If you have health care needs that can’t be managed at home or in an assisted living setting, you may need to live in a Nursing Facility (NF). NFs are sometimes called Nursing Homes or Long-Term Care Facilities. They provide short- or long-term care services to elderly and young adults with physical and/or mental disabilities. These services may need an OK, or prior authorization, from BCCHP.
Services at these facilities includes assistance with personal care activities, such as:
- Eating
- Walking
- Bathing
- Using the bathroom
- Laundry
- Meals
- Housekeeping needs
- Medical care
Based on your needs and level of care, your stay in an NF will be determined to be skilled or custodial. Medical services can include:
- Medically complex care
- Rehabilitation (physical, occupation and/or speech)
- Wound care
- IV Therapy
Many NFs offer specialized programs for congestive heart failure, complex wound, pain management, Alzheimer’s care, respite care and other illnesses and conditions. If you live in a Nursing Facility and would like to move to a different setting, our team of care coordinators can assist you in planning and preparing for this move through our Community Transition Program.
To learn more about Nursing Facilities, check the Member Handbook.