The program offers specialized support for adults with severe and persistent mental illness, certain diagnosed chronic health conditions, or who are active on a transplant waiting list.
Eligible individuals receive full Medicaid care and may also receive the following services:
- Recovery Management: assistance developing a plan of care specific to the individual’s needs
- Individual Placement and Support (IPS): help finding and keeping a job
- Peer Support: support from others with similar life experiences
Council on Aging recovery managers provide the care plan and peer support services to Aetna members who qualify for the Specialized Recovery Services Program.
- be at least 21 years old
- meet income requirements
- be diagnosed with a severe and persistent mental illness, or actively on the solid organ or soft tissue transplant waiting list (or a previous transplant recipient), or have a diagnosed chronic condition, which includes certain malignancies, HIV/AIDS or immune deficiencies, end stage renal disease (ESRD), sickle cell anemia, cystic fibrosis, or hemophilia
- need help with medical appointments and/or activities of daily living
- have been determined to meet the definition of disability used by the Social Security Administration for purposes of SSI or SSDI (this does not apply if you are under 65 with ESRD, or over 65 with certain diagnosed chronic conditions or actively on the solid or soft transplant waiting list)
- not live in a nursing facility, hospital or similar setting