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.

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.

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.

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.

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 acute, primary, specialty, chronic and long-term health care for older adults.   Offers a day health center with a recreational therapy program and lunch.   Also provides intensive case management and social support.   Other services include:   -  Provision of durable medical equipment -  Personal care -  Chore services for people living at home   -  Placements in assisted living and adult family homes    Also offers dental care, optometry, audiology and other medical specialists.   As an alternative to nursing home care, the program serves individuals who are residing in the community and those who desire to return to community living.   Program is based on the Program of All-Inclusive Care for the Elderly (PACE) care model.   Transportation is provided for adult day health services and all medical appointments.

Provides individualized services to keep nursing-home eligible individuals living independently at home or in the community as long as possible. A team of eldercare experts does an assessment, designs a comprehensive personalized care plan, then provides and coordinates services to address health and personal care needs. PACE health services include the following as needed: - Adult day services - Medical care - Caregiver support - Transportation to the facility - In-home care - Medication Management

Provides acute, primary, specialty, chronic and long-term health care for older adults.   Offers a day health center with a recreational therapy program and lunch.   Also provides intensive case management and social support.   Other services include:   -  Provision of durable medical equipment -  Personal care -  Chore services for people living at home   -  Placements in assisted living and adult family homes    Also offers dental care, optometry, audiology and other medical specialists.   As an alternative to nursing home care, the program serves individuals who are residing in the community and those who desire to return to community living.   Program is based on the Program of All-Inclusive Care for the Elderly (PACE) care model.   Transportation is provided for adult day health services and all medical appointments.

Provides acute, primary, specialty, chronic and long-term health care for older adults.   Offers a day health center with a recreational therapy program and lunch.   Also provides intensive case management and social support.   Other services include:   -  Provision of durable medical equipment -  Personal care -  Chore services for people living at home   -  Placements in assisted living and adult family homes    Also offers dental care, optometry, audiology and other medical specialists.   As an alternative to nursing home care, the program serves individuals who are residing in the community and those who desire to return to community living.   Program is based on the Program of All-Inclusive Care for the Elderly (PACE) care model.   Transportation is provided for adult day health services and all medical appointments.

Provides acute, primary, specialty, chronic and long-term health care for older adults.   Offers a day health center with a recreational therapy program and lunch.   Also provides intensive case management and social support.   Other services include:   -  Provision of durable medical equipment -  Personal care -  Chore services for people living at home   -  Placements in assisted living and adult family homes    Also offers dental care, optometry, audiology and other medical specialists.   As an alternative to nursing home care, the program serves individuals who are residing in the community and those who desire to return to community living.   Program is based on the Program of All-Inclusive Care for the Elderly (PACE) care model.   Transportation is provided for adult day health services and all medical appointments.