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Does Medicaid Pay for In-Home Care?

March 7, 2022

Medicaid is a government-funded program that helps millions of people pay for healthcare costs. This blog post will discuss “Does Medicaid Pay for In-Home Care” in Illinois. We will also provide a step-by-step guide on enrolling and the program’s benefits.

Does Medicaid Pay for In-Home Care?
Yes, Medicaid now covers in-home care in all 50 states. The Federal Government establishes certain criteria, but it gives states substantial discretion in the services they provide. This is especially true for home care.
Medicaid’s home care services are state-administered. Each state has different requirements for eligibility. Each state establishes its asset and income limits because Medicaid is only available to low-income persons. Therefore it is important to remember that CCU determines the eligibility.

What Are Eligibility Requirements for Receiving in Home Care? (As Determined by IDOA)

These are the general requirements as defined by the Illinois Department on Aging. Though, there are always exceptions in place for the eldercare services. So you should always apply for home care services through a Home Care agency like Home Care powered by AUAF and receive your assessment from a CCU before trying to determine your eligibility.

  • 60 years old or older
  • U.S. citizens or legal aliens
  • Are residents of Illinois
  • Income and assets: Have non-exempt assets of $17,500 or less (Your home, car, or personal furnishings are classified as exempt assets.)
  • Have an assessed need that qualifies for Medicaid for long-term care (at risk for nursing facility placement as measured by the Determination of Need (DON) assessment.

The Role of Care Coordination Unit/CCU

It’s critical to note that home care providers in Illinois act as a link between the Government and clients. Homecare Powered by AUAF trains and deploys Home Caregivers. However, a CCU determines whether or not an individual qualifies for assistance by Medicaid or other methods.

How to Apply for Medicaid Through a Home Care Agency?

Home Care agencies like Home Care powered by AUAF are the best place to approach getting Home Care aides for your older adults. These services are available on a case-by-case basis under an expert case manager.

  • An evaluation by the state to determine what kind of home care services is necessary for the elder.
  • The older adult will also have to answer some financial questions to qualify for the program. Depending on the level of assistance for the elder, a care plan will be created.
  • The care plan contains a detailed description of the required services and the number of hours per week an in-home care provider will work. The home care agency is notified, and an at-home caregiver is scheduled.
  • The older person will always approve the caregiver that provides them services.
  • The care plan will be updated annually, but it can be adjusted as necessary to meet changing needs.

Community Care Program Services

The Illinois Department on Aging’s Community Care Program established in 1979 by Public Act 81-202. It assists older adults who may otherwise require nursing home care may continue to live at home by offering both in-home and community-based services.
The following are some of the Medicaid-funded Community Care Program’s services.

Home care and personal care services:

These are two forms of non-medical or custodial assistance that can provide people to carry out their everyday tasks or instrumental activities of daily living. Bathing, grooming, eating, and mobility are examples of this type of service. In general, Medicaid may pay for in-home personal care in several states.

Home Maker Services :

Apart from this, the Homecare aides also assist with services, including basic household chores like cleaning, laundry, shopping for food, and other essentials.

Medicaid Payments to Family Members for Providing Home Care

For quite some time, the government and state governments have recognized the importance of family members providing unpaid care for the elderly. In a few states in the Medicaid fund system, pilot government programs are known as “Cash and Counseling” were launched in the mid-1990s.

The Medicaid office found that many people were struggling to take care of their elderly relatives while also working full time. So the office decided to offer financial assistance to family caregivers. This would help take care of two problems at the same time.

In the years since the term cash and counseling has been replaced in many places by “consumer-directed care” or “self-directed care.” The Cash and Counseling Program is now part of the Community Care Program through the Illinois Department of Aging in Illinois.

Documentation Required for Prospective Caregivers Includes a Copy of:

  • Social Security Card
  • Medicaid or Medicare card
  • State ID with updated address
  • High School Diploma or Experience Certificate

You’ll also need to complete the required (paid!) training and meet with agency staff to discuss your family’s care plan. Especially determining what type of services you’ll provide and how many hours per week or month you’ll spend. Ready to go? Call Home Care Powered by AUAF at 773-274-9262 today.

Learn  More about How to become a caregiver for family members.

Home Care Powered by AUAF — Elderly Care Services

Our in-home caregivers get training to meet you or your loved one’s needs in various tasks. We have been a trusted home care agency for over 25 years. Above all, Home Care Powered by AUAF can provide the elderly care services you and your loved ones need.

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