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                           The Community Care Services Program (CCSP)



The Community Care Services Program (CCSP) operates under a Home and Community-Based Waiver (1915c) granted by the Centers for Medicare and Medicaid Services (CMS). This Waiver permits the Division of Medical Assistance to use Title XIX funds to purchase services for CCSP members who meet program requirements.



WHO: CCSP assists older and/or functionally disabled consumers, their families, and caregivers in achieving safe, self-reliant lives.  Participants must meet the same medical, functional and financial eligibility criteria as for placement in a nursing facility under Medicaid and be approved by a physician.


WHAT: CCSP provides a range of community-based services (see list below) that support consumer choice to remain in the community. 


HOW: The Division of Aging Services administers CCSP by contracting with 12 Area Agencies on Aging to regionally manage the program and provide consumer case management. 


Services of the Program


The Community Care Services Program offers the following services as an alternative to institutional care. Qualified providers may seek enrollment in one or more of the services.



Adult Day Health (ADH) provides nursing services, medical supervision, health, therapeutic, and social services activities in a congregate community-based day program.



Alternative Living Service (ALS) provides twenty-four-hour supervision, personal care, nursing supervision, and health-related support services in licensed personal care homes.



 Emergency Response System (ERS) provides two-way verbal and electronic communication with a central monitoring station seven days a week, 24 hours a day to geographically and socially isolated members.



 Home Delivered Meals (HDM) provide and deliver prepared meals to the CCSP member's home. Each meal meets at least 1/3 of the recommended daily nutritional requirement.



Home Delivered Services (HDS) provide home health services rendered on an intermittent basis by certified, licensed home health agencies to members in their homes.


                       *Services Ace Nurses/Aides Registry LLC through this program offer in Red*

Personal Support Services (PSS) provide personal care tasks such as assistance with eating, bathing, dressing, personal hygiene, preparation of meals, light housekeeping tasks, and other activities of daily living. Extended Personal Support Services refer to those tasks designed for members who need assistance with activities of daily living, as well as relieve those person(s) normally providing care and/or oversight.


Respite Care (RC) provides for temporary relief of the individual(s) normally providing care. Respite Care is provided in an approved facility such as a personal care home or adult day health center. Respite care may include overnight care.



Skilled Nursing Services (SNS) by Private Home Care Providers provide skilled nursing intervention/monitoring when a home health agency is unable to provide service to the member.


Who is eligible for Community Care Services?

The eligibility criteria for CCSP include the following:

  • Functional impairment caused by physical limitations which includes Alzheimer’s and dementia.

  • Unmet need for care

  • Approval of care plan by applicant’s physician

  • Services fall within the average annual cost of Medicaid reimbursed care provided in a nursing facility

  • Approval of an intermediate level of care certification for nursing home placement

  • Medicaid-eligible or potentially eligible after admission to CCSP

  • Individual chooses community-based, rather than institutional services

  • Health and safety needs can be met by CCSP

  • Participation in no other Medicaid Waiver program at the same time

  • Medicare home health services or hospice does not meet their needs

  • Home delivered meals is not the only service needed

  • The home environment is free of illegal behavior and threats of bodily harm to other persons.

  • An individual is not required to be homebound to receive CCSP services.


Depending on an individual’s income, they may be expected to pay a portion of the cost of services, and there may be a waiting list as well.


Please see below link for more information.


What are the financial eligibility requirements?
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