{ "canonical_url": "https://planbeforeyoudie.app/guides/paid-family-caregiver-programs-by-state", "columns": [ "id", "scope", "code", "state", "program", "pays_for", "family_payment", "apply", "program_url", "pays_for_url", "family_payment_url", "apply_url", "office_url", "complete_row_json", "fact_slugs", "source_urls", "publishers", "source_provenance_json", "checked_on", "next_check_on" ], "content_sha256": "9ce2bd72f53ac67efbf45abcecae8314b49a394aa9545aef93c20375320b5c4c", "dataset_version": "1", "license": "https://creativecommons.org/licenses/by/4.0/", "name": "Paid family caregiver programs by state", "note": "General information, not legal advice. Each row links to the official source we checked.", "publisher": "Plan Before You Die", "rows": [ { "apply": "Contact Alabama AGE-LINE at 1-800-243-5463 about Personal Choices enrollment.", "apply_url": "https://alabamaageline.gov/wp-content/uploads/2022/02/Personal-Choices-Brochure-FINAL.pdf", "checked_on": "2026-10-23", "code": "AL", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-al-enrollment-contact\"], \"text\": \"Contact Alabama AGE-LINE at 1-800-243-5463 about Personal Choices enrollment.\", \"url\": \"https://alabamaageline.gov/wp-content/uploads/2022/02/Personal-Choices-Brochure-FINAL.pdf\"}, \"code\": \"AL\", \"facts\": [\"s26-al-enrollment-contact\", \"s26-al-personal-choices\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://alabamaageline.gov/personal-choices/\"}, \"id\": \"care-al\", \"office_facts\": [], \"office_url\": \"https://alabamaageline.gov/personal-choices/\", \"pays_for\": {\"facts\": [\"s26-al-personal-choices\"], \"text\": \"An allotted budget for personal care and items that sustain or improve health, for enrolled clients.\", \"url\": \"https://alabamaageline.gov/personal-choices/\"}, \"program\": {\"facts\": [\"s26-al-personal-choices\"], \"text\": \"Personal Choices\", \"url\": \"https://alabamaageline.gov/personal-choices/\"}, \"scope\": \"state\", \"state\": \"Alabama\"}", "fact_slugs": "s26-al-enrollment-contact; s26-al-personal-choices", "family_payment": "Not published", "family_payment_url": "https://alabamaageline.gov/personal-choices/", "id": "care-al", "next_check_on": "2027-01-23", "office_url": "https://alabamaageline.gov/personal-choices/", "pays_for": "An allotted budget for personal care and items that sustain or improve health, for enrolled clients.", "pays_for_url": "https://alabamaageline.gov/personal-choices/", "program": "Personal Choices", "program_url": "https://alabamaageline.gov/personal-choices/", "publishers": "Alabama Department of Senior Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Alabama Department of Senior Services\", \"quote\": \"For more information about Personal Choices enrollment, contact 1-800-AGE-LINE (243-5463).\", \"slug\": \"s26-al-enrollment-contact\", \"url\": \"https://alabamaageline.gov/wp-content/uploads/2022/02/Personal-Choices-Brochure-FINAL.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Alabama Department of Senior Services\", \"quote\": \"Personal Choices provides self-directed home and community-based services. It is designed to offer older adults and individuals with disabilities more choices and flexibility in the type of care they receive. Clients enrolled in the program can use their allotted budgets to get the personal care they need. They can also save for other items that sustain or improve their health.\", \"slug\": \"s26-al-personal-choices\", \"url\": \"https://alabamaageline.gov/personal-choices/\"}]", "source_urls": "https://alabamaageline.gov/personal-choices/; https://alabamaageline.gov/wp-content/uploads/2022/02/Personal-Choices-Brochure-FINAL.pdf", "state": "Alabama" }, { "apply": "Read the state PCS page and its PCA-08 application instructions.", "apply_url": "https://health.alaska.gov/en/services/pcs/", "checked_on": "2026-10-23", "code": "AK", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ak-pcs-application-route\"], \"text\": \"Read the state PCS page and its PCA-08 application instructions.\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, \"code\": \"AK\", \"facts\": [\"s26-ak-consumer-directed-pcs\", \"s26-ak-pcs-application-route\", \"s26-ak-pcs-services\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, \"id\": \"care-ak\", \"office_facts\": [], \"office_url\": \"https://health.alaska.gov/en/services/pcs/\", \"pays_for\": {\"facts\": [\"s26-ak-pcs-services\"], \"text\": \"Help with bathing, dressing, eating, shopping, laundry and light housework through PCS agencies.\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, \"program\": {\"facts\": [\"s26-ak-consumer-directed-pcs\"], \"text\": \"Consumer-Directed Personal Care Services\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, \"scope\": \"state\", \"state\": \"Alaska\"}", "fact_slugs": "s26-ak-consumer-directed-pcs; s26-ak-pcs-application-route; s26-ak-pcs-services", "family_payment": "Not published", "family_payment_url": "https://health.alaska.gov/en/services/pcs/", "id": "care-ak", "next_check_on": "2027-01-23", "office_url": "https://health.alaska.gov/en/services/pcs/", "pays_for": "Help with bathing, dressing, eating, shopping, laundry and light housework through PCS agencies.", "pays_for_url": "https://health.alaska.gov/en/services/pcs/", "program": "Consumer-Directed Personal Care Services", "program_url": "https://health.alaska.gov/en/services/pcs/", "publishers": "Alaska Department of Health", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Alaska Department of Health\", \"quote\": \"Consumer-Directed PCS Program (CDPCA) In this program, individuals manage their own care. They can choose, hire, supervise, and even fire their personal care assistant. The agency provides administrative support for both the individual and the assistant.\", \"slug\": \"s26-ak-consumer-directed-pcs\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Alaska Department of Health\", \"quote\": \"See Instructions for Completing PCA-08 Application for details on how to apply.\", \"slug\": \"s26-ak-pcs-application-route\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Alaska Department of Health\", \"quote\": \"PCS offers help with daily tasks like bathing, dressing, and eating, as well as other activities like shopping, laundry, and light housework. These services are available across Alaska through private agencies.\", \"slug\": \"s26-ak-pcs-services\", \"url\": \"https://health.alaska.gov/en/services/pcs/\"}]", "source_urls": "https://health.alaska.gov/en/services/pcs/", "state": "Alaska" }, { "apply": "Ask the ALTCS case manager about member-directed options.", "apply_url": "https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html", "checked_on": "2026-10-23", "code": "AZ", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-az-case-manager-route\"], \"text\": \"Ask the ALTCS case manager about member-directed options.\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}, \"code\": \"AZ\", \"facts\": [\"s26-az-case-manager-route\", \"s26-az-member-directed-scope\", \"s26-az-sdac-family-limits\", \"s26-az-sdac-option\"], \"family_payment\": {\"facts\": [\"s26-az-sdac-family-limits\"], \"text\": \"Family, friends and neighbors may be hired. SDAC excludes a spouse, a parent of a minor child and, in most cases, a legal guardian. A spouse must use the separate agency employment route.\", \"url\": \"https://www.azahcccs.gov/Members/Downloads/ALTCS/SDACbrochure.pdf\"}, \"id\": \"care-az\", \"office_facts\": [], \"office_url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\", \"pays_for\": {\"facts\": [\"s26-az-member-directed-scope\"], \"text\": \"Member-directed delivery of attendant care, personal care and homemaker services. Most ALTCS members must live in their own home.\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}, \"program\": {\"facts\": [\"s26-az-sdac-option\"], \"text\": \"Self Directed Attendant Care through ALTCS\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}, \"scope\": \"state\", \"state\": \"Arizona\"}", "fact_slugs": "s26-az-case-manager-route; s26-az-member-directed-scope; s26-az-sdac-family-limits; s26-az-sdac-option", "family_payment": "Family, friends and neighbors may be hired. SDAC excludes a spouse, a parent of a minor child and, in most cases, a legal guardian. A spouse must use the separate agency employment route.", "family_payment_url": "https://www.azahcccs.gov/Members/Downloads/ALTCS/SDACbrochure.pdf", "id": "care-az", "next_check_on": "2027-01-23", "office_url": "https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html", "pays_for": "Member-directed delivery of attendant care, personal care and homemaker services. Most ALTCS members must live in their own home.", "pays_for_url": "https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html", "program": "Self Directed Attendant Care through ALTCS", "program_url": "https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html", "publishers": "Arizona Health Care Cost Containment System", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arizona Health Care Cost Containment System\", \"quote\": \"ALTCS members or their representatives are encouraged to contact their case manager to learn more about and consider member-directed options.\", \"slug\": \"s26-az-case-manager-route\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arizona Health Care Cost Containment System\", \"quote\": \"Member directed models or options allow members to have more control over how certain services are provided, including services like attendant care, personal care and homemaker services. The models are not a service, but rather define the way in which services are delivered. Member-directed options are available to most Arizona Long Term Care System (ALTCS) members who live in their own home. The options are not available to members who live in an alternative residential setting or nursing facility.\", \"slug\": \"s26-az-member-directed-scope\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arizona Health Care Cost Containment System\", \"quote\": \"You can hire the attendant you choose including family members, friends, and neighbors, with a few exceptions: • Your spouse • Your parents if you are under 18 • Your legal guardians, in most cases If you would like your spouse to be your paid caregiver, your spouse must be hired through an agency in order to receive compensation.\", \"slug\": \"s26-az-sdac-family-limits\", \"url\": \"https://www.azahcccs.gov/Members/Downloads/ALTCS/SDACbrochure.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arizona Health Care Cost Containment System\", \"quote\": \"Self Directed Attendant Care (SDAC) is a member-directed option that has been available to members since 2008. Under the SDAC option, the member or member’s legal guardian serves as the legal employer of the paid caregiver and assumes all employer-based responsibilities. The member or member’s legal guardian is supported by a Fiscal Employer Agent that takes care of the taxes, payroll withholding and paychecks for the caregiver.\", \"slug\": \"s26-az-sdac-option\", \"url\": \"https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html\"}]", "source_urls": "https://www.azahcccs.gov/Members/AlreadyCovered/CoveredServices.html; https://www.azahcccs.gov/Members/Downloads/ALTCS/SDACbrochure.pdf", "state": "Arizona" }, { "apply": "The state FAQ directs new self-direction applicants to PPL at 1-800-256-2913 for assessment and enrollment.", "apply_url": "https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/self-direction-independentchoices-faq/", "checked_on": "2026-10-23", "code": "AR", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ar-assessment-enrollment\"], \"text\": \"The state FAQ directs new self-direction applicants to PPL at 1-800-256-2913 for assessment and enrollment.