1. Who pays for home care?
2. I'm not completely sure what services I need. What now?
3. What is "Community Care"?
4. How do I apply for these services?
5. Which programs does Girling Health Care, Inc. offer?
6. Does Girling Health Care, Inc. offer Community Care in my area?
7. Does Girling Health Care, Inc. offer the Consumer Directed Services Option (CDS)?
8. How do I apply for Medicaid?
9. What is Community Based Alternatives?
10. What is Primary Home Care?
11. What services does Home Health offer?
12. Can I have Medicare Home Health and Medicaid Community Care at the same time?
13. What is DADS?
14. Does Girling Health Care, Inc. provide services to pediatric clients?
15. How do I find out if I qualify for services based on my income and resources?
16. Does Girling Health Care, Inc. have experience providing these programs?
17. Can Girling still provide my care if I move to another city in Texas?
18. What if I move to another state, can I still receive Community Care services?
19. If I have additional questions, can I contact someone at Girling?
1. Who pays for home care?
Medicare Part A covers 100% of the cost of necessary home health care. Medicaid covers home health, hospice and personal assistance/community care services. Most health insurance policies and HMOs now cover skilled home health care and hospice. In addition, workers' compensation and the Veteran's Administration cover home health services. The payers often require that services be delivered by a licensed and regulated home care agency, such as Girling Health Care.
Even without the above payer sources, many people choose to pay for home care services out-of-pocket, because they prefer to live at home. By choosing to receive these services through a licensed, reputable and experienced agency like Girling, they and their loved ones can enjoy the peace of mind of knowing they have made the best decision.
2. I'm not completely sure what services I need. What now?
Call our toll-free hotline and speak with us about your needs. We will help assess what services would be appropriate. We are also happy to speak directly with your physician to develop a plan for your home care. Our toll-free number is 1-800-GIRLING.
3. What is “Community Care”?
Community Care is the division of Girling Health Care, Inc. that provides Medicaid Based Waiver Programs to the aged and disabled.
4. How do I apply for these services?
To apply for services that are delivered in your own home or in your community, call your local health and human services office. A case manager will come to your home to take your application and assess your need for services. Click on this link to take find the nearest office: http://www.dads.state.tx.us/contact/combined.cfm
5. Which programs does Girling Health Care, Inc. offer?
Girling offers the following Community Care Programs:
- Primary Home Care (PHC)
- Family Care (FC)
- Community Attendant Services (CAS)
- Community Based Alternatives (CBA)
- Community Living Assistance and Support Services Case Management (CLASS)
- Star-Plus Personal Assistance Services
- Star-Plus Waiver Services
- Integrated Care Management Long Term Care Services (ICM)
- Personal Care Services (PCS)
6. Does Girling Health Care, Inc. offer Community Care in my area?
Yes! Girling Health Care, Inc. has a contract to provide Primary Home Care, Family Care, Community Attendant Services, Personal Care Services, and Community Based Alternatives in every county in Texas.
7. Does Girling Health Care, Inc. offer the Consumer Directed Services Option (CDS)?
No. Girling Health Care, Inc. does not provide the CDS Option at this time. We do, however, make every attempt to place a qualified attendant of your choosing in your home to provide services.
8. How do I apply for Medicaid?
To find out if you might qualify for Medicaid or other services, please visit the State of Texas Assistance and Referral System (STARS) website, https://www.yourtexasbenefits.com/wps/portal. You will be asked to answer questions about your income and assets. Please note that STARS only tells you what you might be eligible for – a caseworker must determine your final eligibility.
9. What is Community Based Alternatives?
Community Based Alternatives (CBA) provides home and community-based services to people who are elderly and to adults with disabilities as a cost-effective alternative to living in a nursing home. DADS employees provide case management services.
10. What is Primary Home Care?
Primary Home Care (PHC) is a non-technical, medically related personal care services that is open to Medicaid-eligible adults and children whose health problems cause them to be functionally limited in performing activities of daily living according to a practitioner's statement of medical need. PHC services are provided by an attendant. PHC provider agencies also provide Community Attendant Services and Family Care services. These services are also non-skilled and non-technical services provided to eligible clients who are functionally limited in performing daily activities. Family Care does not require a practitioner's statement of medical need.
11. What services does Home Health offer?
- Skilled nursing
- Physical therapy
- Occupational Therapy
- Speech therapy
- Social Work
- Home Health Aides
12. Can I have Medicare Home Health and Medicaid Community Care at the same time?
Yes, as long as you meet all qualifications and are authorized to receive these services. The services that you receive under Medicare Home Health and Medicaid Community care must not duplicate each other.
13. What is DADS?
The Texas Department of Aging and Disability Services (DADS) was established in September 2004 as a result of House Bill 2292 (78th Texas Legislature). DADS strives to provide a comprehensive array of aging and disability services, supports and opportunities that are easily accessed in local communities. Girling Health Care, Inc. is contracted with DADS to provide a variety of these services. You may learn more about DADS at their website: www.dads.state.tx.us
14. Does Girling Health Care, Inc. provide services to pediatric clients?
Yes! Girling Health Care, Inc. provides services to clients under the age of 21 through the Personal Care Services Program (PCS). Girling Health Care, Inc. is also contracted to provide the Community Living Assistance and Support Services program to qualified clients of any age.
15. How do I find out if I qualify for services based on my income and resources?
Click on this link and select "Complete a Screening" or "Request an Application" to find out if you qualify for services: https://www.yourtexasbenefits.com/wps/portal
16. Does Girling Health Care, Inc. have experience providing these programs?
Yes. Girling Health Care, Inc. has provided home-based care since 1967. Girling was one of the first contractors to provide Primary Home Care and Community Based Alternatives in the State of Texas.
17. Can Girling still provide my care if I move to another city in Texas?
Yes! Because Girling has contracts to provide these services across the State, you can remain with Girling as long as you are living in Texas.
18. What if I move to another state, can I still receive Community Care services?
It depends. Girling Health Care, Inc. provides similar services in other states, however the qualification requirements may be different from Texas. Please contact your Girling office if you have any questions.
19. If I have additional questions, can I contact someone at Girling?
Yes. Please call 1-800-GIRLING and you will be connected with the office that handles your area.
