Search all medical codes

Foster care, adult; per diem

HCPCS code

Name of the Procedure:

Foster Care, Adult; Per Diem (HCPCS S5140)

Common Name(s): Adult Foster Care
Technical/Medical Term: S5140

Summary

Adult Foster Care is a service model designed to provide a supportive and structured living environment for adults with medical, mental health, or developmental needs. Clients receive care and supervision in a family-like setting as opposed to institutional care.

Purpose

Adult Foster Care aims to provide a safe, nurturing environment for adults who are unable to live independently due to health conditions or disabilities. The primary goal is to enhance the quality of life and ensure the well-being of these individuals through daily support and supervision.

Indications

  • Individuals with chronic illnesses or disabilities
  • Adults with mental health needs
  • Elderly individuals needing constant care and supervision
  • Adults recovering from surgeries or significant medical treatments who cannot yet live independently

Preparation

Before placement in adult foster care, a comprehensive assessment of the individual's medical and psychosocial needs is required. This may include:

  • Medical evaluations
  • Psychological assessments
  • Social and functional needs assessments

Procedure Description

  1. Assessment: A multidisciplinary team conducts thorough evaluations of the client's needs.
  2. Placement: Based on the assessments, a suitable foster care home is identified.
  3. Care Planning: A personalized care plan is developed, outlining daily routines, medical care, and special needs.
  4. Monitoring: Ongoing oversight ensures the care plan is followed and adjustments are made as needed.
  5. Daily Life: The client engages in everyday activities within the foster home, including meals, personal care, social activities, and medical management.

Duration

Long-term, often indefinite depending on the individual's needs and progress. Care can be indefinite or until the individual can transition to a more independent setting.

Setting

Adult Foster Care is provided in licensed foster homes or residential care settings, which are residential family homes integrated within communities.

Personnel

  • Licensed Foster Care Providers
  • Case Managers
  • Healthcare professionals (e.g., Nurses, Social Workers)
  • Direct Care Staff

Risks and Complications

  • Risk of abuse or neglect (mitigated by strict licensing and monitoring)
  • Possible medical emergencies due to the client’s health conditions
  • Emotional and psychological adjustment challenges
  • Family-related complications

Benefits

  • Safe and supportive living environment
  • Improved quality of life
  • Personalized care and attention that cannot be provided in large institutions
  • Encouragement of social interactions and community integration
  • Enhanced independence and self-esteem

Recovery

Not typically applicable, as Adult Foster Care is often a long-term arrangement. However, in case of recovery from a temporary condition:

  • Regular health and progress evaluations
  • Adjustments to the care plan as the individual's condition improves
  • Coordination with medical and mental health services

Alternatives

  • Institutional care (e.g., Nursing Homes)
    • Pros: Higher level of medical supervision
    • Cons: Less personal, higher risk of isolation
  • Home health care or in-home services
    • Pros: Client stays in own home, more comfort
    • Cons: May not meet all supervision and social needs
  • Assisted living facilities
    • Pros: More independence
    • Cons: Can be costly, may still require additional supervision

Patient Experience

Clients may experience a sense of family and community in a foster care setting. Adjustment varies, with some individuals needing time to acclimate to new routines and caregivers. Comfort measures include a personalized care plan, regular check-ins, and available support services to manage physical and emotional needs.

Similar Codes