Page Reviewed / Updated - Feb. 2019
The Utah State Plan Medicaid Personal Care Services provides in-home care to low-income seniors so that they can continue living independently in the community. Assistance with everyday activities, like eating, dressing, grooming, mobility, and meal preparation, help to prevent unnecessary nursing home placements, as well as delay the need for placement.
Personal Care Services is part of the Utah State Medicaid plan. There are no waiting lists for the services, as this is an entitlement program.
There is no specific age requirement in order to qualify for personal care services. However, one must be a resident of Utah and must be on Medicaid or be eligible for Medicaid. Applicants’ assistance needs cannot be so severe that they are limited to their bed. One’s physician must deem personal care services necessary, and a licensed registered nurse performs an assessment in order to determine one’s level of functioning. The individual must demonstrate an inability to perform at least two of the following activities:
If an individual is not currently on Medicaid, he or she must apply. For those 65 years of age or older, the income and asset eligibility requirements are as follows. As of 2019, an individual cannot have an income that exceeds $12,490 / year, or in other words, more than $1,041 per month. For married couples, with both spouses applying for services, the annual income limit is $16,910. This equals a monthly income limit of $1,409. The asset limit for a single individual is $2,000, and the limit is $3,000 for a married couple. However, certain items, such as one’s primary home, is considered exempt, given the individual (or their spouse) lives in it and it is valued under $585,000.
Some individuals who are over these financial limits may be able to become eligible for the services available through Utah Medicaid by working with a planner who specializes in helping to access one’s benefits. If you know someone who is unable to afford their care, then you should read more about Medicaid planning services for them.
Based on a care plan, which is prescribed by a doctor, several personal care services may be available up to 60 hours each month. Services can be provided by a state-approved home care agency or by an individual of the program participant’s choosing, given the individual meets Medicaid’s provider qualifications.
If an individual is currently enrolled in Medicaid in Utah, they should contact their local Department of Human Services (DWS) office to learn more about personal care services or to apply for this option.
If an individual is not currently on Medicaid, one must apply for Medicaid. This can be done here or by going to your local DWS office. Click here to find the office located closest to you. For more information, call 866-435-7414. One can also learn more about the State Plan Medicaid Personal Care Services program via the Utah Medicaid Provider Manual.