\", \"url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/self-direction-independentchoices-faq/\"}, \"code\": \"AR\", \"facts\": [\"s26-ar-assessment-enrollment\", \"s26-ar-family-caregiver-limits\", \"s26-ar-independentchoices-services\"], \"family_payment\": {\"facts\": [\"s26-ar-family-caregiver-limits\"], \"text\": \"Friends or family can provide paid care. A spouse or anyone legally responsible for the participant, such as a guardian, cannot be paid under IndependentChoices.\", \"url\": \"https://humanservices.arkansas.gov/wp-content/uploads/Medical-Services-Appendices-4.1.25.pdf\"}, \"id\": \"care-ar\", \"office_facts\": [], \"office_url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/\", \"pays_for\": {\"facts\": [\"s26-ar-independentchoices-services\", \"s26-ar-family-caregiver-limits\"], \"text\": \"A personal-assistance allowance. Participants manage workers and can use part of the allowance for other care and independence items.\", \"url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/\"}, \"program\": {\"facts\": [\"s26-ar-independentchoices-services\"], \"text\": \"IndependentChoices and ARChoices self-direction\", \"url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/\"}, \"scope\": \"state\", \"state\": \"Arkansas\"}", "fact_slugs": "s26-ar-assessment-enrollment; s26-ar-family-caregiver-limits; s26-ar-independentchoices-services", "family_payment": "Friends or family can provide paid care. A spouse or anyone legally responsible for the participant, such as a guardian, cannot be paid under IndependentChoices.", "family_payment_url": "https://humanservices.arkansas.gov/wp-content/uploads/Medical-Services-Appendices-4.1.25.pdf", "id": "care-ar", "next_check_on": "2027-01-23", "office_url": "https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/", "pays_for": "A personal-assistance allowance. Participants manage workers and can use part of the allowance for other care and independence items.", "pays_for_url": "https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/", "program": "IndependentChoices and ARChoices self-direction", "program_url": "https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/", "publishers": "Arkansas Department of Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arkansas Department of Human Services\", \"quote\": \"A: You can enroll through our FMS vendor, PPL. To begin the assessment and enrollment process, please reach out to PPL’s customer service toll-free number: +1(800) 256-2913\", \"slug\": \"s26-ar-assessment-enrollment\", \"url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/self-direction-independentchoices-faq/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arkansas Department of Human Services\", \"quote\": \"IndependentChoices allows a Health Care recipient in need of personal care or ARChoices attendant care to hire his or her own caregiver. The participant is given an allowance based on medical need to pay the caregiver. Caregivers are often friends or family members. A spouse or anyone legally responsible for the participant (e.g., a guardian) cannot be the paid caregiver.\", \"slug\": \"s26-ar-family-caregiver-limits\", \"url\": \"https://humanservices.arkansas.gov/wp-content/uploads/Medical-Services-Appendices-4.1.25.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Arkansas Department of Human Services\", \"quote\": \"In the state of Arkansas, there are currently two (2) programs offering the self-direction model: IndependentChoices (1915j State Plan Services) ARChoices (1915c HCBS Waiver Services) Participants on either of these programs choosing the self-direction model are afforded the responsibility to recruit, hire, train and supervise the individuals who furnish their services. The Centers for Medicare & Medicaid Services (CMS) calls this “employer authority.” Participants may also have decision-making authority over how the Medicaid funds in a budget are spent. CMS refers to this as “budget authority.” Self-direction services give Medicaid recipients another choice of how to receive personal assistance services in their home. Participants and/or representatives have more control of how their personal assistance needs are met. They receive a cash allowance for their personal care assistance services and can decide how it will be spent. They may choose to use their entire allowance to pay their personal assistant or choose to use part of their allowance to purchase other items that support their care and independence.\", \"slug\": \"s26-ar-independentchoices-services\", \"url\": \"https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/\"}]", "source_urls": "https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/; https://humanservices.arkansas.gov/divisions-shared-services/aging-adult-behavioral-health-services/self-direction-independent-choices/self-direction-independentchoices-faq/; https://humanservices.arkansas.gov/wp-content/uploads/Medical-Services-Appendices-4.1.25.pdf", "state": "Arkansas" }, { "apply": "Submit an IHSS application to the county IHSS office through the state program page.", "apply_url": "https://www.cdss.ca.gov/in-home-supportive-services", "checked_on": "2026-10-23", "code": "CA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ca-county-application\"], \"text\": \"Submit an IHSS application to the county IHSS office through the state program page.\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, \"code\": \"CA\", \"facts\": [\"s26-ca-authorized-services\", \"s26-ca-county-application\", \"s26-ca-ihss-program\", \"s26-ca-relative-provider\"], \"family_payment\": {\"facts\": [\"s26-ca-relative-provider\"], \"text\": \"After eligibility is established, a friend or relative may provide care. The provider must complete all required enrollment steps before starting work.\", \"url\": \"https://www.cdss.ca.gov/agedblinddisabled/res/factsheets/ihss_program_overview_color.pdf\"}, \"id\": \"care-ca\", \"office_facts\": [], \"office_url\": \"https://www.cdss.ca.gov/in-home-supportive-services\", \"pays_for\": {\"facts\": [\"s26-ca-ihss-program\", \"s26-ca-authorized-services\"], \"text\": \"In-home assistance with county-authorized services and monthly hours after an individual assessment.\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, \"program\": {\"facts\": [\"s26-ca-ihss-program\"], \"text\": \"In-Home Supportive Services\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, \"scope\": \"state\", \"state\": \"California\"}", "fact_slugs": "s26-ca-authorized-services; s26-ca-county-application; s26-ca-ihss-program; s26-ca-relative-provider", "family_payment": "After eligibility is established, a friend or relative may provide care. The provider must complete all required enrollment steps before starting work.", "family_payment_url": "https://www.cdss.ca.gov/agedblinddisabled/res/factsheets/ihss_program_overview_color.pdf", "id": "care-ca", "next_check_on": "2027-01-23", "office_url": "https://www.cdss.ca.gov/in-home-supportive-services", "pays_for": "In-home assistance with county-authorized services and monthly hours after an individual assessment.", "pays_for_url": "https://www.cdss.ca.gov/in-home-supportive-services", "program": "In-Home Supportive Services", "program_url": "https://www.cdss.ca.gov/in-home-supportive-services", "publishers": "California Department of Social Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"California Department of Social Services\", \"quote\": \"If approved, you will be notified of the services and the number of hours per month which have been authorized for you. If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services.\", \"slug\": \"s26-ca-authorized-services\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"California Department of Social Services\", \"quote\": \"To apply for IHSS, complete an application and submit it to your county IHSS Office\", \"slug\": \"s26-ca-county-application\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"California Department of Social Services\", \"quote\": \"The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind, and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes.\", \"slug\": \"s26-ca-ihss-program\", \"url\": \"https://www.cdss.ca.gov/in-home-supportive-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"California Department of Social Services\", \"quote\": \"Once eligibility is established, you can hire one or more people to provide your care. A friend or relative may serve as your care provider, or a referral may be obtained through the IHSS Public Authority Caregiver Registry. Your care provider must complete all the necessary provider enrollment steps prior to starting work.\", \"slug\": \"s26-ca-relative-provider\", \"url\": \"https://www.cdss.ca.gov/agedblinddisabled/res/factsheets/ihss_program_overview_color.pdf\"}]", "source_urls": "https://www.cdss.ca.gov/agedblinddisabled/res/factsheets/ihss_program_overview_color.pdf; https://www.cdss.ca.gov/in-home-supportive-services", "state": "California" }, { "apply": "Current Health First Colorado members should contact their local case management agency. Others can use the state Medicaid application route.", "apply_url": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "checked_on": "2026-10-23", "code": "CO", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-co-cma-application-route\"], \"text\": \"Current Health First Colorado members should contact their local case management agency. Others can use the state Medicaid application route.\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, \"code\": \"CO\", \"facts\": [\"s26-co-cdass-cfc\", \"s26-co-cma-application-route\", \"s26-co-paid-family-choice\"], \"family_payment\": {\"facts\": [\"s26-co-paid-family-choice\"], \"text\": \"Family members, friends or others may be paid caregivers, with restrictions. Confirm the relationship and service conditions with the case management agency.\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, \"id\": \"care-co\", \"office_facts\": [], \"office_url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\", \"pays_for\": {\"facts\": [\"s26-co-cdass-cfc\"], \"text\": \"Personal care, homemaker and health maintenance services managed by the member.\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, \"program\": {\"facts\": [\"s26-co-cdass-cfc\"], \"text\": \"Consumer-Directed Attendant Support Services under Community First Choice\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, \"scope\": \"state\", \"state\": \"Colorado\"}", "fact_slugs": "s26-co-cdass-cfc; s26-co-cma-application-route; s26-co-paid-family-choice", "family_payment": "Family members, friends or others may be paid caregivers, with restrictions. Confirm the relationship and service conditions with the case management agency.", "family_payment_url": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "id": "care-co", "next_check_on": "2027-01-23", "office_url": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "pays_for": "Personal care, homemaker and health maintenance services managed by the member.", "pays_for_url": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "program": "Consumer-Directed Attendant Support Services under Community First Choice", "program_url": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "publishers": "Colorado Department of Health Care Policy and Financing", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Colorado Department of Health Care Policy and Financing\", \"quote\": \"Consumer-Directed Attendant Support Services (CDASS) lets you direct and manage the attendants who provide your personal care, homemaker, and health maintenance services. CDASS is service delivery options under Community First Choice\", \"slug\": \"s26-co-cdass-cfc\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Colorado Department of Health Care Policy and Financing\", \"quote\": \"If you are already enrolled in Health First Colorado, contact your local Case Management Agency (CMA) which specializes in determining eligibility, planning care, and providing referrals. If you are NOT yet enrolled in Health First Colorado Apply Now\", \"slug\": \"s26-co-cma-application-route\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Colorado Department of Health Care Policy and Financing\", \"quote\": \"Choose family members, friends, or others (with some restrictions) as paid caregivers\", \"slug\": \"s26-co-paid-family-choice\", \"url\": \"https://hcpf.colorado.gov/consumer-directed-attendant-support-services\"}]", "source_urls": "https://hcpf.colorado.gov/consumer-directed-attendant-support-services", "state": "Colorado" }, { "apply": "Call the PCA program at 1-800-445-5394 and select option 4 for a referral.", "apply_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "checked_on": "2026-10-23", "code": "CT", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ct-pca-referral-route\"], \"text\": \"Call the PCA program at 1-800-445-5394 and select option 4 for a referral.