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Frequently Asked Questions

We get many inquiries at Broome County CASA about Long Term Care. Here are a few examples of frequently asked questions. Remember each situation is unique, contact CASA for more information about your specific situation.

1. I've been told that my spouse needs Nursing Home care. I'm worried about how to pay for it. Should I apply for Medicaid?

CASA provides in-home assessments free of charge to any Broome County resident to determine the appropriate level of care. If the assessment determines the level of care to be nursing home placement, you may be eligible for Spousal Impoverishment Medicaid. The spouse of an institutionalized Medicaid recipient is permitted to retain up to $2,841 of monthly income. A community spouse may keep the primary home and primary automobile and up to $74,820 of other resources. Contact CASA for more information.


2. I live alone on a limited income. I find myself in need of some assistance at home. What services are available and how would I pay for them?

CASA provides in-home assessments free of charge to any Broome County resident to determine client needs and to offer suggestions for other services. If you are a household of one and your income is approximately $4,350, you may be eligible for Medicaid. Contact CASA for more information.


3. I've been told that I'm not eligible for Medicaid but I need assistance at home. What services are available and how will I pay for them?

If you are not eligible for Medicaid and you are over 60 years of age, you may be eligible for an Office for the Aging program such as EISEP. Click here to see OFA programs. CASA provides in-home assessments free of charge to any Broome County resident regardless of income. During this assessment all options for services are explored. CASA is the central assess agency for Broome County and will work with you to determine what services will best meet your needs and payment options. (private pay, sliding fee scale, Medicaid, Medicare) For more information contact CASA.


4. My grandmother needs more assistance than we can provide for her at home. She needs 24 hour care and supervision. Can CASA help me?

People in need of 24 hour care can be difficult to care for at home. Often the best and most economical alternative to 24 hour care is a congregate residential setting. CASA provides in-home assessments free of charge to any Broome County resident. Based on this assessment CASA determines a client's independent abilities and their dependent needs. CASA will determine the appropriate level of care to meet your needs and provide you with the information needed to make an informed choice. CASA's staff will explain in detail various levels of care that exist in the community such as Enriched Living, Adult Care Facilities, Assisted Living Programs, and Foster Family Care Demonstration Programs. For more information contact CASA.


5. My father is in a nursing home and wants to return home. Some family members believe he should stay in the nursing home but we are not sure. Would CASA help in this case?

Call CASA to make a referral for a Nursing Home to Community Assessment. A CASA Community Health Nurse will schedule a meeting with your father and family member(s) at the nursing home to review his progress, to determine his abilities and needs and how these needs can best be met. Your father's needs may require him to stay in the nursing home or he may be able to return to his home depending on available supports and services. CASA will offer suggestions and recommendations. For more information, contact CASA.