Care Coordination

The Care Coordination program assesses the needs of persons 60 years of age or older residents of the Alamo Aging twelve county service region and helps seniors access and coordinate local resources as appropriate to support independent living.

Priority is given to those who:
  • Have recently suffered a major illness or health care crisis, or have recently been hospitalized and need additional attention during the recuperation period;
  • Are moderately to severely impaired in activities of daily living and instrumental activities of daily living;
  • Have insufficient caregiver support;
  • Are in greatest economic/social need, particularly low income, minority seniors;
  • Are frail and live alone.

Direct services include:
  • Minor residential repair for eligible clients when a health or safety issue is identified.
  • Minor health maintenance (prescriptions, incontinence supplies, grab bars, etc.)equipment not provided through Medicare, Medicaid, the VA or private insurance.
  • Limited homemaker assistance as determined by assessment.
  • Limited personal assistance as determined by assessment.
  • Limited help with final-notice utility bills to prevent having them disconnected.
  • Emergency Response System