when the person regularly responsible for these activities is temporarily absent or unable to manage the home and care for themselves or others in the home.

Respite: Care provided by an approved caregiver of an agency for a designated time period because of absence or need for relief of a primary caregiver.

Escort: Personal accompaniment of a frail elderly person who requires assistance to and from a medical appointment.

AAAIL Aging and Disability Resource Center (ADRC)

The Aging and Disability Resource Center provides information and assistance regarding programs and services that assist the elderly and disabled population throughout our BRADD ten-county region. The ADRC is housed within the BRADD/AAAIL and serves as a valuable tool to connect the aging and disabled population with the resources they need.

State Health Insurance Assistance Program (SHIP)

The BRADD State Health Insurance Assistance Program (SHIP) provides information, counseling and assistance to seniors and disabled individuals, their families and caregivers with the sometimes complicated red tape of Medicare, Medicaid, and other private and public health insurance programs. This service is provided at no charge, by local and well-trained counselors. The program seeks to educate the general public and Medicare beneficiaries so they are better able to make informed decisions about their health care. SHIP does not sell any health insurance products.

Family Caregiver Support Programs

Funded under the Title III-E of the Older Americans Act, the Barren River Family Caregiver Support Program provides assistance to Family Caregivers caring for an elderly individual 60 years of age and older, or a relative caregiver 55 years of age and older caring for children not more than 18 years of age. Services provided for caregivers include:

Information about services,
assistance in gaining access to supportive services,
caregiver counseling,
education and support groups,
respite and supplemental services.

Grandparents Raising Grandchildren, or relative caregiver, may be eligible for services if they are 55 years of age or older and are caring for a grandchild or a child who is related to them by blood, marriage, or adoption. The grandparent or relative caregiver must live with the child who is age 18 or younger, be the primary caregiver of the child, and have a legal relationship to the child such as legal custody or guardianship, or is raising the child informally. The parents of the child cannot live in the same household. An adult age 19-59 with a disability may also receive services if they are under the care of a grandparent or relative caregiver. Services include information, access to supportive services, grandparent counseling, education and support groups, respite and supplemental services.

Home and Community Based Waiver (Participant Directed and Traditional)

The Home and Community Based Waiver provides in-home supports for older adults and persons with physical disabilities that want to remain in their own home rather than in a Long-Term Care Facility. Anyone who is Medicaid-eligible and requires assistance with personal care, homemaking and supervision for safety may be eligible for this program. The program allows for Participant Directed Services which allows the member greater choices of their care providers. Under Participant Directed Services, a participant may hire a person of their choosing or the participant may choose a traditional agency also known as traditional waiver, to meet their care needs. HCBW Participant Directed Services and Traditional waiver provides in-home supports such as personal care, homemaking, respite and adult day care services.

Michelle P Waiver Services

Michelle P Waiver (MPW) is a Medicaid Waiver program developed as an alternative to institutional care for individuals with intellectual or developmental disabilities. MPW allows individuals to remain in their homes with services and support. Persons with developmental or intellectual disabilities who require a protective environment while learning skills, educational experience, awareness of their environment and meet Medicaid financial eligibility requirements are eligible for MPWs. MPW services may include community living supports, personal care, homemaking, and respite services. BRADD/AAAIL offers service advisor services for Michelle P Waiver Members.

Medicare Improvement for Patients and Providers Act (MIPPA)

Services will be provided by the BRADD/AAAIL to locate and assist Medicare beneficiaries

with completing applications for Low Income Subsidy (LIS) or “Extra Help,” which assists with Medicare Part D costs, as well as assisting with Medicare Savings Program applications, which help pay for the Medicare Part B Premiums.

Low Income Subsidy (LIS) program helps Medicare recipients pay for their Part D drug costs, assisting with co-pays, monthly premiums, and deductibles.

Medicare Savings Program (MSP) can help lower Medicare Part B costs, assisting with premiums, co-pays, and deductibles.

Long-Term Care and Ombudsman Services and Elder Abuse Prevention Programs

The ombudsman program is designed to receive, investigate, resolve and report complaints on behalf of residents in Long-Term Care Facilities. The Ombudsman assists with residents by empowering them to have a voice and understand their rights regarding their care. The LTC Ombudsman program recruits volunteers who advocate for and assist elderly and disabled individuals throughout their care. 

Elder Abuse Prevention program is utilized to develop and strengthen community activities to prevent and treat elder abuse, neglect, and exploitations. The program also provides for a comprehensive approach to identifying and assisting older individuals subject to abuse, neglect and exploitation. This takes place in coordination with other state and local programs and services to protect vulnerable elderly individuals.

Aging/Disability Resource Center

Is funded through the Administration on Aging. It is a collaborative effort between the Administration on Aging and the Centers for Medicare and Medicaid Services.

