Medicaid's Home Care Benefits: Eligibility, Waivers & Application Information

Page Reviewed / Updated - Apr. 2016

Medicaid Home Care Benefits for the Aging

As of April 2016, all 50 states and D.C. have at least one program that provides assistance to individuals living outside of nursing homes, be that at home, in adult day care or assisted living.  Most states offer more than one program.  

Does Medicaid Pay for Home Care for Aging Individuals? The short answer to this question is Yes. However, to better understand how and when Medicaid's home care benefits apply, it is necessary to provide some background information on what Medicaid is and how it works.

Funds for Medicaid come from both the federal government and the individual state governments and as such, the rules governing Medicaid also come from two sources. The federal government sets certain standards but gives the states considerable flexibility with regards to the services they provide. This is especially true in the area of home care.

A second complication to understanding Medicaid's home care benefits is that within each state there are multiple Medicaid programs that offer different home care benefits. States have a "Medicaid State Plan", sometimes referred to as Regular Medicaid and they also have "Institutional Medicaid" (which by definition does not cover home care) and there are Medicaid Waivers which are offered as an alternative to Institutional Medicaid. These are sometimes called HCBS Waiver for Home and Community Based Services, 1915 Waivers or Demonstration Projects.

Medicaid State Plans, in most but not all states, will pay for home care in the form of Personal Care Services (PCS) or Personal Attendant Services (PAS). Institutional Medicaid is provided in long term care institutions (nursing homes and intermediate care facilities) and therefore does not pay for home care. However, Medicaid Waivers which are offered as an alternative to nursing homes, do pay for home care and very often also cover other related in-home support services to help the elderly remain living at home.

The important points for the reader to understand are 1) Medicaid's home care services are different in every state and 2) Within each state, the home care benefits depend on the type of Medicaid in which the individual is enrolled. 

 

Types of Home Care Covered By Medicaid

 "Medicaid now offers so many options for providing home and community services that they can be confusing for policymakers, state officials, advocates, and consumers alike." - from a US Health &  Human Services Report

Today, the variety of services covered by Medicaid for individuals living at home goes well beyond simple home health care.  However, to provide a comprehensive list can be misleading as the benefits depend both on the state in which the beneficiary lives and the type of Medicaid coverage they are receiving.  Follows is a generalized list with explanations of what is typically offered by Medicaid in most states. 

  • Home Health Care - is medical care provided to individuals in their homes.  Trained medical professionals such as doctors and nurses provide these services.  It is important to distinguish home health care from home care or personal care which is provided by family members or paid caregivers, but not medically trained professionals.
  • Home Care / Personal Care - is non-medical or custodial care typically provided to assist individuals in performing their activities of daily living or instrumental activities of daily living, such as bathing, eating and assistance with mobility.  Personal care, in many states, is covered through either regular Medicaid or through a Medicaid Waiver and frequently through both. 
  • Homemaker Services - include assistance with general household chores such as housekeeping, laundry, shopping for groceries and other essential items as well as in the preparation of meals.  The lines between homemaker services and support with the instrumental activities of daily living and "chore services" are not well defined.  In some states these phrases may be used interchangeably.  Though initially not a Medicaid benefit, homemaker services are now recognized as being essential to helping individuals remain living at home and with relative independence.
  • Family and Caregiver Support - is another area now recognized as important to maintaining a stable home living environment.  Support to caregivers in the form of training and respite care (temporary relief from their caregiving efforts) is now included in nearly every, if not in all states.
  • Home and Environmental Accessibility Modifications - home and sometimes vehicle modifications made with the objective of increasing or maintaining the beneficiary's independence are often paid for, at least in part, by Medicaid.  Typically, modifications include alterations such as wheelchair ramps, walk-in bathtubs, stair-lifts and environmental aids for lighting. 
  • Medical Equipment and Supplies - Medically necessary equipment and supplies are covered by Medicaid.  Beneficiaries should be careful to closely follow the designated procurement processes to receive the maximum benefit amounts.
  • Nutrition Services - This includes a variety of related services such as home delivered or congregate meals, nutritional counseling and / or nutritional supplements.
  • Personal Emergency Response Services - abbreviated PERS, are electronic monitoring or call and respond services that enable persons to live alone or to spend portions of their day without direct supervision.  Click here for a list of Medicaid programs that cover PERS.
  • Transportation Assistance - can be provided in the form of transportation escorts or rides for non-emergency medical appointments and in some areas, transportation for recreational purposes.
  • Hospice Care - Medicaid hospice care is usually reserved for terminally ill individuals who have a life expectancy of six months or less.  If it is determined the individual may be more comfortable in their home, Medicaid may pay for hospice at home.

