Long Term Services and Supports (LTSS)
Some Plan members are eligible for LTSS. To qualify for LTSS, you must meet the state’s criteria for needing an institutional level of care, as well as meet certain financial requirements. You do not need to reside in a nursing facility or some other institutional facility to get LTSS. You can get these services in your home or in a variety of community-based settings.
If you qualify for LTSS benefits you may be eligible for these services.
- Adult day care
- Attendant care
- Behavioral therapy
- Cognitive rehabilitation
- Comprehensive support (provider & self direct)
- Day supports (pre vocational & day supports)
- Family Adjusted Counseling (group and individual)
- Financial mgt services (FMS)
- Health Maintenance monitoring
- Home-delivered meals
- Home Telehealth (install & rental)
- Independent living (skills building)
- Intermittent intensive medical care
- Medical respite care
- Medication dispensing device: set up & monthly monitoring
- Medical alert rental
- Nurse evaluation visit
- Occupational therapy
- Personal assistance services (agency & self directed)
- Parent support (group and individual)
- Personal Emergency Response System (PERS): set up & monitoring
- Physical therapy
- Professional resource family care
- Resident supports (adult & child)
- Respite (overnight)
- Respite care (short term)
- Sleep cycle support/Enhanced care service
- Specialized medical care
- Speech language therapy
- Supportive employment
- Supportive home care
- Transitional living skills
- Wellness monitoring
- Wraparound facilitation
LTSS Service Coordination
Aetna Better Health of Kansas members who are eligible for LTSS are assigned a service coordinator. You will receive service coordination services for as long as you stay on the LTSS program. Your service coordinator will work with you, your representative or guardian (if applicable), and your doctor to help decide which services will best meet your needs.
Role of the LTSS Service Coordinator
Our LTSS service coordinators visit members where they live. The service coordinator will ask you about your health and care needs. You can have family and others present for and to participate in the visit from your service coordinator.
Once the service coordinator gets information about your health and care needs, the service coordinator will talk to you and others you have identified about how to meet your needs.
Your service coordinator will coordinate and ensure that services are delivered in the setting of your choice. You should see your primary care provider (PCP) for other health care needs. If you need assistance in getting access to the other health care services you might need, your service coordinator will help you.