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Assisted Living Defined
Assisted Living is a viable housing
option for many seniors requiring varying kinds of service
and/or care. Assisted Living facilities may stand alone
or be located contiguous to other kinds of senior living
environments, including apartments or comprehensive
care facilities. Since there are no federally classified
or licensed living arrangements defining Assisted Living,
each state may define assisted living for itself. The
State of Indiana has defined Assisted Living in two
ways.
INDIANA
ASSISTED LIVING
An Indiana establishment that desires to use the term
“assisted living” must file a disclosure
form with the Family and Social Services Agency (FSSA)
Division of Aging. They become a registered Housing
with Services Establishment (HSE). Depending on the
types and levels of services provided, they may also
be licensed by the Indiana State Department of Health
(ISDH). Therefore, assisted living is either unlicensed
Housing with Services Establishment or a licensed Residential
Care Facility (and registered as Housing with Services
Establishment).
At a minimum, the disclosure form
requires information on: the name and address of the
owner and managing agent, description of services provided
and the base rate, additional services available and
their fees, the resident's designated representative,
if any, referral procedures if the contract is terminated,
the process for modifying and terminating the contract,
description of the complaint resolution process, and
criteria for determining who may continue to reside
in the establishment.
Housing with Services Establishments
(HSE)
Housing with Services Establishments (Indiana Code 12-10-15)
are establishments that provide sleeping accommodations
to at least five residents and offer or provide for
a fee at least one regularly scheduled health-related
service or at least two regularly scheduled supportive
services, whether offered or provided directly by the
establishment or by another person arranged for by the
establishment. They cannot provide medication administration
except to assist residents with administering their
own medications. Home health agencies can be contracted
with to provide medical care if the resident chooses
to contract with them.
Payor Source: private pay
Residential Care Facilities (RCF)
A health facility that provides residential nursing
care and administers medications prescribed by a physician
must be licensed as a Residential Care Facility (410
IAC 16.2 Rule 0.5). They are licensed by the Indiana
State Department of Health (ISDH). Each community must
be administered by a Health Facility Administrator.
The administration of medications and/or the provision
of residential nursing services are decisions made by
each organization. The ISDH conducts surveys of the
community on a regular basis.
Payor Source: Private pay, Assisted Living Medicaid
Waiver
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