Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides Personal Emergency Response Systems that help older adults stay in their own homes for longer by providing them access to emergency help wherever they are, 24 hours daily.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Home health is a program for those who need nursing care, rehabilitation or therapy at home. The Home Health team of registered or licensed nurses; home care aides; and occupational, speech or physical therapists work closely with your physician. For more information, call 509-574-3606. The Home Health team Registered/licensed nurses provide direct, skilled nursing care according to the plan of care developed with the patient's physician. Home care aides assist with personal care, such as bathing, grooming and routine exercises. Occupational therapists instruct patients in techniques to relearn the tasks of daily living, such as dressing, cooking, eating and bathing, as well as energy conservation and use of assistive devices. Physical therapists assist with the patient's improvement of mobility, fall prevention and safety, ultimately reducing pain and helping the patient regain his or her maximum use of physical skills while recovering from an illness, injury or disability. Speech therapists assist patients in improving communication challenges, such as difficulty understanding other people, redeveloping the ability to speak clearly or at all, and literacy-related issues. The speech therapist may also help with difficulties in eating or swallowing. Social workers assist with community referrals, caregiver issues and financial concerns. They can also assist with connecting patients to an emergency response using a system that provides patient safety and security via phone technology. MultiCare Yakima Memorial's full spectrum of home health services includes: Symptom and pain management. Medication management. Cardiac care. Physical rehabilitation. Ostomy/wound care. Patient and caregiver teaching. Nutrition management.

Provides FREE Case Management for adults and assists with enrollment for Community First Choice (CFC), which offers in-home care, assistance with essential household tasks, adult family home care, assisted living, and congregate care. This is for adults who would require Medicaid services in a nursing facility. Services include the following: - In-home Personal Care: Provides assistance with activities, such as: housework, laundry, meal preparation, eating, shopping, bathing, dressing, transfer assistance, ambulation, self-medication, transportation and escort, and skin, hair and nail care. - Health Care Services: Care is provided by licensed health care professionals. Medical care must be prescribed by a physician. - Personal Emergency Response System: Offers emergency help to assist seniors and others with remaining independent in their own homes. By pressing a button worn as a pendant or wristband or connected to one's home phone, medical help can be summoned immediately. - Assistive Technology - Personal Care/Relief Care - Comprehensive Options Counseling for Long Term Care Planning - Family Caregiver Support

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides FREE Case Management for adults and assists with enrollment for Community First Choice (CFC), which offers in-home care, assistance with essential household tasks, adult family home care, assisted living, and congregate care. This is for adults who would require Medicaid services in a nursing facility. Services include the following: - In-home Personal Care: Provides assistance with activities, such as: housework, laundry, meal preparation, eating, shopping, bathing, dressing, transfer assistance, ambulation, self-medication, transportation and escort, and skin, hair and nail care. - Health Care Services: Care is provided by licensed health care professionals. Medical care must be prescribed by a physician. - Personal Emergency Response System: Offers emergency help to assist seniors and others with remaining independent in their own homes. By pressing a button worn as a pendant or wristband or connected to one's home phone, medical help can be summoned immediately. - Assistive Technology - Personal Care/Relief Care - Comprehensive Options Counseling for Long Term Care Planning - Family Caregiver Support

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides FREE Case Management for adults and assists with enrollment for Community First Choice (CFC), which offers in-home care, assistance with essential household tasks, adult family home care, assisted living, and congregate care. This is for adults who would require Medicaid services in a nursing facility. Services include the following: - In-home Personal Care: Provides assistance with activities, such as: housework, laundry, meal preparation, eating, shopping, bathing, dressing, transfer assistance, ambulation, self-medication, transportation and escort, and skin, hair and nail care. - Health Care Services: Care is provided by licensed health care professionals. Medical care must be prescribed by a physician. - Personal Emergency Response System: Offers emergency help to assist seniors and others with remaining independent in their own homes. By pressing a button worn as a pendant or wristband or connected to one's home phone, medical help can be summoned immediately. - Assistive Technology - Personal Care/Relief Care - Comprehensive Options Counseling for Long Term Care Planning - Family Caregiver Support

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides free home delivered meals and congregate meals in a group setting to older adults 60 years of age and older.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Provides FREE Case Management for adults and assists with enrollment for Community First Choice (CFC), which offers in-home care, assistance with essential household tasks, adult family home care, assisted living, and congregate care. This is for adults who would require Medicaid services in a nursing facility. Services include the following: - In-home Personal Care: Provides assistance with activities, such as: housework, laundry, meal preparation, eating, shopping, bathing, dressing, transfer assistance, ambulation, self-medication, transportation and escort, and skin, hair and nail care. - Health Care Services: Care is provided by licensed health care professionals. Medical care must be prescribed by a physician. - Personal Emergency Response System: Offers emergency help to assist seniors and others with remaining independent in their own homes. By pressing a button worn as a pendant or wristband or connected to one's home phone, medical help can be summoned immediately. - Assistive Technology - Personal Care/Relief Care - Comprehensive Options Counseling for Long Term Care Planning - Family Caregiver Support

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.

Manages state assistance programs that help participants pay for attendant care and non-care related assistance services designed to help older adults and people with disabilities remain independent.   Assistance may be provided in any of three settings:   -  Participant's home   -  Assisted living facility -  Adult family home   Community First Choice -  Provides attendant care and non-care related assistance services to older adults who would otherwise require nursing home placement    -  Program participants can choose from whom they receive care services, including hiring family members as care providers     Community Options Program Entry System (COPES) -  Generally provided to clients who are also enrolled in Community First Choice   Medicaid Personal Care -  Provides personal care services for clients who do not require nursing-home-level care   Program of All-Inclusive Care for the Elderly (PACE) -  Offers all services through one provider.   -  PACE can be funded either through Medicaid, Medicare or private-pay.     New Freedom -  Participants manage their own service plan and budget and take primary responsibility for obtaining services.   Medicaid Transformation Demonstration Medicaid Alternative Care (MAC) - Supports unpaid caregivers of Medicaid recipients over the age of 55 Targeted Supports for Older Adults (TSOA) - Supports older adults over the age of 55 who do not receive Medicaid  Participants enrolled in one of the in-home care programs may also qualify for other forms of support including assistive technology and personal emergency response systems.