Community Living Program (In-Home and Personal Care Services Program)

Services Provided:

- personal care, such as bathing, dressing, toileting
- in-home services such as light housekeeping, laundry, meal preparation, errands, shopping and
- escorts to medical appointments.

Services can be task-based or hourly services, up to 12 to 15 hours per week, as authorized by ADSD staff who use a standard assessment tool to determine services to be provided by home health aides. Most clients received three to six hours of services per week. Services are provided by vendors with County contracts.

Call 703-228-1700

Referral Process

- Staff in ADSD at x1700 takes the referral and determines if the client meets the criteria for the program.
- Once the client is identified as meeting the criteria for the program, a designated ADSD assessor will visit the client for assessment at home, complete paperwork, including consent forms and the Uniform Assessment Instrument (UAI) and determine authorized hours, using a standard tool.
- This could take two or more weeks. Clients are prioritized for services based on needs and available County funding.
- The referring case managers may need to jointly visit with ADSD?s assessor to do the assessment or provide information for the UAI.
- After the home visit, the ADSD assessor will submit an electronic referral to the authorized vendor. While the County may have multiple contacts, ADSD staff select the vendor, based on the criteria in the contracts and which services each vendor has been contracted to provide.

NOTE: Clients are assigned to one of two vendors, based on the zip code where they live and/or by diagnosis, based on our contractual obligations per the contract with each vendor.

Process Once a Vendor is Assigned:

- Once the vendor receives the referral, their staff will visit the client at home to set up a plan of care for authorized services. This may be another opportunity for a joint visit, including the referring case manager and vendor?s staff.
- The vendor will staff the case with an aide, taking into consideration authorized hours and the client?s preferences for service days and hours. Please know that if clients can be more flexible, their case will be staffed more quickly.
- Once the vendor?s services are in place, a nurse or social work case manager from that agency will monitor and supervise the work of the aides and monitor the client with visits every six months, to check status and update plan of care to include an annual UAI update.
- Referring case managers can and should contact the vendors? staff about client concerns or issues. The ADSD staff person who assessed the client at home will make sure the referring case manager has this information. ADSD will have a DHS Release of Information in place so all DHS staff can talk with the vendor?s staff.
- ADSD staff meet with the vendors? staff monthly. Referring case managers are also invited to the monthly meeting hosted by ADSD who can provide this information, as needed.

703-228-1700 (main ADSD customer service line)

Amy Vennett

Mon - Fri: 8am - 5pm

- Virginia Uniform Assessment Instrument (UAI)
- Information about income (gross income minus medical expenses)
- Exchange of information release form
- Voter Registration - if the client chooses to register

Adult; Senior

Eligibility Criteria:

- be an adult living in Arlington in an independent living setting (i.e. home or apartment)
- have a physical or cognitive disability that makes it difficult to complete home and self-care tasks,
- are homebound or have great difficulty and require assistance to leave the home, and
- are willing to participate and follow program guidelines.

Generally, services are for people who can?t drive or leave their homes independently. The client may be assessed a fee for services, based on a sliding scale.

Arlington County Resident

Fee for services: The client may be asked to pay a fee for services based on income. The assessor will provide more details about the fee during the initial contact with the client.