West Virginia’s Lighthouse Program was created to provide services to seniors who require assistance with the 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.
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 a month). Caregivers are hired by the county and receive training.
Under this program (in most West Virginia counties), certain family members are eligible to be paid caregivers for their loved ones. Spouses are excluded, but the adult children are not. 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 referred to as “self-directed services” by Medicaid.
To qualify for the Lighthouse Program in 2023, participants must meet the following criteria:
The Lighthouse Program provides up to a maximum of 60 hours of assistance each month in the following four areas:
The cost of services is determined on a sliding scale based on the annual income of the individual receiving care, as well as the income of his or her spouse. In addition, one can deduct medical expenses, such as health insurance premiums and prescription medications, from their annual income, effectively lowering their considered income. Hourly fees charged to the individual range from $1.50 – $16.
Note the information in the table below is revised annually and is based on 200% of U.S. Poverty Guidelines. (The figures below were accurate as of February 2022 and will be updated when new figures for 2023 are available.)
Individual Annual Income
Individual & Spouse Annual Income
|$27,180 and under||$36,620 and under||$1.50|
|Up to $32,180||Up to $43,620||$2.00|
|Up to $37,180||Up to $50,620||$4.00|
|Up to $42,180||Up to $57,620||$6.00|
|Up to $47,180||Up to $64,620||$8.00|
|Up to $52,180||Up to $71,620||$10.00|
|Up to $57,180||Up to $78,620||$12.00|
|Up to $62,180||Up to $85,620||$14.00|
|Over $62,181||Over $85,621||$16.00|