 

Medicaid Payments to Family Members for Home Care

It is now possible for family members in many states to be paid by Medicaid for the personal care they provide to their loved ones.  In general terms, the process works as follows.  An individual applies for Medicaid, once approved they then sign-up for a Medicaid waiver that pays for home care and allows for "Consumer Direction" of home care services.  Consumer Direction means the beneficiary is given the flexibility to select their care providers rather than have Medicaid choose providers on their behalf.  The beneficiary then hires their family members as personal caregivers.  Medicaid regulates the amount they can be paid and usually (but not always) prohibits legal guardians and spouses from being paid but notably does not prohibit the adult children or ironically, ex-spouses.  Click here to learn more about this option.   In approximately eight states, spouses can be paid as caregivers

 

Qualifying for Medicaid and Home Care Waivers

Medicaid eligibility is determined by each state separately and within the state there are usually different requirements for institutional vs. regular Medicaid.  A rule of thumb for institutional Medicaid (and Medicaid waivers) is that the applicant is permitted monthly income of $2,199 / month and countable assets of $2,000 (in 2016).  Regular / State Plan Medicaid may have lower income limits, often times equal to the SSI limit ($733 / month in 2016). However, there is a great range within the states and many exceptions to what are considered countable assets and income. Visit our Medicaid page for complete eligibility requirements or to find assistance qualifying for Medicaid.

 

State by State Guide to Medicaid's Home Care Benefits

Today all 50 states and D.C. have at least one program that provides assistance to individuals living outside of nursing homes, be that at home, in adult day care or assisted living.  Many states offer several programs, usually those that do will offer personal care assistance through their Medicaid State Plan (an entitlement program) and also through a Medicaid Waiver (which limits enrollment).  Follow the links in the table below to learn more about the eligibility requirements and benefits of any program. 

Please note that this is not a list of all Medicaid waivers which offer home care, but rather those waivers that are relevant to the elderly.  Other waivers exist for developmentally disabled individuals and for persons with traumatic brain injuries.

For a guide to Medicaid's assisted living benefits, click here.



2016 Medicaid Home Care Benefits - State by State

State

State Medicaid Policy on Home Care

Other Options Can Help Residents

Alabama

In Alabama, there are two waivers help with home care.  These are the Elderly and Disabled and the SAIL Waiver.   Both waivers offer a Personal Choices option which allows self-direction of home care.

 

Other Financial Assistance
Affordable Care Options in AL

 

Alaska

Alaska Medicaid helps residents with home care through Personal Care Assistance.  Participants have the option of choosing their own care providers or having the state manage that process on their behalf.  A new option is the Alaskans Living Independently Waiver which provides many supports for the participants in their homes but does not pay for personal care directly.

 

Senior Benefits Program
Senior Access Program
Other Financial Assistance
Senior In-Home (SIH) Services
Affordable Care Options in AK

 

Arizona

Medicaid in Arizona is delivered on a managed care model.  Participants approved for Long Term Care Services can receive assistance at home.  A second option is the SDAC Program which allows participant to self-direct their personal care.  Lastly, a new program called Agency With Choice offers considerable flexibility for participants.