The ADRC provides information regarding long-term care services, public assistance programs, and private businesses.

Anyone can make a referral for information about services listed on this website by calling at (270-782-9223) OR (1-800-395-7654).

Once a referral is received, an intake worker will call the person needing services and complete a priority rating, and place that person on the waiting list, or an appointment will be set up depending on the program needed. Persons are prioritized by the greatest need.

Senior Centers & Long Term Care Ombudsman Services

Senior Centers Services

There is at least one Senior Center in every county in the BRADD. At the centers older persons can become acquainted with each other and learn about services available in the community.

Congregate Meals are served at senior centers to eligible individuals over 60 years of age and their spouse or disabled individuals living in non-institutional households who accompany persons eligible for congregate meals. Meals are served five days weekly at lunch time.

Home Delivered Meals are served to eligible individuals who are over the age of 60 years and their spouse, and disabled individual living in non-institutional households with an eligible consumer at their place of residence.

The meals shall provide one-third (1/3) of the dietary reference intakes (DRI), meet the requirements of the most recent Dietary Guidelines for American’s, and have been approved by a licensed dietitian or certified nutritionist.

Other services offered by senior centers include the following:

Transportation, Public Education, Nutrition Education, Telephone Reassurance, Information and Assistance, Outreach and Disease Prevention and Health Promotion Programs.


Long Term Care Ombudsman Services

The Kentucky Long-Term Care Ombudsman program provides assistance and advocates for residents of nursing homes, family care homes, and personal care homes. The ombudsman regularly visits long-term care facilities to monitor care and conditions. The ombudsman receives, investigates, and works to resolve complaints regarding long-term care facilities as well as provides information and education to the general public.

Eligibility

Services are available to any resident of a long-term care facility, their family or friends, or a concerned member of the community. Anyone with questions or who would like to report a concern regarding a long-term care facility can contact their local ombudsman.

Cost

There is no cost for Ombudsman services.

Provider Information

Currently, the provider of Ombudsman Services is Kentucky Legal Aid. Persons needing to speak with an Ombudsman should contact:

Lynda Love, District Ombudsman
270-842-7587 or Toll Free: 1-800-355-7580

State Homecare Program

The Homecare Program provides an array of essential services in the home of those Kentuckians over the age of 60 whose functional limitations and lack of adequate informal support creates a danger of institutional placement. Services include Assessment, Case Management, Personal Care, Home Management, Home Delivered Meals, Respite, and Escort.

ELIGIBILITY
  • 60+ years of age
  • Be deficient in (2) Activities of Daily Living, (3) Instrumental Activities of Daily Living, or a combination of (1) ADL and (2) IADLs
  • Have a stable medical condition requiring skilled health services along with services related to ADLs requiring an institutional level of care.
  • Have been screened for Medicaid Waiver and/or other programs

Family Caregiver Support Programs

The National Family Caregiver Support Program is a federally funded program providing services to primary unpaid caregivers who are assisting elderly or raising a grandchild.

ELIGIBILITY
Family Caregivers of the Elderly

A family caregiver is defined as an adult family member or other individual who is an informal or unpaid provider of in home services and community care services for a “frail” older individual who is 60 years of age or older or an individual of any age with Alzheimer’s Disease or related disorders.

The term “frail” means that the older individual is unable to perform at least 2 activities of daily living without substantial human assistance, including verbal reminding, physical cueing or supervision.

Also due to cognitive or mental impairment, the individual requires substantial supervision due to behavior that poses a serious health or safety hazard to the individual or another person.

Grandparents or Other Relative Caregivers

A grandparent or older individual who is a relative caregiver means a grandparent or step-grandparent of a child, or a relative of a child by blood, marriage, or adoption (does not include a parent) who is 55 years of age or older and—

Lives with the child (age 18 or younger)

Is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as the primary caregiver of the child; and

Has a legal relationship to the child, as such legal custody or guardianship, or is raising the child informally

Or is caring for an adult 18yrs old or older with a disability, if under care of grandparent or other relative.

There are 5 basic services as required by the U. S. Department of Health & Human Services

  • Information to caregivers about services
  • Assistance in gaining access to supportive services
  • Individual counseling, organization of support groups, & training to assist in making decisions
  • Respite care: which helps provide caregivers with a break from their caregiving responsibilities
  • Supplemental services, on a limited basis, to complement care provided by caregivers

Medicaid Waiver Program

Participant Directed Services (PDS) gives Medicaid waiver members more choices in the way some Medicaid services are provided. With PDS an individual can choose who, when, how, and where non-medical services are to be provided. Individuals may hire and supervise qualified family members, friends, neighbors, agencies or others to provide needed services. If an individual is unable to direct their own services, a friend or family member can be appointed as a representative to assist.

