White Earth Long Term Care Consultation
White Earth Band of the Ojibwe LTCC
The White Earth Band of the Ojibwe (White Earth) manages a division of its tribal health service called Long Term Care Consultation (LTCC). The White Earth LTCC was formed in 2005 when White Earth began contracting with the state of Minnesota to provide case management and eligibility assessments for home- and community-based long-term services and supports. The program serves about 300 clients each month.
The White Earth LTCC administers several waivers, meaning that several different programs may be available, depending on a person's medical and social needs, income, and level of care needed. Programs include:
- Community Alternative Care
- Community Alternative Care (hospital-level care for anyone)
- Community Alternatives for Disabled Individuals
- Community Programs
- Elderly (65 and older)
- Traumatic Brain Injury
- Tribal Health Services
The White Earth LTCC is currently adding a waiver for individuals who are developmentally delayed, meaning a program for people meeting those requirements will be available soon. Tribal members who are not approved for these waivers rely on tribal funds to obtain limited services.
To help patients navigate difficult processes, the program offers:
- Case management
- Help applying for Medicaid
- Help determining which services a patient is eligible for
Depending on which program or programs a person is eligible for, services can include:
- A home health aide to provide personal care services, such as help bathing or getting dressed
- A life-line service
- A personal care attendant
- Caregiver support
- Home modifications
- Home-delivered meals
- Medical equipment
- Referrals to community programs and services
- Respite services
- Skilled nursing care visits
Services offered by the White Earth LTCC are available to non-Native beneficiaries, but limited to people who live on the White Earth Reservation.
Much of the program's funding comes from Medicaid, and several other funding sources, including the Veterans Administration (VA), provide the rest.
The program is working on a contract with a managed care organization (MCO) that would allow the White Earth LTCC to provide case management for people who are signed up under the MCO. This would give clients of the MCO who live on the White Earth Reservation the option of having a tribal provider.