\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, \"code\": \"CT\", \"facts\": [\"s26-ct-adult-family-living\", \"s26-ct-afl-relative-limits\", \"s26-ct-pca-published-age-scope\", \"s26-ct-pca-referral-route\"], \"family_payment\": {\"facts\": [\"s26-ct-afl-relative-limits\"], \"text\": \"The primary caregiver may be a relative who is not a legally liable relative. Confirm the specific relationship with DSS.\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, \"id\": \"care-ct\", \"office_facts\": [], \"office_url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\", \"pays_for\": {\"facts\": [\"s26-ct-adult-family-living\"], \"text\": \"Personal care, homemaker, chore, attendant services and meal preparation from a primary caregiver in the same home.\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, \"program\": {\"facts\": [\"s26-ct-adult-family-living\", \"s26-ct-pca-published-age-scope\"], \"text\": \"Adult Family Living in the PCA waiver program. Published PCA ages are 18 through 64.\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, \"scope\": \"state\", \"state\": \"Connecticut\"}", "fact_slugs": "s26-ct-adult-family-living; s26-ct-afl-relative-limits; s26-ct-pca-published-age-scope; s26-ct-pca-referral-route", "family_payment": "The primary caregiver may be a relative who is not a legally liable relative. Confirm the specific relationship with DSS.", "family_payment_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "id": "care-ct", "next_check_on": "2027-01-23", "office_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "pays_for": "Personal care, homemaker, chore, attendant services and meal preparation from a primary caregiver in the same home.", "pays_for_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "program": "Adult Family Living in the PCA waiver program. Published PCA ages are 18 through 64.", "program_url": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "publishers": "Connecticut Department of Social Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Connecticut Department of Social Services\", \"quote\": \"Adult Family Living This service is for waiver participants who live in a home with a primary caretaker who furnishes personal care and supportive services such as homemaker, chore, attendant services, and meal preparation.\", \"slug\": \"s26-ct-adult-family-living\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Connecticut Department of Social Services\", \"quote\": \"The primary caregiver may be a relative of the client as long as they are not a legally liable relative.\", \"slug\": \"s26-ct-afl-relative-limits\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Connecticut Department of Social Services\", \"quote\": \"To qualify for personal care attendant services you must: • Be between the ages of 18 and 64\", \"slug\": \"s26-ct-pca-published-age-scope\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Connecticut Department of Social Services\", \"quote\": \"THE PERSONAL CARE ATTENDANT PROGRAM Call Toll-Free: 1-800-445-5394 Select option 4 to make a referral to the program.\", \"slug\": \"s26-ct-pca-referral-route\", \"url\": \"https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27\"}]", "source_urls": "https://portal.ct.gov/dss/-/media/departments-and-agencies/dss/health-and-home-care/community-options/the-personal-care-attendant-program.pdf?rev=d69a2d15c4fd4230a9a43f3b69ea6e27", "state": "Connecticut" }, { "apply": "Contact the Delaware ADRC at 1-800-223-9074 to discuss available in-home services.", "apply_url": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "checked_on": "2026-10-23", "code": "DE", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-de-adrc-contact\"], \"text\": \"Contact the Delaware ADRC at 1-800-223-9074 to discuss available in-home services.\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}, \"code\": \"DE\", \"facts\": [\"s26-de-adrc-contact\", \"s26-de-attendant-services\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}, \"id\": \"care-de\", \"office_facts\": [], \"office_url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\", \"pays_for\": {\"facts\": [\"s26-de-attendant-services\"], \"text\": \"Help with dressing, bathing, moving around, meals, household tasks, communication and getting to work.\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}, \"program\": {\"facts\": [\"s26-de-attendant-services\"], \"text\": \"Attendant Services Program\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}, \"scope\": \"state\", \"state\": \"Delaware\"}", "fact_slugs": "s26-de-adrc-contact; s26-de-attendant-services", "family_payment": "Not published", "family_payment_url": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "id": "care-de", "next_check_on": "2027-01-23", "office_url": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "pays_for": "Help with dressing, bathing, moving around, meals, household tasks, communication and getting to work.", "pays_for_url": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "program": "Attendant Services Program", "program_url": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "publishers": "Delaware Health and Social Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Delaware Health and Social Services\", \"quote\": \"Call the Delaware Aging and Disability Resource Center (ADRC) at 1-800-223-9074 We’ll help you explore your options and find the services that work best for you.\", \"slug\": \"s26-de-adrc-contact\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Delaware Health and Social Services\", \"quote\": \"The Attendant Services Program lets you choose and manage your own in-home caregiver. This self-directed model puts you in charge of who supports you and how. An attendant can help with: * Getting dressed, bathed, or moving around * Preparing meals and doing household tasks * Communicating or getting to work * Other activities that support your daily life\", \"slug\": \"s26-de-attendant-services\", \"url\": \"https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/\"}]", "source_urls": "https://dhss.delaware.gov/dsaapd/division-of-services-for-aging-and-adults-with-physical-disabilities/in-home-support-to-help-you-live-independently/", "state": "Delaware" }, { "apply": "If enrolled in the EPD Waiver, ask the assigned case manager to add Services My Way to the person-centered service plan.", "apply_url": "https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/2018%20EPD%20Waiver%20Participant%20Handbook.pdf", "checked_on": "2026-10-23", "code": "DC", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-dc-case-manager-enrollment\"], \"text\": \"If enrolled in the EPD Waiver, ask the assigned case manager to add Services My Way to the person-centered service plan.\", \"url\": \"https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/2018%20EPD%20Waiver%20Participant%20Handbook.pdf\"}, \"code\": \"DC\", \"facts\": [\"s26-dc-case-manager-enrollment\", \"s26-dc-services-my-way\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://dhcf.dc.gov/page/epd-waiver-services\"}, \"id\": \"care-dc\", \"office_facts\": [], \"office_url\": \"https://dhcf.dc.gov/page/epd-waiver-services\", \"pays_for\": {\"facts\": [\"s26-dc-services-my-way\"], \"text\": \"Participant-directed personal assistance for EPD Waiver participants living in their natural home.\", \"url\": \"https://dhcf.dc.gov/page/epd-waiver-services\"}, \"program\": {\"facts\": [\"s26-dc-services-my-way\"], \"text\": \"Services My Way under the EPD Waiver\", \"url\": \"https://dhcf.dc.gov/page/epd-waiver-services\"}, \"scope\": \"state\", \"state\": \"Washington, DC\"}", "fact_slugs": "s26-dc-case-manager-enrollment; s26-dc-services-my-way", "family_payment": "Not published", "family_payment_url": "https://dhcf.dc.gov/page/epd-waiver-services", "id": "care-dc", "next_check_on": "2027-01-23", "office_url": "https://dhcf.dc.gov/page/epd-waiver-services", "pays_for": "Participant-directed personal assistance for EPD Waiver participants living in their natural home.", "pays_for_url": "https://dhcf.dc.gov/page/epd-waiver-services", "program": "Services My Way under the EPD Waiver", "program_url": "https://dhcf.dc.gov/page/epd-waiver-services", "publishers": "District of Columbia Department of Health Care Finance", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"District of Columbia Department of Health Care Finance\", \"quote\": \"The first step to enroll in Services My Way is to meet with the assigned EPD Waiver case manager who will amend the PCSP to include Services My Way.\", \"slug\": \"s26-dc-case-manager-enrollment\", \"url\": \"https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/2018%20EPD%20Waiver%20Participant%20Handbook.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"District of Columbia Department of Health Care Finance\", \"quote\": \"The Participant-Directed Services (Services My Way) program allows EPD Waiver participants who live in their natural home the ability to have more choice and control of their Medicaid long term care services. Participants enrolled in Services My Way have the option to self-direct two (2) specific PDS services: 1. Participant-Directed Community Supports are similar to Personal Care Aide (PCA) services in the larger EPD Waiver program.\", \"slug\": \"s26-dc-services-my-way\", \"url\": \"https://dhcf.dc.gov/page/epd-waiver-services\"}]", "source_urls": "https://dhcf.dc.gov/page/epd-waiver-services; https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/2018%20EPD%20Waiver%20Participant%20Handbook.pdf", "state": "Washington, DC" }, { "apply": "Ask the Long-Term Care health plan about PDO and its trained case manager assessment and enrollment process.", "apply_url": "https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf", "checked_on": "2026-10-23", "code": "FL", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-fl-pdo-case-manager\"], \"text\": \"Ask the Long-Term Care health plan about PDO and its trained case manager assessment and enrollment process.\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, \"code\": \"FL\", \"facts\": [\"s26-fl-approved-hours\", \"s26-fl-current-pdo-reference\", \"s26-fl-pdo-case-manager\", \"s26-fl-pdo-services\", \"s26-fl-qualified-family-workers\"], \"family_payment\": {\"facts\": [\"s26-fl-qualified-family-workers\"], \"text\": \"A qualified family member may be hired. The person acting as the participant representative cannot also be a paid direct service worker.\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, \"id\": \"care-fl\", \"office_facts\": [], \"office_url\": \"https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.html\", \"pays_for\": {\"facts\": [\"s26-fl-pdo-services\", \"s26-fl-approved-hours\"], \"text\": \"Approved plan-of-care adult companion, attendant, homemaker, nursing or personal care services, for approved hours at home.