 

Arizona NMHCBS
Other Financial Assistance
Affordable Care Options in AZ



Arkansas

DAAS ElderChoices is a program that provide supports to help individuals remain living in their homes but not personal care.  Arkansas' sister program, which does provide personal care, is called Independent Choices.  Another option is Medicaid Personal Care.

 

Other Financial Assistance
Affordable Care Options in AR

 

California

In California there are multiple Medicaid (Medi-Cal) programs that provide assistance at home. The NF/AH Waiver, for individuals with more severe needs, the MSSP Waiver for persons with lower levels of impairment. The popular In Home Supportive Service and finally, though not at-home care, the new CBAS Program provides for adult day care.

 

Alzheimer's Day Care
Other Financial Assistance
Affordable Care Options in CA

 

Colorado

Colorado's Elderly, Blind and Disabled Medicaid Waiver pays for both personal care assistance at home as well as other supports to help individuals remain living at home.  These include modifications to improve the access and safety of the residence.  The CDASS Program is an option for waiver participants which allows them to self-direct these services.

 

Home Care Allowance
Other Financial Assistance
Affordable Care Options in CO

 

Connecticut

In Connecticut, Medicaid has a program called the Home Care Program for Elders (CHCPE).  This program is somewhat unique in that it is also open to non-Medicaid eligible residents.  The state also offers the Personal Care Assistance program which is available to residents under 65 years of age.  Lastly, a new option called Community First Choice has eliminated wait lists for home care.

 

Choices at Home
Statewide Respite Care Program

Other Financial Assistance
Affordable Care Options in CT

 

Delaware

Delaware recently switched from a waiver model to a Medicaid managed care model.  As such, the Amended Elderly and Disabled Waiver is no longer an option.  However, home care is still provided under the Diamond State Health Plan Plus.

 

DE RX Assistance Program
Other Financial Assistance
Adult Day & Alzheimer's Day Care
CARE Delaware
Affordable Care Options in DE

 

D.C.

Washington DC offers an Elderly and Disabled Waiver that helps local residents with home care. 

 

The Caregivers’ Institute

Other Financial Assistance

Affordable Care Options in DC

 

Florida

Florida's recently converted from HCBS Waivers to Managed Long Term Care.  Under SMMC LTC, home care is a covered benefit.  The following waivers are no longer active: Nursing Home Diversion, Aged and Disabled, Alzheimer's Disease, Consumer Directed Care Plus Waiver

 

Project R.E.L.I.E.F.
Alzheimer’s Disease Initiative

Local Services Program

Home Care for the Elderly
Other Financial Assistance
Affordable Care Options in FL

 

Georgia

Georgia Medicaid offers two waiver options that help with home care; CCSP and SOURCE.  Both waivers offer very similar benefits and have similar eligibility requirements but they are available in different geographic areas of the state.

 

Non-Medicaid, HCB Services

Other Financial Assistance
Affordable Care Options in GA

 

Hawaii

In the years during the economic downturn, Hawaii converted its Medicaid waiver programs, Nursing Homes without Walls and Residential Alternative Community Care into managed care.  Home care may still be covered for Hawaii Medicaid beneficiaries but it will be at the discretion of the managed care provider.  Learn more about Hawaii managed Medicaid, called QUEST Expanded Access. 

 

Kupuna Care
Chore Services Program
Other Financial Assistance
Affordable Care Options in HI

 

Idaho

Through the Medicaid Aged and Disabled Waiver, Idaho residents can receive a variety of home care services including personal care, adult day care and respite.  Idaho also has a Personal Care Services Program which allows participants to self-direct their care.

 

Idaho Senior Respite
Other Financial Assistance
Idaho Homemaker Services
Affordable Care Options in ID

 

Illinois

In Illinois, the state Medicaid program offers a HCBS Waiver.  Under that waiver, participants can receive services at home.  However, the range of approved services is more limited than in many states.  Homemaker services and adult day care are among the more important of those included.

