Adult Care Home Case Management

Certain Medicaid Special Assistance eligible residents in Wilson County’s Adult Care Homes (rest homes and family care homes) have extensive needs for personal care assistance and qualify for additional support by Medicaid for this purpose. The function of case management is to verify the need for this additional assistance and to assure that the resident's needs for personal care, as well as needs for other related health and social services are being met. 

Case management services are provided by Susan Andrews and Barbara Massey from the Wilson County Departments of Social Services. 

Their activities include:
Verifying the need for enhanced adult care home personal care
Assuring the adult care home's plan corresponds to the needs of the resident
Reviewing the provision of care to assure changes in the resident's conditions are being addressed
Determining the need for other community-based services
Assisting the resident and the adult care home in accessing other needed services.

A client must be a resident in a Wilson County adult care home and be eligible for Special Assistance and Medicaid. In addition, the resident must meet Medicaid criteria as a heavy care resident. Current criteria are that a resident requires extensive or total assistance in ambulation, toileting, feeding or both toileting and feeding or only one criteria.

If you or someone you know need additional information, contact the  Wilson County Department of Social Services.

Adult Care Home - North Carolina Division of Aging