\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, \"program\": {\"facts\": [\"s26-fl-pdo-services\", \"s26-fl-current-pdo-reference\"], \"text\": \"Long-Term Care Participant Direction Option\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, \"scope\": \"state\", \"state\": \"Florida\"}", "fact_slugs": "s26-fl-approved-hours; s26-fl-current-pdo-reference; s26-fl-pdo-case-manager; s26-fl-pdo-services; s26-fl-qualified-family-workers", "family_payment": "A qualified family member may be hired. The person acting as the participant representative cannot also be a paid direct service worker.", "family_payment_url": "https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf", "id": "care-fl", "next_check_on": "2027-01-23", "office_url": "https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.html", "pays_for": "Approved plan-of-care adult companion, attendant, homemaker, nursing or personal care services, for approved hours at home.", "pays_for_url": "https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf", "program": "Long-Term Care Participant Direction Option", "program_url": "https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf", "publishers": "Florida Agency for Health Care Administration", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Florida Agency for Health Care Administration\", \"quote\": \"Receive payment for the approved hours and approved PDO services.\", \"slug\": \"s26-fl-approved-hours\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Florida Agency for Health Care Administration\", \"quote\": \"Participant Direction Option (PDO) for Enrollees Receiving LTC Benefits\", \"slug\": \"s26-fl-current-pdo-reference\", \"url\": \"https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Florida Agency for Health Care Administration\", \"quote\": \"PDO-Trained Case Manager Responsibilities • Ensuring participants choosing the PDO understand their roles and responsibilities • Completing the PDO Pre-Screening Tool with each prospective participant and representative, to assess their willingness and ability to manage the PDO responsibilities\", \"slug\": \"s26-fl-pdo-case-manager\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Florida Agency for Health Care Administration\", \"quote\": \"PDO is: • A service delivery model in which participants hire, train, supervise, and dismiss their direct service worker(s). • Available to all enrollees who: – Have any PDO service on their plan of care. – Live in their own home or family home. 3PDO Enrollment Success 4PDO Services One or more of the following services must be listed on the plan of care: • Adult Companion Care • Attendant Care • Homemaker • Intermittent and Skilled Nursing • Personal Care\", \"slug\": \"s26-fl-pdo-services\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Florida Agency for Health Care Administration\", \"quote\": \"Participants may hire any qualified individual of their choosing including neighbors, family members, or friends. Representative – Acts on behalf of the participant and manages employer responsibilities. A representative cannot be: • Paid for their services as a representative. • A direct service worker.\", \"slug\": \"s26-fl-qualified-family-workers\", \"url\": \"https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf\"}]", "source_urls": "https://ahca.myflorida.com/content/download/8190/file/LTC_PDO_Provider_Webinar_20181204.pdf; https://ahca.myflorida.com/medicaid/statewide-medicaid-managed-care/long-term-care-program/long-term-care-plans-participant-direction-option-pdo.html", "state": "Florida" }, { "apply": "Call 1-866-552-4464, option 2, and ask an ADRC counselor about local program options.", "apply_url": "https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs", "checked_on": "2026-10-23", "code": "GA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ga-adrc-program-route\"], \"text\": \"Call 1-866-552-4464, option 2, and ask an ADRC counselor about local program options.\", \"url\": \"https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs\"}, \"code\": \"GA\", \"facts\": [\"s26-ga-adrc-program-route\", \"s26-ga-family-payment-options\", \"s26-ga-structured-family-service\"], \"family_payment\": {\"facts\": [\"s26-ga-structured-family-service\", \"s26-ga-family-payment-options\"], \"text\": \"Some Medicaid waiver programs can pay a live-in family caregiver through Structured Family Caregiving. Services vary by location.\", \"url\": \"https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download\"}, \"id\": \"care-ga\", \"office_facts\": [], \"office_url\": \"https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs\", \"pays_for\": {\"facts\": [\"s26-ga-structured-family-service\"], \"text\": \"Necessary care and support for a waiver member from a live-in family caregiver working with the SFC provider health coach.\", \"url\": \"https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download\"}, \"program\": {\"facts\": [\"s26-ga-structured-family-service\", \"s26-ga-family-payment-options\"], \"text\": \"Structured Family Caregiving through Medicaid waiver programs\", \"url\": \"https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download\"}, \"scope\": \"state\", \"state\": \"Georgia\"}", "fact_slugs": "s26-ga-adrc-program-route; s26-ga-family-payment-options; s26-ga-structured-family-service", "family_payment": "Some Medicaid waiver programs can pay a live-in family caregiver through Structured Family Caregiving. Services vary by location.", "family_payment_url": "https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download", "id": "care-ga", "next_check_on": "2027-01-23", "office_url": "https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs", "pays_for": "Necessary care and support for a waiver member from a live-in family caregiver working with the SFC provider health coach.", "pays_for_url": "https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download", "program": "Structured Family Caregiving through Medicaid waiver programs", "program_url": "https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download", "publishers": "Georgia Department of Community Health; Georgia Department of Human Services Division of Aging Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Georgia Department of Human Services Division of Aging Services\", \"quote\": \"To learn more about the services available in your location, please call 1-866-552-4464, option 2 to speak with an Aging and Disability Resource Connection Counselor.\", \"slug\": \"s26-ga-adrc-program-route\", \"url\": \"https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Georgia Department of Human Services Division of Aging Services\", \"quote\": \"Services vary by location, but there are some programs in Georgia that do allow family members to receive payments for providing care. These programs include Structured Family Caregiving through Medicaid waiver programs and Support Options, a non-Medicaid consumer-directed care program.\", \"slug\": \"s26-ga-family-payment-options\", \"url\": \"https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Georgia Department of Community Health\", \"quote\": \"Structured Family Caregiver Provides support, education and oversight on behalf of waiver members whose family caregiver lives in the home with the member.  Live-in family member works with SFC provider’s health coach while supporting the member to maximize the highest level of independence for the member by providing necessary care and support.\", \"slug\": \"s26-ga-structured-family-service\", \"url\": \"https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download\"}]", "source_urls": "https://aging.georgia.gov/programs-and-services/adrc/adrc-faqs; https://medicaid.georgia.gov/document/document/elderly-and-disabled-waiver-program-long-version/download", "state": "Georgia" }, { "apply": "Use the Med-QUEST community partner list for help applying for Medicaid.", "apply_url": "https://medquest.hawaii.gov/en/resources/community-partners", "checked_on": "2026-10-23", "code": "HI", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-hi-community-application-support\"], \"text\": \"Use the Med-QUEST community partner list for help applying for Medicaid.\", \"url\": \"https://medquest.hawaii.gov/en/resources/community-partners\"}, \"code\": \"HI\", \"facts\": [\"s26-hi-community-application-support\", \"s26-hi-quest-hcbs\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medquest.hawaii.gov/en/resources/community-partners\"}, \"id\": \"care-hi\", \"office_facts\": [], \"office_url\": \"https://medquest.hawaii.gov/en/resources/community-partners\", \"pays_for\": {\"facts\": [\"s26-hi-quest-hcbs\"], \"text\": \"Home and community-based services through QUEST Integration health plans, according to assessed care needs.\", \"url\": \"https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf\"}, \"program\": {\"facts\": [\"s26-hi-quest-hcbs\"], \"text\": \"QUEST Integration home and community-based services\", \"url\": \"https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf\"}, \"scope\": \"state\", \"state\": \"Hawaii\"}", "fact_slugs": "s26-hi-community-application-support; s26-hi-quest-hcbs", "family_payment": "Not published", "family_payment_url": "https://medquest.hawaii.gov/en/resources/community-partners", "id": "care-hi", "next_check_on": "2027-01-23", "office_url": "https://medquest.hawaii.gov/en/resources/community-partners", "pays_for": "Home and community-based services through QUEST Integration health plans, according to assessed care needs.", "pays_for_url": "https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf", "program": "QUEST Integration home and community-based services", "program_url": "https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf", "publishers": "Hawaii Department of Human Services Med-QUEST Division", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Hawaii Department of Human Services Med-QUEST Division\", \"quote\": \"You can also contact our Community Partners to apply for Medicaid.\", \"slug\": \"s26-hi-community-application-support\", \"url\": \"https://medquest.hawaii.gov/en/resources/community-partners\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Hawaii Department of Human Services Med-QUEST Division\", \"quote\": \"Home and Community-Based Services (HCBS) and Personal Care Services. Expenditures to provide HCBS not otherwise covered by the Medicaid state plan and furnished to QUEST Integration enrollees, as follows: a. Expenditures for the provision of services, through QUEST or QUEST Integration health plans, that could be provided under the authority of section 1915(c) waivers, to individuals who meet an institutional level of care requirement; b. Expenditures for the provision of services, through QUEST or QUEST Integration health plans, to individuals who are assessed to be at risk of deteriorating to the institutional level of care, i.e., the “at risk” population. c. The state may impose an hour or budget limit on HCBS provided to individuals who do not meet an institutional level of care but are assessed to be at risk of deteriorating to institutional level of care (the “at risk” population), as long as such limits are sufficient to meet the assessed needs of the individual.