 

Illinois Community Care
Illinois Cares Rx Assistance
Other Financial Assistance
Affordable Care Options in IL

 

Indiana

Indiana Medicaid's Aged and Disabled Waiver offers a very wide range of support services to help individuals remain living at home such as home modifications, respite care, meals, supplies and non-emergency transportation.  Unfortunately, personal care is not included.  However, the Indiana Caregiver Homes / Structured Family Caregiving benefit under that waiver does enable personal care through a home sharing arrangement.

 

 

Indiana Choice
Hoosier Rx Assistance
Other Financial Assistance
Affordable Care Options in IN

 

Iowa

Medicaid in Iowa, through the HCBS Elderly Waiver covers many services to help the elderly remain living in the homes.  These includes personal or attendant care, which can be self-directed.  Another option is the Health and Disability Waiver. Note that this second option is only available to persons under 65 years of age. 

 

Other Financial Assistance
Affordable Care Options in IA

 

Kansas

Kansas offers the Frail and Elderly Medicaid Waiver intended to prevent or at least delay the placement of frail elderly individuals in nursing homes. By providing home care and home support services, the waiver accomplishes this goal.

 

Kansas Senior Care Act
Other Financial Assistance
Affordable Care Options in KS

 

Kentucky

Personal care at home as well as other supports to help individuals remain living in their homes are covered by Medicaid in Kentucky.  The program is called the Waiver for the Aged and it is also known as the HCB Services Waiver.  A second waiver called Supports for Community Living Waiver offers support for a more limited range of persons.

 

Hart-Supported Living

Homecare Program

Personal Care Attendant
Other Financial Assistance
Affordable Care Options in KY

 

Louisiana

Louisiana has several Medicaid programs that will provide assistance to residents living outside of nursing homes. These are the Adult Day Care WaiverPCS Waiver and the new Community Choices Waiver.  The EDA Waiver has been phased out and is no longer an option.

 

Other Financial Assistance
Affordable Care Options in LA

 

Maine

Maine has two Medicaid programs that provide assistance to elderly and disabled individuals in their homes.  The first is the Older Adults and Adults with Disabilities Waiver which covers a broader set of services and the second is called Consumer Directed Attendant Services.  Although a more limited range of services are available under the second option, it allows the participants to self-direct or choose their own service providers.

 

Home-Based Care Program

Caregiver Respite Program

DEL and RX Plus
Other Financial Assistance
Affordable Care Options in ME

 

Maryland

The Community First Choice Program is now the primary option.  Playing a reduced role is Medicaid Waiver for Older Adults which pays for personal care at home as well as covers the cost of some home modifications to increase the safety and accessibility of the home and allow the participant greater independence.  Two other programs also provide help at home.  These are Community Pathways and Community Personal Assistance.

 

Senior Care Program
In Home-Aide Services
Other Financial Assistance
Affordable Care Options in MD

 

Massachusetts

Massachusetts Medicaid (Mass-Health) has three programs that provide assistance to individuals outside of nursing homes.  The Frail Elder HCBS Waiver provides for a wide range of home care and health services.  The Personal Care Attendant program is more limited in scope but covers most or all of the participant's personal care needs.  Finally, the unique Caregiver Homes program allows an elderly individual to move into the home of a caregiver.  In this situation, care is not provided in the beneficiary's home but it is still offered in a home in place of institutional care.

 

HCP and ECOP Programs
Prescription Advantage
Other Financial Assistance
Affordable Care Options in MA

 

Michigan

Medicaid in Michigan has two programs that provide assistance at home.  The Choice Waiver provides for a broad range of services at home, although it is open to only those aged 65 and older.  The Home Help Program is open to younger individuals but covers a more limited range of services. 

