Page Reviewed / Updated - April 2019
North Carolina In-Home Aide Services, previously called Chore, Homemaker, Homemaker-Home Health Aide, Respite, and Personal Care Services, are provided to elderly state residents and their caregivers in their homes with the intention of enabling recipients to continue to live in their homes and avoid institutional placement, such as in a nursing home. A fairly broad and highly regulated range of services is provided, the most relevant of which are personal care and chore services.
For families who are seeking home care assistance, but who are over the NC Medicaid income or asset requirements, the NC In-Home Aide Services may provide an alternative subsidy for the cost of care.
Applicants are screened and assessed by a health care professional and case manager. If approved for services, and there is sufficient state budget, an in-home aide is assigned who will come to the home and provide a series of well-defined services, from which they cannot deviate. Participants are allowed some flexibility with regards to who serves as their in-home aide. Relatives, including spouses and adult children, are permitted to work in this capacity provided they are at least 18 years of age and have given up other employment to care for the person in need.
To be eligible for services, one must be a resident of North Carolina, and the following requirements must be met. It should be noted that being eligible does not guarantee the applicant will receive services, as this program works with a finite budget.
This program does not have income and asset limits. Therefore, some participants may have to pay a portion of the cost for services, known as a cost share.
Program candidates are assessed and approved for a defined suite and frequency of service. In-home aides are not permitted to perform services not outlined in one's plan. While, complete re-assessments occur annually, one’s plan of care is reviewed on a quarterly basis, and amendments to services can occur at this time. Follows is a list of commonly covered elder services:
Most beneficiaries receive somewhere between 5 and 20 hours / week of assistance. However, the hours of care one receives varies based on assessed needs of the program participant and available program funding. As mentioned previously, cost sharing may be required. If this is the case, co-payments are very reasonable relative to the average cost of private duty home care in North Carolina when purchased from an agency.
In-home Aide Services are administered by each county Department of Social Services. To apply, one should contact their county. County by county contact information is available here. Priority for services is based on need. Persons who need considerable assistance with activities of daily living or who are at risk of being placed in protective services or an institution will receive higher priority. To find additional, but limited program information, click here.