ELIGIBILITY

Applicants must complete an assessment to determine if they are functionally eligible for the program.

Financial eligibility is determined through the Medicaid office. The person must complete the application for HCB waiver at the office to determine whether they are within the income guidelines for the program.

Participants must sign a Estate Recovery form.

Medicaid eligible individuals may enroll in one of the following Medicaid Waiver Programs:

Home and Community-Based (HCB)

Participants must be over the age of 65, blind or declared physically disabled by Social Security.

Provides PDS attendant care, respite, PDS coordination, goods and services, and minor home adaptation

Michelle P. Waiver (MPW)

To qualify, individuals must have an intellectual or developmental disability, require a protected environment while learning living skills, and would be admitted into an intermediate care facility or a nursing facility if not for waiver services.

Provides community living supports, respite, homemaker service, behavior supports, supported employment, adult day training, personal care, and attendant care.

Traditional Home & Community Based Waiver

Provides specialized respite, attendant care, and adult day health care from a home health agency, and adult day care center, or any combination of them.

State Health Insurance Program (SHIP) – Benefits Counseling

provides assistance with access in public and private benefits. Medicare, Medicaid, private and other public programs can be confusing to the average community member; SHIP volunteer counselors are here to provide one-on-one assistance. Counselors can assist in comparing supplemental insurances, understanding policies, and applying for assistance. Information and assistance in filling out prescription drug discount program applications is also available.

Individual must be over the age of sixty or disabled. Family members and caregivers are also eligible for services.

There is no cost for this service

Kentucky Legal Aid

  • Call the Barren River Area Agency on Aging and Disability Resource Center at 270-782-9223 or 1-800-395-7654
  • Your local Senior Citizen Center or
  • Call Kentucky Legal Aid at Toll Free 1-866-452-9243 or 270-782-1924

Veteran Services

Barren River Veteran Directed Home & Community Based Services

The Veterans Health Administration (VHA) and the Administration for Community Living (ACL) have formed a partnership to develop Veterans Directed Home and Community Based Services (VDHCBS) programs to enhance home-based supports for veterans. The purpose of the Veteran Directed Home and Community Based Service program is to provide services based off personal needs to the eligible veterans in their own home, which will help to maintain his/her safety, health, and welfare. The program allows the veteran to elect and employ their own caregiver. The VDHCBS program includes a functional assessment, home-based services, options counseling, support services, and financial management services. The VDHCBS program does not duplicate any services already provided by the Veteran’s Administration Medical Center (VAMC).

f.a.q.

Who Qualifies?

To qualify for the Barren River VDHCBS Program, you must first

  • Be enrolled to receive primary care at Tennessee Valley Healthcare Systems, which is a Veterans Administration Medical Center (VAMC)
  • Meet the eligibility criteria for home and community-based services as determined by the VAMC
  • Be able to direct your own services or appoint someone on your behalf (Representative) to direct your own services and supports
  • Be referred to the BRADD by the VAMC

Potential Services

The Barren River Area Agency on Aging and Independent Living (AAAIL) provides assistance for arranging self-directed services based upon the needs and preferences of the participating veterans and/or their authorized representative. AAAIL provides or arranges for the following (but is not limited to) VDHCBS program services

ASSESSMENT AND REASSESSMENT
HOME AND COMMUNITY BASED SERVICES (HCBS)
OPTIONS COUNSELING
SUPPORT SERVICES INCLUDING CARE MANAGEMENT

Aging Policies

pdf

Barren River Aging and Disability Resource Center Standard Operating Procedure

Version:
Size: 291.01 KB
Hits: 19
Date added: 02-14-2023
Date modified: 02-14-2023
pdf

Barren River Nutrition Policy Manual and Operating

Version:
Size: 617.56 KB
Hits: 24
Date added: 01-11-2024
Date modified: 01-11-2024
pdf

General Administration Policy

Version:
Size: 683.00 KB
Hits: 18
Date added: 02-14-2023
Date modified: 02-14-2023
pdf

Health Promotion and Disease Prevention

Version:
Size: 288.58 KB
Hits: 13
Date added: 02-14-2023
Date modified: 02-14-2023
pdf

Homecare Program Policy Manual

Version:
Size: 707.56 KB
Hits: 101
Date added: 02-14-2023
Date modified: 01-11-2024
pdf

Title III Supportive Services

Version:
Size: 280.64 KB
Hits: 23
Date added: 02-14-2023
Date modified: 02-14-2023

Referrals

All referral for services through the BRADD/AAAIL can be made by calling or filling out the contact form.

ADRC at 270-782-9223 or 1-800-395-7654
write us or contact us on our social media