West Virginia’s Lighthouse Program was created to provide services to seniors who require assistance with the activities and instrumental activities of daily living but do not qualify for assistance from Medicaid. The program is funded by the state and managed at the county level. The Lighthouse Program provides four areas of support to the elderly (ages 60+) in their homes: personal care services, mobility assistance, nutrition and housekeeping / chore services.
Under this program (in most WV counties), certain family members are eligible to be paid caregivers for their loved ones.
The Lighthouse Program works as follows; a Plan of Care is developed by a medical professional and county caseworker in which the specific tasks and frequency of assistance is determined. (The maximum number of hours a program participant can receive is 60 hours / month). Caregivers are hired by the county and receive training. It is worth noting that certain family members of the individual in need of care can be hired to provide care services. Spouses are excluded from being paid caregivers, but the adult children are not. Make note, this is based on county policy, as some counties allow family members to provide care, while others do not.
This model of allowing the care recipient to choose their paid caregiver is sometimes, inaccurately, referred to as Cash and Counseling. That term is specific to Medicaid programs. A more appropriate term is Consumer Directed or Self Directed.
To qualify for the Lighthouse Program in 2020, participants must meet the following criteria:
Individuals cannot also be receiving assistance from Medicaid, such as the Personal Care Program and the Aged and Disabled Waiver. One can, however, receive services from both the Lighthouse Program and the Family Alzheimer’s In-Home Respite Program, given services are not duplicated. Services received under these programs must be done so within the state’s borders.
The Lighthouse Program provides up to a maximum of 60 hours of assistance each month in the following four areas:
1) Assistance with personal care, such as bathing, dressing, and toileting.
2) Mobility assistance, such as walking or transferring oneself from lying or sitting to standing.
3) Nutritional assistance, which includes activities such as meal planning, grocery shopping, and food preparation.
4) Homemaker services such as housekeeping, changing bed linens, dishwashing, and laundry.
The cost of services is determined on a sliding scale based on the annual income of the individual receiving care, as well as his or her spouse. Hourly fees charged to the individual range from $1.50 – $16. Their assets are not considered factors, just the care recipient’s and his or her spouses’ income.
Note the information in the table below may be revised annually. The reader should not consider these income levels in absolute terms, but instead should consider this an approximate guide. (The figures below were accurate as of February 2020). In addition, one can deduct medical expenses, such as health insurance premiums and prescription medications from their annual income, effectively lowering their considered income.
Individual Annual Income
Individual & Spouse Annual Income
|$25,520 and under||$34,480 and under||$1.50|
|Up to $30,520||Up to $41,480||$2.00|
|Up to $35,520||Up to $48,480||$4.00|
|Up to $40,520||Up to $55,480||$6.00|
|Up to $45,520||Up to $62,480||$8.00|
|Up to $50,520||Up to $69,480||$10.00|
|Up to $55,520||Up to $76,480||$12.00|
|Up to $60,520||Up to $83,480||$14.00|
|Over $60,521||Over $83,481||$16.00|