\", \"slug\": \"s26-hi-quest-hcbs\", \"url\": \"https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf\"}]", "source_urls": "https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/section-1115-demonstration-renewal-for-2024/Hawaii_QUEST%20Integration.pdf; https://medquest.hawaii.gov/en/resources/community-partners", "state": "Hawaii" }, { "apply": "Follow the state self-direction page to its Developmental Disability Services application information.", "apply_url": "https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "checked_on": "2026-10-23", "code": "ID", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-id-dd-application-route\"], \"text\": \"Follow the state self-direction page to its Developmental Disability Services application information.\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, \"code\": \"ID\", \"facts\": [\"s26-id-approved-spending-plan\", \"s26-id-dd-application-route\", \"s26-id-family-pcs-ended\", \"s26-id-my-voice-my-choice\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, \"id\": \"care-id\", \"office_facts\": [], \"office_url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\", \"pays_for\": {\"facts\": [\"s26-id-my-voice-my-choice\", \"s26-id-approved-spending-plan\"], \"text\": \"An individual Medicaid budget for approved services and supports, with staff hired and managed by the member.\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, \"program\": {\"facts\": [\"s26-id-my-voice-my-choice\", \"s26-id-family-pcs-ended\"], \"text\": \"My Voice, My Choice for DD Waiver members. The separate Family Personal Care Services program has ended.\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, \"scope\": \"state\", \"state\": \"Idaho\"}", "fact_slugs": "s26-id-approved-spending-plan; s26-id-dd-application-route; s26-id-family-pcs-ended; s26-id-my-voice-my-choice", "family_payment": "Not published", "family_payment_url": "https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "id": "care-id", "next_check_on": "2027-01-23", "office_url": "https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "pays_for": "An individual Medicaid budget for approved services and supports, with staff hired and managed by the member.", "pays_for_url": "https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "program": "My Voice, My Choice for DD Waiver members. The separate Family Personal Care Services program has ended.", "program_url": "https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "publishers": "Idaho Department of Health and Welfare", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Idaho Department of Health and Welfare\", \"quote\": \"This plan lists the services, supports, and goods that you need to help you reach your goals. Once your SSP is approved by the department, you can start receiving self-direction services.\", \"slug\": \"s26-id-approved-spending-plan\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Idaho Department of Health and Welfare\", \"quote\": \"For more information on accessing or applying for these services, visit Apply for Developmental Disability Services\", \"slug\": \"s26-id-dd-application-route\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Idaho Department of Health and Welfare\", \"quote\": \"The Family Personal Care Services (FPCS) program, which allowed a parent of a minor child or spouse to provide Personal Care Services and Attendant Care to eligible members has terminated effective July 15, 2025. Legally Responsible Individuals (LRI’s) for members are no longer allowed to be the paid caregiver.\", \"slug\": \"s26-id-family-pcs-ended\", \"url\": \"https://healthandwelfare.idaho.gov/providers/home-and-community-based-long-term-care/long-term-care-provider-enrollment-and-general\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Idaho Department of Health and Welfare\", \"quote\": \"My Voice, My Choice is Idaho’s self-direction program for people on the developmental disabilities waiver. In this program, you are in charge. You get to manage your Medicaid budget and choose the services and supports that work best for you. Being part of this program allows you to hire and manage your own staff and decide the services you need and when and where those services are provided.\", \"slug\": \"s26-id-my-voice-my-choice\", \"url\": \"https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services\"}]", "source_urls": "https://healthandwelfare.idaho.gov/providers/home-and-community-based-long-term-care/long-term-care-provider-enrollment-and-general; https://healthandwelfare.idaho.gov/services-programs/medicaid-health/self-directed-services", "state": "Idaho" }, { "apply": "Discuss provider options with the Care Coordination Unit. Use the state service locator or Senior HelpLine to find a provider.", "apply_url": "https://ilaging.illinois.gov/programs/homemaker.html", "checked_on": "2026-10-23", "code": "IL", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-il-ccu-provider-contact\"], \"text\": \"Discuss provider options with the Care Coordination Unit. Use the state service locator or Senior HelpLine to find a provider.\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, \"code\": \"IL\", \"facts\": [\"s26-il-ccu-provider-contact\", \"s26-il-in-home-services\", \"s26-il-provider-family-employment\"], \"family_payment\": {\"facts\": [\"s26-il-provider-family-employment\"], \"text\": \"A participating provider may hire a spouse or another relative who meets qualifications, passes a background check, completes 24 hours of pre-service training and accepts supervision. Not every provider does.\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, \"id\": \"care-il\", \"office_facts\": [], \"office_url\": \"https://ilaging.illinois.gov/programs/homemaker.html\", \"pays_for\": {\"facts\": [\"s26-il-in-home-services\"], \"text\": \"Housekeeping, meals, laundry, errands and personal care such as dressing, bathing and grooming.\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, \"program\": {\"facts\": [\"s26-il-in-home-services\"], \"text\": \"Community Care Program In-Home Services\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, \"scope\": \"state\", \"state\": \"Illinois\"}", "fact_slugs": "s26-il-ccu-provider-contact; s26-il-in-home-services; s26-il-provider-family-employment", "family_payment": "A participating provider may hire a spouse or another relative who meets qualifications, passes a background check, completes 24 hours of pre-service training and accepts supervision. Not every provider does.", "family_payment_url": "https://ilaging.illinois.gov/programs/homemaker.html", "id": "care-il", "next_check_on": "2027-01-23", "office_url": "https://ilaging.illinois.gov/programs/homemaker.html", "pays_for": "Housekeeping, meals, laundry, errands and personal care such as dressing, bathing and grooming.", "pays_for_url": "https://ilaging.illinois.gov/programs/homemaker.html", "program": "Community Care Program In-Home Services", "program_url": "https://ilaging.illinois.gov/programs/homemaker.html", "publishers": "Illinois Department on Aging", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Illinois Department on Aging\", \"quote\": \"Your Care Coordination Unit (CCU) will discuss options with you and you are free to change your mind at any time. Contact To locate an In-Home Service Provider in your area, use the Service Locator or contact the Senior HelpLine.\", \"slug\": \"s26-il-ccu-provider-contact\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Illinois Department on Aging\", \"quote\": \"This Community Care Program service assists with household tasks such as cleaning, planning and preparing meals, doing laundry, shopping and running errands. Home Care Aides also assist clients with personal care tasks such as dressing, bathing, grooming and following special diets.\", \"slug\": \"s26-il-in-home-services\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Illinois Department on Aging\", \"quote\": \"In-Home Service providers participating in the Community Care Program may choose to hire any family member (including a spouse), a Power of Attorney, representative payee, legal guardian, friend or neighbor who meets qualifications, passes a background check, completes 24-hours of pre-service training, and agrees to be supervised by the provider. Not all In-Home Service providers employ family members as home care aides.\", \"slug\": \"s26-il-provider-family-employment\", \"url\": \"https://ilaging.illinois.gov/programs/homemaker.html\"}]", "source_urls": "https://ilaging.illinois.gov/programs/homemaker.html", "state": "Illinois" }, { "apply": "PathWays members should contact their health plan about assessment and a service coordinator for home support.", "apply_url": "https://www.in.gov/pathways/frequently-asked-questions/", "checked_on": "2026-10-23", "code": "IN", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-in-pathways-service-route\"], \"text\": \"PathWays members should contact their health plan about assessment and a service coordinator for home support.\", \"url\": \"https://www.in.gov/pathways/frequently-asked-questions/\"}, \"code\": \"IN\", \"facts\": [\"s26-in-pathways-health-wellness\", \"s26-in-pathways-service-route\", \"s26-in-structured-family-caregiving\"], \"family_payment\": {\"facts\": [\"s26-in-structured-family-caregiving\"], \"text\": \"The live-in caregiver may be a family member or a nonfamily member. The provider must train the caregiver and confirm qualifications.\", \"url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\"}, \"id\": \"care-in\", \"office_facts\": [], \"office_url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\", \"pays_for\": {\"facts\": [\"s26-in-structured-family-caregiving\"], \"text\": \"Daily care and support from a caregiver living in the same home, with provider training and oversight.\", \"url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\"}, \"program\": {\"facts\": [\"s26-in-pathways-health-wellness\"], \"text\": \"Structured Family Caregiving under PathWays or Health and Wellness\", \"url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\"}, \"scope\": \"state\", \"state\": \"Indiana\"}", "fact_slugs": "s26-in-pathways-health-wellness; s26-in-pathways-service-route; s26-in-structured-family-caregiving", "family_payment": "The live-in caregiver may be a family member or a nonfamily member. The provider must train the caregiver and confirm qualifications.", "family_payment_url": "https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf", "id": "care-in", "next_check_on": "2027-01-23", "office_url": "https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf", "pays_for": "Daily care and support from a caregiver living in the same home, with provider training and oversight.", "pays_for_url": "https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf", "program": "Structured Family Caregiving under PathWays or Health and Wellness", "program_url": "https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf", "publishers": "Indiana Family and Social Services Administration", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Indiana Family and Social Services Administration\", \"quote\": \"Structured Family Caregiving SFC Available under PathWays and Health and Wellness\", \"slug\": \"s26-in-pathways-health-wellness\", \"url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Indiana Family and Social Services Administration\", \"quote\": \"I want to stay in my home, but I do need some help. What are my options? You will want to contact your health plan (Anthem, Humana or UnitedHealthcare) to discuss your options. Your health plan will do health assessments and refer you to a service coordinator to determine your functional eligibility to receive the supports your need to stay at home.\", \"slug\": \"s26-in-pathways-service-route\", \"url\": \"https://www.in.gov/pathways/frequently-asked-questions/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Indiana Family and Social Services Administration\", \"quote\": \"SFC allows a caregiver living with an individual to be paid for providing daily care and support. This may be a nonfamily member or a family member. The Caregiver must reside in the home with the individual. Caregivers will receive training from the provider based on the individual’s needs. The provider will ensure caregiver meets qualifications to provide care.