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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Family memory care – AC and EW

For other family caregiver services available under the Alternative Care (AC) and Elderly Waiver (EW) programs, see CBSM – Family caregiver services.

Page posted: 2/15/17

Page reviewed:

Page updated:

Legal authority

Federally approved Elderly Waiver Plan, Alternative Care (AC) program (Minn. Stat. §256B.0913)

Background

Family memory care is a translation of the evidence-based New York University Caregiver Intervention. Dr. Mary Mittelman and her colleagues developed this intervention at the NYU Alzheimer’s Disease Center.

Definition

Family memory care (FMC): Coaching and counseling service for a caregiver who lives with a family member or friend with dementia. The goal of FMC is to improve a caregiver’s ability to withstand the difficulties of caregiving by improving social support and minimizing family conflict.

Eligibility

A caregiver can participate in family memory care if all of the following are true:

  • • The primary caregiver lives with the person with dementia.
  • • At least one family member or friend participates in each of the family sessions.
  • • The primary caregiver reports that a physician diagnosed the person with Alzheimer’s disease or a related dementia (e.g., vascular dementia, dementia with Lewy bodies, frontotemporal dementia, Parkinson’s related dementia).
  • • The primary caregiver does not have a physical or mental condition that would prevent him or her from participating.
  • • The person with dementia has a Global Deterioration Score (GDS) of 4 or higher (the FMC consultant administers the GDS).
  • Covered services

    Family memory care covers time spent with the caregiver. It includes the following:

  • • Two individual sessions with the primary caregiver
  • • Four family sessions
  • • Ad hoc counseling to offer support and resources for at least 12 months following the family sessions
  • Follow-up assessments every six months
  • Non-covered Services

    Family memory care does not cover:

  • • Materials
  • • Preparation time
  • • Travel.
  • Secondary information

    The lead agency must document all FMC services in the person’s support plan.

    The person’s caregiver(s) can receive up to 20 hours of family memory care in a 365-day period.

    Provider Standards and Qualifications

    Family memory care is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC service provider overview.

    Eligible providers

    The following providers may provide family memory care:

  • • Caregiver consultants
  • • Gerontologists
  • • Health educators
  • • Memory care consultants
  • • Pharmacists
  • • Physicians
  • • Public health nurses
  • • Registered nurses
  • • Rehabilitation therapists
  • • Social workers
  • The following organizations also may provide family memory care:

  • • Care or support-related organizations (e.g., nonprofit social service organizations, voluntary or faith-based agencies, state and local chapters of chronic disease organizations, such as the Alzheimer’s Association)
  • • Home care agencies.
  • Additional provider requirements

    The FMC provider must complete all of the following:

  • • Caregiver coaching basic training developed by the Minnesota Board on Aging (MBA)
  • • New York University Caregiver Intervention training
  • • Minnesota Family Memory Care training offered by the MBA.
  • The FMC provider also must have at least one year of experience working either:

  • • In family therapy or family-based interventions
  • • With people who have Alzheimer’s disease and related dementias, and their caregivers.
  • An FMC provider also must participate in continuing education offered by the MBA or Area Agencies on Aging (AAA), including education on cultural diversity.

    Authorization, rates and billing

    Before delivering services, the provider must submit a service description and plan to the lead agency for approval

    Based on this information and the person’s needs, the lead agency determines if it will authorize the service. If it authorizes the service, the lead agency keeps supporting documentation in the person’s file.

    The lead agency authorizes family memory care at the state-established, 15-minute rate. For more information, see:

    Additional resources

    CBSM – Family caregiver services
    CBSM – Family caregiver coaching and counseling with assessment

    CBSM – Family caregiver training and education

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