Older and aging adults and family caregivers
The Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA) programs serve and support older adults and family caregivers by:
- Expanding care options for people, ages 55 and older, so they can stay at home and delay or avoid more intensive services, such as moving to a nursing facility.
- Providing assistance to unpaid family caregivers, ages 18 or older, who provide care for their loved ones.
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Goals
MAC and TSOA are helping change the Medicaid health care delivery system by:
- Providing additional options for people with long-term care needs.
- Increasing access to services for people on the cusp of poverty to reduce:
- A potential health decline.
- The need to move out of home.
- The spending-down of limited resources.
- Slowing the growth trend of traditional Medicaid-funded services, including Medicaid long-term services and supports.
- Providing unpaid family caregivers with supports and knowledge to continue providing care while also taking care of themselves.
- Helping people remain at home for as long as possible, and to maintain independent living.
MAC and TSOA
MAC provides support for unpaid family caregivers caring for Medicaid-eligible people who are not currently accessing Medicaid long-term services and supports. MAC helps unpaid family caregivers provide high-quality care for their loved ones, while also tending to their own health and well-being.
TSOA establishes a new eligibility category and benefit package for people who may need Medicaid long-term services and supports in the future. TSOA helps people and families avoid or delay impoverishment and the future need for Medicaid-funded services. TSOA also provides support to unpaid family caregivers.
Benefits of MAC and TSOA
These programs provide a variety of services that support the unpaid family caregiver and the person who is receiving care.
- Caregiver assistance services support the unpaid family caregiver and include services, such as respite care, housekeeping and errands, adult day care, and home-delivered meals.
- Training and education helps caregivers gain skills and knowledge to care for their loved one and help them maintain independent living as long as possible.
- Specialized medical equipment and supplies, such as bath benches, sock aides, personal emergency response systems, and incontinence supplies, are available for family caregivers and those receiving care.
- Health maintenance and therapies include massage therapy and caregiving counseling, and help caregivers remain a caregiver or help a loved one remain at home.
- Personal assistance services help an individual complete everyday activities to remain in their home. These services are only available to an individual enrolled in TSOA who doesn’t have a caregiver. Examples of personal assistance services include personal care services, home-delivered meals, and personal emergency response systems.
Benefits for caregivers
Under both MAC and TSOA programs, unpaid family caregivers can receive and have access to number of services, such as:
- Training
- Support groups
- Respite services
- Help with housework
- Errands
- Home-delivered meals
Contacts and resources
Visit the Aging and Long-Term Support Administration’s (ALTSA’s) website for a list of contacts and resources by county. This includes information for a local Area Agency on Aging, Home & Community Services, Residential Care Services, and much more.
To learn if you or a loved one is eligible for MAC or TSOA services, contact your local Community Living Connections office or call 1-855-567-0252.
Visit ALTSA’s website to read more about their Long-Term Care Services.