\", \"slug\": \"s26-in-structured-family-caregiving\", \"url\": \"https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf\"}]", "source_urls": "https://www.in.gov/fssa/ompp/files/Structured-Family-Caregiving.pdf; https://www.in.gov/pathways/frequently-asked-questions/", "state": "Indiana" }, { "apply": "Ask the case manager about CCO. If eligible and choosing this option, the case manager helps with enrollment.", "apply_url": "https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction", "checked_on": "2026-10-23", "code": "IA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ia-cco-enrollment\"], \"text\": \"Ask the case manager about CCO. If eligible and choosing this option, the case manager helps with enrollment.\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, \"code\": \"IA\", \"facts\": [\"s26-ia-cco-approved-budget\", \"s26-ia-cco-current-support\", \"s26-ia-cco-enrollment\", \"s26-ia-cco-family-workers\"], \"family_payment\": {\"facts\": [\"s26-ia-cco-family-workers\"], \"text\": \"The CCO handbook includes hiring family or friends for personal assistance. Confirm the worker and approved-service rules with the case manager.\", \"url\": \"https://hhs.iowa.gov/media/6542/download\"}, \"id\": \"care-ia\", \"office_facts\": [], \"office_url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\", \"pays_for\": {\"facts\": [\"s26-ia-cco-approved-budget\", \"s26-ia-cco-current-support\"], \"text\": \"Approved Medicaid funding to hire workers or purchase specified goods and services under eligible HCBS waivers. An approved financial management services provider is required. A support broker is optional.\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, \"program\": {\"facts\": [\"s26-ia-cco-approved-budget\"], \"text\": \"Consumer Choices Option\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, \"scope\": \"state\", \"state\": \"Iowa\"}", "fact_slugs": "s26-ia-cco-approved-budget; s26-ia-cco-current-support; s26-ia-cco-enrollment; s26-ia-cco-family-workers", "family_payment": "The CCO handbook includes hiring family or friends for personal assistance. Confirm the worker and approved-service rules with the case manager.", "family_payment_url": "https://hhs.iowa.gov/media/6542/download", "id": "care-ia", "next_check_on": "2027-01-23", "office_url": "https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction", "pays_for": "Approved Medicaid funding to hire workers or purchase specified goods and services under eligible HCBS waivers. An approved financial management services provider is required. A support broker is optional.", "pays_for_url": "https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction", "program": "Consumer Choices Option", "program_url": "https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction", "publishers": "Iowa Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Iowa Department of Health and Human Services\", \"quote\": \"Eligible members can choose to self-direct waiver services through the Consumer Choices Option, or CCO, which allows members to hire workers directly or purchase certain goods and services using an approved amount of Medicaid funding.\", \"slug\": \"s26-ia-cco-approved-budget\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Iowa Department of Health and Human Services\", \"quote\": \"Members who decide to use CCO may choose whether to work with an Independent Support Broker, or ISB. An ISB is available to help with hiring employees and developing a budget but is not required. Members who use CCO must work with an approved Financial Management Services, or FMS, provider to make payments to providers and assist with payroll-related tasks.\", \"slug\": \"s26-ia-cco-current-support\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Iowa Department of Health and Human Services\", \"quote\": \"If you are interested in the CCO program , you should talk to your case manager. They will give you more information about the program and make sure you understand the rules and your responsibilities. If you are eligible and decide that the CCO program is right for you, your case manager will help you enroll.\", \"slug\": \"s26-ia-cco-enrollment\", \"url\": \"https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Iowa Department of Health and Human Services\", \"quote\": \"Hire individuals, including family members and friends, to provide you with personal assistance\", \"slug\": \"s26-ia-cco-family-workers\", \"url\": \"https://hhs.iowa.gov/media/6542/download\"}]", "source_urls": "https://hhs.iowa.gov/media/6542/download; https://hhs.iowa.gov/medicaid/about-medicaid/medicaid-projects/home-project/self-direction", "state": "Iowa" }, { "apply": "Not published", "apply_url": "https://khap.kdhe.ks.gov/kfmam/main.asp", "checked_on": "2026-10-23", "code": "KS", "complete_row_json": "{\"apply\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\"}, \"code\": \"KS\", \"facts\": [\"s26-ks-kdhe-office-routing\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\"}, \"id\": \"care-ks\", \"office_facts\": [\"s26-ks-kdhe-office-routing\"], \"office_url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\", \"pays_for\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\"}, \"program\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\"}, \"scope\": \"state\", \"state\": \"Kansas\"}", "fact_slugs": "s26-ks-kdhe-office-routing", "family_payment": "Not published", "family_payment_url": "https://khap.kdhe.ks.gov/kfmam/main.asp", "id": "care-ks", "next_check_on": "2027-01-23", "office_url": "https://khap.kdhe.ks.gov/kfmam/main.asp", "pays_for": "Not published", "pays_for_url": "https://khap.kdhe.ks.gov/kfmam/main.asp", "program": "Not published", "program_url": "https://khap.kdhe.ks.gov/kfmam/main.asp", "publishers": "Kansas Department of Health and Environment", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kansas Department of Health and Environment\", \"quote\": \"The Kansas Department of Health and Environment - Division of Health Care Finance (KDHE-DHCF) has the responsibility to develop state plans for furnishing assistance and services to eligible individuals and to determine the general policies relating to the medical assistance programs.\", \"slug\": \"s26-ks-kdhe-office-routing\", \"url\": \"https://khap.kdhe.ks.gov/kfmam/main.asp\"}]", "source_urls": "https://khap.kdhe.ks.gov/kfmam/main.asp", "state": "Kansas" }, { "apply": "Ask your waiver case manager about enrolling in PDS and the rules for your proposed worker.", "apply_url": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "checked_on": "2026-10-23", "code": "KY", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ky-pds-ask\"], \"text\": \"Ask your waiver case manager about enrolling in PDS and the rules for your proposed worker.\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, \"code\": \"KY\", \"facts\": [\"s26-ky-pds-program\", \"s26-ky-pds-services\", \"s26-ky-pds-family\", \"s26-ky-pds-representative\", \"s26-ky-pds-ask\"], \"family_payment\": {\"facts\": [\"s26-ky-pds-family\", \"s26-ky-pds-representative\"], \"text\": \"Certain family members may be employees. Employees must be adults and submit to a criminal background check. A PDS representative cannot be a paid employee.\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, \"id\": \"care-ky\", \"office_facts\": [], \"office_url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\", \"pays_for\": {\"facts\": [\"s26-ky-pds-services\"], \"text\": \"Non-medical, non-residential services authorized through the participant's Medicaid waiver.\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, \"program\": {\"facts\": [\"s26-ky-pds-program\"], \"text\": \"Participant-Directed Services through the ABI, ABI LTC, HCB, Michelle P. or SCL Medicaid waivers.\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, \"scope\": \"state\", \"state\": \"Kentucky\"}", "fact_slugs": "s26-ky-pds-ask; s26-ky-pds-family; s26-ky-pds-program; s26-ky-pds-representative; s26-ky-pds-services", "family_payment": "Certain family members may be employees. Employees must be adults and submit to a criminal background check. A PDS representative cannot be a paid employee.", "family_payment_url": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "id": "care-ky", "next_check_on": "2027-01-23", "office_url": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "pays_for": "Non-medical, non-residential services authorized through the participant's Medicaid waiver.", "pays_for_url": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "program": "Participant-Directed Services through the ABI, ABI LTC, HCB, Michelle P. or SCL Medicaid waivers.", "program_url": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "publishers": "Kentucky Cabinet for Health and Family Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kentucky Cabinet for Health and Family Services\", \"quote\": \"If you are interested in enrolling in the PDS program, talk to your case manager.\", \"slug\": \"s26-ky-pds-ask\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kentucky Cabinet for Health and Family Services\", \"quote\": \"You may hire friends, neighbors, some provider agencies and certain family members. Employees must be at least 18 years old and submit to a criminal background check.\", \"slug\": \"s26-ky-pds-family\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kentucky Cabinet for Health and Family Services\", \"quote\": \"Individuals receiving services through the Acquired Brain Injury (ABI) and Acquired Brain Injury Long-Term Care (ABI LTC), Home and Community Based (HCB), Michelle P. (MPW) or Supports for Community Living (SCL) waivers may participate in the PDS program.\", \"slug\": \"s26-ky-pds-program\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kentucky Cabinet for Health and Family Services\", \"quote\": \"Your PDS representative cannot charge for the help they provide and will not be a paid employee.\", \"slug\": \"s26-ky-pds-representative\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Kentucky Cabinet for Health and Family Services\", \"quote\": \"Participant-Directed Services (PDS) allows individuals receiving 1915(c) Medicaid waiver services to hire their own providers for non-medical, non-residential waiver services.\", \"slug\": \"s26-ky-pds-services\", \"url\": \"https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx\"}]", "source_urls": "https://www.chfs.ky.gov/agencies/dms/dca/Pages/cdo.aspx", "state": "Kentucky" }, { "apply": "If you already participate in CCW, ask your support coordinator about the self-direction option and enrollment.", "apply_url": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "checked_on": "2026-10-23", "code": "LA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-la-ccw-support-coordinator\"], \"text\": \"If you already participate in CCW, ask your support coordinator about the self-direction option and enrollment.\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, \"code\": \"LA\", \"facts\": [\"s26-la-ccw-self-direction\", \"s26-la-ccw-pas\", \"s26-la-ccw-spouse\", \"s26-la-ccw-worker-exclusions\", \"s26-la-ccw-support-coordinator\"], \"family_payment\": {\"facts\": [\"s26-la-ccw-spouse\", \"s26-la-ccw-worker-exclusions\"], \"text\": \"A spouse needs OAAS approval under extraordinary-care criteria. The participant, the participant's employer and the responsible representative cannot be the employee. Worker requirements also apply.\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, \"id\": \"care-la\", \"office_facts\": [], \"office_url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\", \"pays_for\": {\"facts\": [\"s26-la-ccw-pas\"], \"text\": \"Authorized Personal Assistance Services to support safety and independence at home.