How are the nursing services paid for?
Roughly 57% of the services are reimbursed by Medicare, Medicaid, Alternative Care or third-party insurance. Homemaker services for low-income participants may be reimbursed through several agencies such as under Federal Title XIX. Some home health services are reimbursed by Medicare, private insurance or Federal Title XX. In some states programs exist which provide “alternative care grants” for home care for low-income persons whom would otherwise require nursing home care. Fees that are not reimbursed by one of the above sources are charged to participants on a sliding scale basis determined by the individual’s ability to pay. These fees account for another 17% of reimbursement. When participants cannot pay the full amount, charitable contributions from private funders are used to cover the difference, which amounts to 26%. These funds are administered by the local Living At Home/Block Nurse Program Board or its fiscal agent. The average monthly cost per nursing client in all Living