Program Description
The Personal Care Services Program (PCS) is a Medicaid program relevant to elderly and / or disabled Idaho residents. Via this program, participants are provided assistance with activities of daily living (ADLs) in their homes. ADLs may include preparing meals, eating, moving from one location to another, dressing, shopping, etc.
The goal of this program is to help individuals maintain their independence and avoid institutionalization (placement in a nursing home). Therefore, this program is not available to individuals living in skilled nursing homes or intermediate care facilities. However, personal care can be provided to persons living in assisted living residences or adult foster care homes (if they are paying privately and not receiving other Medicaid-funded personal care services).
Did You Know? According to Genworth’s Cost of Care Survey 2021, the average cost of assisted living in Idaho is very affordable at approximately $3,838 / month when compared to the national average of approximately $4,500 / month.
Eligibility Guidelines
General Requirements
This PCS program is for elderly and disabled residents of Idaho who are qualified for Idaho Medicaid and reside at home, in assisted living, or in adult foster care (but not in nursing homes).
Financial Requirements
Applicants must meet the financial requirements for Aid to the Aged, Blind, and Disabled (AABD) Medicaid, which for 2023, are as follows:
Income Limits
Single applicants are permitted a monthly income of $967. Married applicants, with both spouses applying, can have a monthly income of up to $1,391.
Asset Limits
Single applicants are permitted $2,000 in countable assets, and married applicants are allowed $3,000. Countable assets exclude one’s home, home furnishings, personal items, and low-value life insurance policies. A single vehicle is also exempt provided it is in use and not an investment. The home is exempt provided the owner (or one of the owners) lives in.
Over the Financial Limits?
It is possible for individuals who do not meet these requirements to still qualify for the PCS Program through a process known as Medicaid planning. Those who cannot afford their care might consider this approach. Excess income and assets are converted into not-countable income and exempt assets using trusts. This is a financially complex procedure and it is strongly advised that persons hoping to qualify through this approach find assistance prior to application.
WarningPast asset transfers for five years prior to the date of application are eligible for review by Medicaid. This is to make sure the applicant did not give away or transfer assets under market value with the goal of qualifying for this program. This is called the Medicaid Look-Back Period, and if one is found to be in violation of this rule, a period of Medicaid ineligibility may result.
Benefits and Services
The following services, up to 16 hours per week, are available via the Personal Care Services Program:
- Assistance with the activities of daily living, such as bathing, grooming and personal hygiene
- Assistance taking prescription drugs
- Meal preparation
- Housekeeping
- Laundry
- Shopping for essentials, such as groceries and picking up medications
- Transportation assistance, as long as it is medically related
How to Apply / Learn More
PCS benefits are provided across Idaho. There are no geographic restrictions for this program except participants cannot live in nursing homes or intermediate care facilities.
To learn more about the PCS program and to begin the application process, visit the Idaho Medicaid website or call your regional Department of Health & Welfare office. Additional program information can also be found here.
Residents can also apply online through idalink, or download an application here.
Personal care in Idaho is also available under the state’s HCBS Aged & Disabled Waiver. However, the waiver has enrollment caps and a waiting list may exist.