\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, \"program\": {\"facts\": [\"s26-la-ccw-self-direction\"], \"text\": \"Community Choices Waiver Self-Direction option for CCW participants.\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, \"scope\": \"state\", \"state\": \"Louisiana\"}", "fact_slugs": "s26-la-ccw-pas; s26-la-ccw-self-direction; s26-la-ccw-spouse; s26-la-ccw-support-coordinator; s26-la-ccw-worker-exclusions", "family_payment": "A spouse needs OAAS approval under extraordinary-care criteria. The participant, the participant's employer and the responsible representative cannot be the employee. Worker requirements also apply.", "family_payment_url": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "id": "care-la", "next_check_on": "2027-01-23", "office_url": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "pays_for": "Authorized Personal Assistance Services to support safety and independence at home.", "pays_for_url": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "program": "Community Choices Waiver Self-Direction option for CCW participants.", "program_url": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "publishers": "Louisiana Department of Health", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Louisiana Department of Health\", \"quote\": \"The only Community Choices Waiver (CCW) service that can be self-directed is Personal Assistance Services (PAS). PAS includes tasks that help you maintain your safety and independence in your own home.\", \"slug\": \"s26-la-ccw-pas\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Louisiana Department of Health\", \"quote\": \"Participants in the Office of Aging and Adult Services (OAAS) Community Choices Waiver (CCW) are informed of Self-Direction by their support coordinators at the time of the initial assessment, annually, and as requested by participant(s) and/or their responsible representative(s).\", \"slug\": \"s26-la-ccw-self-direction\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Louisiana Department of Health\", \"quote\": \"For the spouse to be the employee, the spouse, also known as the Legally Responsible Individual (LRI), must meet Extraordinary Care criteria and it must be approved by OAAS.\", \"slug\": \"s26-la-ccw-spouse\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Louisiana Department of Health\", \"quote\": \"If a participant decides that they would like to participate in Self-Direction, the support coordinator will assist you in enrolling and continue to assist throughout the process\", \"slug\": \"s26-la-ccw-support-coordinator\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Louisiana Department of Health\", \"quote\": \"Your employee CANNOT be the following: • The participant’s employer; • The participant; and/or • The participant’s responsible representative.\", \"slug\": \"s26-la-ccw-worker-exclusions\", \"url\": \"https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf\"}]", "source_urls": "https://www.ldh.la.gov/assets/docs/OAAS/SelfDirection/Self-Direction-Handbook.pdf", "state": "Louisiana" }, { "apply": "Contact your case manager to discuss self-directed services under your waiver.", "apply_url": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "checked_on": "2026-10-23", "code": "ME", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-me-self-direction-case-manager\"], \"text\": \"Contact your case manager to discuss self-directed services under your waiver.\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, \"code\": \"ME\", \"facts\": [\"s26-me-self-direction-waivers\", \"s26-me-self-direction-services\", \"s26-me-self-direction-family\", \"s26-me-self-direction-case-manager\"], \"family_payment\": {\"facts\": [\"s26-me-self-direction-family\"], \"text\": \"Family or friends may be workers if they pass a background check and complete training. Your authorized representative cannot also be your support worker.\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, \"id\": \"care-me\", \"office_facts\": [], \"office_url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\", \"pays_for\": {\"facts\": [\"s26-me-self-direction-services\"], \"text\": \"Authorized home support, community membership, individual-directed goods and services, assistive technology and home accessibility adaptations.\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, \"program\": {\"facts\": [\"s26-me-self-direction-waivers\"], \"text\": \"Self-Directed Services for people receiving Section 18, 20 or 29 waiver services.\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, \"scope\": \"state\", \"state\": \"Maine\"}", "fact_slugs": "s26-me-self-direction-case-manager; s26-me-self-direction-family; s26-me-self-direction-services; s26-me-self-direction-waivers", "family_payment": "Family or friends may be workers if they pass a background check and complete training. Your authorized representative cannot also be your support worker.", "family_payment_url": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "id": "care-me", "next_check_on": "2027-01-23", "office_url": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "pays_for": "Authorized home support, community membership, individual-directed goods and services, assistive technology and home accessibility adaptations.", "pays_for_url": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "program": "Self-Directed Services for people receiving Section 18, 20 or 29 waiver services.", "program_url": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "publishers": "Maine Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maine Department of Health and Human Services\", \"quote\": \"If you would like to start self-directed services, contact your Case Manager to discuss your options.\", \"slug\": \"s26-me-self-direction-case-manager\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maine Department of Health and Human Services\", \"quote\": \"You can choose anyone you wish as a worker, including family or friends, if that person is able to pass a background check and complete training. If you are using an authorized representative, you cannot hire that person as a support worker.\", \"slug\": \"s26-me-self-direction-family\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maine Department of Health and Human Services\", \"quote\": \"Home Support (Quarter Hour) One-On-One Community Membership Individual-Directed Goods and Services Assistive Technology Devices and Transmission Home Accessibility Adaptations\", \"slug\": \"s26-me-self-direction-services\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maine Department of Health and Human Services\", \"quote\": \"Self-directed services are available to Maine people who receive services through Sections 18, 20 and now the Section 29 HCBS Support Waiver.\", \"slug\": \"s26-me-self-direction-waivers\", \"url\": \"https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction\"}]", "source_urls": "https://www.maine.gov/dhhs/oads/get-support/adults-intellectual-disability-and-autism/self-direction", "state": "Maine" }, { "apply": "Call Maryland Access Point at 844-627-5465 or Community First Choice at 410-767-1739 to ask about applying.", "apply_url": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "checked_on": "2026-10-23", "code": "MD", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-md-community-first-choice-contact\"], \"text\": \"Call Maryland Access Point at 844-627-5465 or Community First Choice at 410-767-1739 to ask about applying.\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, \"code\": \"MD\", \"facts\": [\"s26-md-community-first-choice\", \"s26-md-community-first-choice-services\", \"s26-md-community-first-choice-contact\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, \"id\": \"care-md\", \"office_facts\": [], \"office_url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\", \"pays_for\": {\"facts\": [\"s26-md-community-first-choice-services\"], \"text\": \"Possible services include personal assistance, home-delivered meals, accessibility adaptations, assistive technology, nurse monitoring and supports planning.\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, \"program\": {\"facts\": [\"s26-md-community-first-choice\"], \"text\": \"Community First Choice Program.\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, \"scope\": \"state\", \"state\": \"Maryland\"}", "fact_slugs": "s26-md-community-first-choice; s26-md-community-first-choice-contact; s26-md-community-first-choice-services", "family_payment": "Not published", "family_payment_url": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "id": "care-md", "next_check_on": "2027-01-23", "office_url": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "pays_for": "Possible services include personal assistance, home-delivered meals, accessibility adaptations, assistive technology, nurse monitoring and supports planning.", "pays_for_url": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "program": "Community First Choice Program.", "program_url": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "publishers": "Maryland Department of Health", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maryland Department of Health\", \"quote\": \"The Community First Choice Program is a state plan home and community-based services benefit. It helps you get services and support in your home and community instead of in an institution.\", \"slug\": \"s26-md-community-first-choice\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maryland Department of Health\", \"quote\": \"Call Maryland Access Point​ at 844-627-5465, or Call the Community First Choice Program at 410-767-1739.\", \"slug\": \"s26-md-community-first-choice-contact\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Maryland Department of Health\", \"quote\": \"Accessibility adaptations Assistive technology Consumer training Environmental assessments Home-delivered meals Nurse monitoring Personal assistance Personal emergency response systems Supports planning Transition services\", \"slug\": \"s26-md-community-first-choice-services\", \"url\": \"https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx\"}]", "source_urls": "https://health.maryland.gov/mmcp/ltss/Pages/community-first-choice.aspx", "state": "Maryland" }, { "apply": "Contact a Personal Care Management agency in your area for program information or enrollment.", "apply_url": "https://www.mass.gov/masshealth-personal-care-attendant-program", "checked_on": "2026-10-23", "code": "MA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ma-pca-enrollment\"], \"text\": \"Contact a Personal Care Management agency in your area for program information or enrollment.\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, \"code\": \"MA\", \"facts\": [\"s26-ma-pca-program\", \"s26-ma-pca-daily-living\", \"s26-ma-pca-worker-restrictions\", \"s26-ma-pca-enrollment\"], \"family_payment\": {\"facts\": [\"s26-ma-pca-worker-restrictions\"], \"text\": \"The consumer-employer's spouse, parent or foster parent when the consumer is a minor, or surrogate cannot be hired. Ask the PCM agency about other relatives and worker requirements.\", \"url\": \"https://www.mass.gov/info-details/become-a-pca-today\"}, \"id\": \"care-ma\", \"office_facts\": [], \"office_url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\", \"pays_for\": {\"facts\": [\"s26-ma-pca-daily-living\"], \"text\": \"Personal care attendant assistance with activities of daily living.\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, \"program\": {\"facts\": [\"s26-ma-pca-program\"], \"text\": \"MassHealth Personal Care Attendant program for people with permanent or chronic disabilities.