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Healthcare Information

Community-Wide End-of-Life/Palliative Care Initiative: Raising Awareness of Advance Care Directives

What would happen if you experienced a sudden illness or injury that prevented you from making your own medical decisions? How would you get the care you wanted? Who would make decisions about your medical care on your behalf?

Advance Care Planning is the on-going process of planning for your future medical care through open discussion and the use of Advance Care Directives. Advance Care Planning allows you to:

  1. Choose a spokesperson to make decisions about your medical care in case you are unable to make decisions for yourself;
  2. Document ahead of time which treatments you may or may not want.

Raising awareness of Advance Care Directives is only one of the many issues that deal with end-of-life care. The Community-Wide End-of-Life/Palliative Care Initiative, which consists of more than 150 members representing more than 40 organizations, has recognized the need for improved care for the members of our community facing end of life.

More information about Advance Care Planning, Hospice, Palliative Care, Pain Management, and the Community-Wide End-of-Life/Palliative Care Initiative can be found at Compassion and Support at the End of Life.

Phone-In Medicaid Application Line

If you are age 65 or over and do not receive SSI, or for those permanently in a nursing home or hospital, you may access the Medicaid phone-in appointment line at 585 274-6265. The hours to schedule appointments are 8:30 a.m. until 12:30 p.m., Monday through Friday.

The process is as follows: The caller will have to give basic information about the applicant and spouse, e.g., social security number and date of birth. An appointment date with a Medicaid caseworker will be made during this call. An application will be mailed to the caller, which needs to be filled out and brought to the appointment. (The application will be dated the date of the actual appointment.)

Please remember, this line is for those age 65 and over who do not receive SSI, or those permanently in a nursing home or hospital only.

Visit the New York State Office of Temporary and Disability Assistance.

Visit the Centers for Medicaid and Medicaid Services.

Chronic Care Medicaid

Chronic Care Medicaid is a health plan service for those who are age 65 and older and/or in a nursing home-type setting. The intent of the program is to assist those aging and disabled residents who cannot afford to pay for their medical care. Eligibility for the program is determined through a means test that reviews the income and resources of the individual and/or spouse applying for coverage.

Chronic Care Medicaid applications are available in the Monroe County Department of Human and Health Services waiting rooms located at 111 Westfall Road or 691 St. Paul Street. To request an application by phone, please call 585 753-6037.

Learn more at Medicaid at the New York State Department of Health.

Long Term Care Unit

The Long Term Care Unit authorizes the home care services funded through a variety of program sources. These programs include the Long Term Home Health Care Program, the Personal Care Aide Program, Meals on Wheels, Independent Living for Seniors, Continuing Care Networks and the Homemaker/Housekeeper Program. Services authorizations include aid services, cleaning services, meals and long term care benefits to individuals and families at risk of more costly placement. Home Care also manages the Medicaid Restricted Recipient Program. This program controls costs for recipients with unreasonable utilization of Medicaid.