 

Other Financial Assistance
Affordable Care Options in MI

 

Minnesota

Minnesota has three Medicaid programs that help individuals living at home to receive care or support services.  The Elderly Waiver offer broad-based support, Personal Care Assistance offers personal care and the Consumer Support Grant provides cash assistance to individuals to select and retain their own care providers.  This grant can also be allocated towards home modifications which decrease the participant's reliance on other persons.

 

Alternative Care Program

Essential Community Supports

Other Financial Assistance
Affordable Care Options in MN

 

Mississippi

Mississippi Medicaid's Elderly and Disabled Waiver provides a variety of supports and care services to individuals in their homes including personal care and adult day care. 

 

Other Financial Assistance
MS In Home Care Services / Homemaker
Affordable Care Options in MS

 

Missouri

In Missouri, Medicaid offers the Aged and Disabled Waiver which helps participants to receive care support in their homes.  While 24/7 personal care at home is not included, adult day care and homemaker services are.  Also of note are Home and Community Based Services.

 

Missouri Rx Plan
Other Financial Assistance
Affordable Care Options in MO

 

Montana

Montana, through Medicaid, pays for home care using two programs or waivers.  First, the HCBS Waiver includes assistance with personal care, homemaker services and in several other areas.  The second option, Personal Assistance Services, can be self-directed allowing the participant to select their own care providers.  

 

Big Sky Rx Program
Other Financial Assistance
Affordable Care Options in MT

 

Nebraska

Nebraska has a single Medicaid waiver targeting the elderly called the Aged and Disabled Waiver.  This waiver provides some support for assisted living, adult day care and home care services though notably absent from its benefits list is personal care provided at home.  Another option through the regular Medicaid program is called simply Personal Assistance Services.

 

Lifespan Respite
Other Financial Assistance
SSAD Program
DPFS Program
Affordable Care Options in NE

 

Nevada

Medicaid in Nevada offers the HCB Elderly Waiver for non-nursing home care. It also provides adult day care, homemaker/chore services as well as several other supports to help the elderly age in place.

 

Nevada COPE
NV Homemaker Program
Other Financial Assistance
Affordable Care Options in NV

 

New Hampshire

New Hampshire’s Choices For Independence Program is a Medicaid waiver that offers a very broad range of support services including personal care and assistance with the activities of daily living in one's home. 

 

Transitions in Caregiving
Other Financial Assistance
Affordable Care Options in NH

 

New Jersey

New Jersey recently changed from HCBS Waivers to a statewide Medicaid managed care program called Managed Long Term Services and Supports (MLTSS).  Under this program home care is provided. It can also be consumer directed under the Personal Preferences sub-program. The Global Options Waiver is no longer an option.

 

Alzheimer's Adult Day Care
Statewide Respite Care
Assistance for Community Caregiving
Other Financial Assistance
Affordable Care Options in NJ

 

New Mexico

New Mexico recently switched from HCBS Waivers to a Medicaid managed care program called Centennial Care Community Benefit which offers home care.  The CoLTS C Waiver and the Mi Via Program are no longer valid options.

 

 

Older Americans Act
Other Financial Assistance

Affordable Care Options in NM

 

New York

In the State of New York there are two very different Medicaid programs that cover home care.  The Managed Long Term Care Program covers a very wide suite of care services and supports but gives the participant very little flexibility or control.   Consumer-Directed Personal Assistance is the opposite.  While it will only pay for a limited range of services to help aging in place, it does offer the participant great choice in who provides them with care.

 

Expanded EISEP Program

Community Services for the Elderly

EPIC Rx Assistance
Other Financial Assistance
Affordable Care Options in NY

 

North Carolina

North Carolina Medicaid offers the Community Alternatives Program which covers many services that help families to manage the process of caring for a loved one at home.  CAP, as the program is referred to, has a Consumer Choice option that permits the self-direction of certain care services.  However, the Choice option may not be available statewide.  Personal Care Services are available statewide and are a Medicaid entitlement, so no waiting lists exist. Also of note is the Special Assistance In-Home Program for Adults.

