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There's been a fall

What a fall usually signals, and what to do in the two weeks after one.

Quick answer

What a fall usually signals, and what to do in the two weeks after one.

Home›By Situation›There's been a fall

A fall is a data point, not just an accident. The fall itself matters less than what it reveals about balance, medication, vision and whether anyone was there.

Short answer

What a fall usually signals, and what to do in the two weeks after one.

What to do, in order

  1. Treat it as a signal, not an accident. A first fall is one of the strongest predictors of the next one.
  2. Get the cause investigated properly. Blood pressure medication, sedatives, vision changes, inner-ear problems and unmanaged pain all drive falls.
  3. Ask whether anyone was there. A fall with no one present is a different situation from one with someone in the next room.
  4. Fix the environment while you decide. Grab bars, better lighting, removing loose rugs, a shower bench. Ask your Area Agency on Aging about equipment lending.
  5. Watch the weeks after. Fear of falling causes people to move less, which weakens them, which causes more falls.

Questions families ask

Do I have to enroll in an MLTC plan for home care in Nassau or Suffolk County?

Yes - Managed Long Term Care (MLTC) enrollment is mandatory in both Nassau and Suffolk counties for dual-eligible Medicaid recipients age 21 and older who need community-based long-term care services for more than 120 days. NYSDOH extended mandatory MLTC enrollment to Nassau, Suffolk, and Westchester counties beginning in the 2013 transition period, and that mandatory enrollment structure remains in effect. MLTC plans coordinate home care, adult day care, nursing home care, and related services through a single managed care plan rather than fee-for-service Medicaid.

What is the NHTD Medicaid waiver and could it help my parent stay out of a nursing home?

The Nursing Home Transition and Diversion (NHTD) Medicaid Waiver is a federal 1915(c) Home and Community-Based Services waiver administered by NYSDOH through Regional Resource Development Centers. It helps Medicaid-eligible people age 65 and older, and younger people with physical disabilities, who have been assessed as needing nursing-home-level care receive services in the community instead, either transitioning out of a nursing facility or diverting from being admitted to one in the first place.

What is New York's Assisted Living Program (ALP) and how is it different from private-pay assisted living?

The Assisted Living Program (ALP) is New York's Medicaid-funded alternative to nursing home placement, operating inside licensed Adult Homes or Enriched Housing Programs rather than as a separate building type. It serves people who are medically eligible for nursing home care but can safely be served in a less medically intensive, lower-cost setting, covering personal care, room and board, housekeeping, home health aides, nursing, therapy, medical equipment, adult day health care, and RN case management. ALP is regulated under 18 NYCRR Part 494.

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