 

In-Home Aide Services

Other Financial Assistance
Affordable Care Options in NC

 

North Dakota

In North Dakota there is an Aged and Disabled Medicaid waiver that offers homemaker services, respite care, help for home accessibility modifications and adult day care.

 

Other Financial Assistance
Affordable Care Options in ND
Older Americans Act Services
SPED and Ex-SPED

 

Ohio

Ohio offers a Medicaid Waiver that address the challenges of caring for a loved one at home.  Under the PASSPORT Waiver, a broad set of in-home services are available.

 

Older American Act Services

Other Financial Assistance

Affordable Care Options in OH

 

Oklahoma

In Oklahoma, home care from Medicaid is available both as a waiver and through the Medicaid state plan.  The waiver program is called Oklahoma ADvantage and it offers many support and care services delivered to the individual in their home.  The Personal Care Program is limited service-wise to only personal care but offers the participant the option of self-directing their care.

 

Respite Resource
Other Financial Assistance
OK In Home Assistance for the Elderly
Affordable Care Options in OK

 

Oregon 

Of all the states, Oregon Medicaid offers the most options with regards to home care.  Four different programs cover nearly all services that an elderly individual living at home may require.  The Aged and Disabled Waiver is the most traditional of the four, Independent Choices offers great flexibility in allowing the beneficiary to determine their own care needs and Client-Employed Provider allows participants to hire their own service providers with the state managing the administrative tasks.  Finally, a unique program called Spousal Pay will pay spouses to help care for each other. 

 

Project Independence
Other Financial Assistance
Affordable Care Options in OR

 

Pennsylvania   

Pennsylvania offers two Medicaid programs to help with home care.  The Pennsylvania Department of Aging (PDA) Waiver is the more traditional of the two covering a wide range of home care and support services.  Services My Way, the other option, allows great flexibility for the participant to determine their care needs and from whom they receive services.  

 

PACE Rx Assistance

Options Program

Other Financial Assistance
Affordable Care Options in PA

 

Rhode Island

Rhode Island has a Medicaid program called Personal Choice that covers personal care at home as well as various other supports as does the Home and Community Care Waiver.  RI also has a unique program called RIte@Home.  Although RIte@Home does not provide care in one's home, it allows the participant to move into the home of another individual who provides care, thereby avoiding nursing home placement. 

 

RIPAE Rx Assistance

Caregiver Insurance Program

Other Financial Assistance
Affordable Care Options in RI

 

South Carolina

The Community Choice Waiver from South Carolina Medicaid covers home care and other support services for eligible individuals in the state.  The Waiver will also pay for home accessibility modifications to allow an individual greater independence and reduce their need for care services.  Another option is Community Supports.

 

Older Americans Act

Other Financial Assistance

Affordable Care Options in SC

 

South Dakota

In South Dakota there are two Medicaid programs relevant to the elderly that cover home care services.  The HCBS Waiver for the Elderly will pay for adult day care, home chore services and home modifications to decrease the participant's reliance on others.  It should be noted that 24/7 personal care at home is not an included benefit.  There is also SD Medicaid Personal Care Services.

 

Other Financial Assistance
Homemaker, Chore Services & Respite
Affordable Care Options in SD

 

Tennessee

Tennessee recently replaced its Elderly and Disabled HCBS Waiver which covered home care with the CHOICES in Long Term Care program.  The new program also covered home care in lieu of nursing home placement.

 

Other Financial Assistance

Homemaker & Adult Day Care

OPTIONS for Community Living
Affordable Care Options in TN

 

Texas

Texas now offers a statewide, comprehensive Medicaid program called the STAR Plus Waiver that helps elderly individuals remain living outside of nursing homes and helps families with caregiving activities.  Also new is the Community First Choice Program.  The former programs titled Primary Home Care, the CBA Waiver and Day Activity and Health Services program are no longer valid options.

 

CCAD Program
Community Attendant Services
DADS Services to Assist Independent Living
In-Home and Family Support Program
Other Financial Assistance
Affordable Care Options in TX

 

Utah

The Aging Waiver for Individuals 65 and Older is a Utah Medicaid waiver that covers a very wide range of services that support the elderly participant directly or support their primary caregivers to help them remain living in their home.  Services include personal care, home delivered meals, respite care, home accessibility modifications and other supports. The New Choices Waiver helps the elderly move from nursing homes into private homes.

 

The Alternatives Program
Other Financial Assistance
Affordable Care Options in UT

 

Vermont

In Vermont, Medicaid (or Green Mountain Care) has 4 programs that help with home care.  The Choices for Care program is a Medicaid waiver that covers personal care, adult day care but has largely been replaced by the more comprehensive Global Commitment to Health Medicaid Waiver.  Also available is Attendant Services.  This option is more focused on providing direct support to the individual and less to their caregivers. Finally, for technology dependent persons, there is the High Technology Home Care Program.

 

Rx Assistance

Dementia Care Respite Grants

Other Financial Assistance
Affordable Care Options in VT

 

Virginia

In Virginia there is a Medicaid waiver called the Elderly or Disabled Waiver with Consumer Direction.  Under this program participants can receive a variety of home care services such as personal care, adult day care, respite care as well as other forms of assistance.  Most of these services can be self-directed should the participant choose to do so.  Also worth mentioning is the Technology Assisted Waiver as it helps to pay for technology that enables an individual to continue living independently at home. 

 

Virginia Adult Services
Other Financial Assistance
Affordable Care Options in VA

 

Washington

Washington State offers several Medicaid options that help assist individuals in their homes.  COPES and the Medically Needy In-Home Waiver provide similar services such as personal care and adult day care as well as other supports.  The Medicaid Personal Care option offers a more narrow range of care options but allows for a degree of consumer choice in care providers.  The New Freedom Program combines the best of both options but is only available in King County.  Lastly, a new program in 2015 is the Community First Choice Option.

 

Volunteer Chore Services
Other Financial Assistance
Nurse Delegation Program
Affordable Care Options in WA

 

West Virginia

West Virginia has two Medicaid programs that provide assistance at home.  The Aged and Disabled Waiver provides personal care and home maintenance services as well as transportation assistance and other minor supports.  Medicaid Personal Care is limited to assistance with the activities of daily living.

 

Ron Yost Program
Family Alzheimer’s In-Home
Lighthouse Program
WV In Home Services (for the elderly)
Other Financial Assistance
Affordable Care Options in WV

 

Wisconsin

Wisconsin offers a variety of programs intended to provide help to the elderly in their homes. These are designed to reduce nursing home placements.  The first two are called CIP-II and COP-W  Another option is the IRIS Program which encourages participants to self-direct their care.  However, the IRIS Program may not be available statewide. The Medicaid State Plan offers Personal Care.  Lastly, there is Family Care and Partnership.

 

Community Options Program
Alzheimer's Family & Caregiver Support

Other Financial Assistance
Affordable Care Options in WI

 

Wyoming

The Wyoming Home and Community Based Services Waiver, whose objective is to lower the number of nursing home placements, offers home care services for eligible participants.  These include personal care, adult day care, transportation, meals and other supports. 

 

Wyoming CBIHS
Other Financial Assistance
Affordable Care Options in WY

 

 

 

Other Financial Assistance Options

For many families, Medicaid is not the best source of funds to pay for home care.  For families with an immediate need, the Medicaid application and approval process can be time-consuming.  Medicaid waivers, which are usually the best Medicaid option for home care, are not entitlements.  There are a limited number of slots available for each waiver and waiting lists in some states can extend for many months.  Families in this situation should consider how to reduce home care costs and find other sources of financial assistance besides Medicaid by using our Resource Locator Tool.

 

Finding Affordable Home Care
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