\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, \"scope\": \"state\", \"state\": \"Massachusetts\"}", "fact_slugs": "s26-ma-pca-daily-living; s26-ma-pca-enrollment; s26-ma-pca-program; s26-ma-pca-worker-restrictions", "family_payment": "The consumer-employer's spouse, parent or foster parent when the consumer is a minor, or surrogate cannot be hired. Ask the PCM agency about other relatives and worker requirements.", "family_payment_url": "https://www.mass.gov/info-details/become-a-pca-today", "id": "care-ma", "next_check_on": "2027-01-23", "office_url": "https://www.mass.gov/masshealth-personal-care-attendant-program", "pays_for": "Personal care attendant assistance with activities of daily living.", "pays_for_url": "https://www.mass.gov/masshealth-personal-care-attendant-program", "program": "MassHealth Personal Care Attendant program for people with permanent or chronic disabilities.", "program_url": "https://www.mass.gov/masshealth-personal-care-attendant-program", "publishers": "MassHealth; Personal Care Attendant Workforce Council", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"MassHealth\", \"quote\": \"A PCA assists with activities of daily living. PCAs are recruited and hired by the person receiving PCA services (the PCA consumer-employer).\", \"slug\": \"s26-ma-pca-daily-living\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"MassHealth\", \"quote\": \"You can contact a Personal Care Management (PCM) Agency in your area to get more information about the PCA program or enroll in PCA services.\", \"slug\": \"s26-ma-pca-enrollment\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"MassHealth\", \"quote\": \"MassHealth’s Personal Care Attendant (PCA) program helps people with permanent or chronic disabilities keep their independence, stay in the community, and manage their own personal care by providing funds and other supports for hiring PCAs.\", \"slug\": \"s26-ma-pca-program\", \"url\": \"https://www.mass.gov/masshealth-personal-care-attendant-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Personal Care Attendant Workforce Council\", \"quote\": \"A person cannot be hired if he/she is the PCA Consumer-employer’s spouse, parent/foster parent (if PCA Consumer-employer is a minor), or surrogate (legally responsible decision maker).\", \"slug\": \"s26-ma-pca-worker-restrictions\", \"url\": \"https://www.mass.gov/info-details/become-a-pca-today\"}]", "source_urls": "https://www.mass.gov/info-details/become-a-pca-today; https://www.mass.gov/masshealth-personal-care-attendant-program", "state": "Massachusetts" }, { "apply": "Request Home Help through the Adult Services unit at your local county MDHHS office. Referrals can be made by phone, mail, fax or in person.", "apply_url": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "checked_on": "2026-10-23", "code": "MI", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-mi-home-help-referral\"], \"text\": \"Request Home Help through the Adult Services unit at your local county MDHHS office. Referrals can be made by phone, mail, fax or in person.\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, \"code\": \"MI\", \"facts\": [\"s26-mi-home-help\", \"s26-mi-home-help-services\", \"s26-mi-home-help-family\", \"s26-mi-home-help-worker-exclusions\", \"s26-mi-home-help-provider-approval\", \"s26-mi-home-help-referral\"], \"family_payment\": {\"facts\": [\"s26-mi-home-help-family\", \"s26-mi-home-help-worker-exclusions\", \"s26-mi-home-help-provider-approval\"], \"text\": \"An adult family member or friend may be chosen. A spouse, parent caring for a minor, or person receiving Home Help cannot be the caregiver. CHAMPS approval and a background check are required before payment.\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, \"id\": \"care-mi\", \"office_facts\": [], \"office_url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\", \"pays_for\": {\"facts\": [\"s26-mi-home-help-services\"], \"text\": \"Authorized assistance with daily living, light housework, laundry, meals, food and medication shopping, and other assessed covered tasks.\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, \"program\": {\"facts\": [\"s26-mi-home-help\"], \"text\": \"Home Help through Medicaid Fee for Service, subject to an in-home assessment.\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, \"scope\": \"state\", \"state\": \"Michigan\"}", "fact_slugs": "s26-mi-home-help; s26-mi-home-help-family; s26-mi-home-help-provider-approval; s26-mi-home-help-referral; s26-mi-home-help-services; s26-mi-home-help-worker-exclusions", "family_payment": "An adult family member or friend may be chosen. A spouse, parent caring for a minor, or person receiving Home Help cannot be the caregiver. CHAMPS approval and a background check are required before payment.", "family_payment_url": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "id": "care-mi", "next_check_on": "2027-01-23", "office_url": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "pays_for": "Authorized assistance with daily living, light housework, laundry, meals, food and medication shopping, and other assessed covered tasks.", "pays_for_url": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "program": "Home Help through Medicaid Fee for Service, subject to an in-home assessment.", "program_url": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "publishers": "Michigan Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"Assistance is available if you are eligible for Medicaid Fee for Service and require physical assistance with at least one activity of daily living. An adult services worker will complete an assessment in your home to determine whether you qualify for assistance through the Home Help program.\", \"slug\": \"s26-mi-home-help\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"The client can choose an individual caregiver (family member or friend who is at least 18 years old) or an agency provider.\", \"slug\": \"s26-mi-home-help-family\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"Caregivers must enroll in the Community Health Automated Medicaid Processing System (CHAMPS) and pass a background check in order to be eligible for payment. All caregivers must be approved in CHAMPS and given a provider ID number before they can be paid.\", \"slug\": \"s26-mi-home-help-provider-approval\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"Referrals may be submitted by phone, mail, fax or in person. They should be directed to the local county MDHHS office where the client resides.\", \"slug\": \"s26-mi-home-help-referral\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"Activities of Daily Living including bathing, dressing, eating, grooming, mobility, toileting, transferring inside your home. Instrumental Activities of Daily Living such as light housework, laundry, taking medication, meal preparation, shopping for food and medication.\", \"slug\": \"s26-mi-home-help-services\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Michigan Department of Health and Human Services\", \"quote\": \"The caregiver cannot be the client's spouse. The caregiver cannot be a parent caring for a minor child. The caregiver cannot also receive Home Help services.\", \"slug\": \"s26-mi-home-help-worker-exclusions\", \"url\": \"https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent\"}]", "source_urls": "https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/independent", "state": "Michigan" }, { "apply": "Request an assessment from your county or tribal nation if under 65, or if 65 or older without an MCO. People 65 or older with an MCO should contact their MCO.", "apply_url": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "checked_on": "2026-10-23", "code": "MN", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-mn-cfss-assessment\"], \"text\": \"Request an assessment from your county or tribal nation if under 65, or if 65 or older without an MCO. People 65 or older with an MCO should contact their MCO.\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, \"code\": \"MN\", \"facts\": [\"s26-mn-cfss-program\", \"s26-mn-cfss-services\", \"s26-mn-cfss-family\", \"s26-mn-cfss-assessment\"], \"family_payment\": {\"facts\": [\"s26-mn-cfss-family\"], \"text\": \"Family members can serve as CFSS workers. Confirm worker qualifications and service-plan approval through the program.\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, \"id\": \"care-mn\", \"office_facts\": [], \"office_url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\", \"pays_for\": {\"facts\": [\"s26-mn-cfss-services\"], \"text\": \"Assistance with daily living and authorized goods, services and personal emergency response systems.\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, \"program\": {\"facts\": [\"s26-mn-cfss-program\"], \"text\": \"Community First Services and Supports.\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, \"scope\": \"state\", \"state\": \"Minnesota\"}", "fact_slugs": "s26-mn-cfss-assessment; s26-mn-cfss-family; s26-mn-cfss-program; s26-mn-cfss-services", "family_payment": "Family members can serve as CFSS workers. Confirm worker qualifications and service-plan approval through the program.", "family_payment_url": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "id": "care-mn", "next_check_on": "2027-01-23", "office_url": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "pays_for": "Assistance with daily living and authorized goods, services and personal emergency response systems.", "pays_for_url": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "program": "Community First Services and Supports.", "program_url": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "publishers": "Minnesota Department of Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Minnesota Department of Human Services\", \"quote\": \"If you are under age 65, contact your county/tribal nation and request an assessment. If you are age 65 or older and enrolled in a managed care organization (MCO), contact your MCO to request an assessment. If you are 65 and older and not enrolled in an MCO, contact your county/tribal nation.\", \"slug\": \"s26-mn-cfss-assessment\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Minnesota Department of Human Services\", \"quote\": \"Have family members and people using CFSS serve as your workers.\", \"slug\": \"s26-mn-cfss-family\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Minnesota Department of Human Services\", \"quote\": \"CFSS is a Minnesota program that helps people with disabilities, chronic illnesses and older adults live independently in their homes and communities.\", \"slug\": \"s26-mn-cfss-program\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Minnesota Department of Human Services\", \"quote\": \"CFSS is a program that helps people who need support with daily living activities. Purchase goods and services. Purchase a Personal Emergency Response System (PERS).\", \"slug\": \"s26-mn-cfss-services\", \"url\": \"https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/\"}]", "source_urls": "https://mn.gov/dhs/disability-aging/home-and-community-services/programs-and-services/cfss-faq-people/", "state": "Minnesota" }, { "apply": "Contact the Medicaid Contact Center to request an application, or use the official Access MS link. This is general Medicaid application guidance.", "apply_url": "https://medicaid.ms.gov/", "checked_on": "2026-10-23", "code": "MS", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ms-medicaid-contact\"], \"text\": \"Contact the Medicaid Contact Center to request an application, or use the official Access MS link. This is general Medicaid application guidance.\", \"url\": \"https://medicaid.ms.gov/\"}, \"code\": \"MS\", \"facts\": [\"s26-ms-temporary-official-site\", \"s26-ms-medicaid-contact\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.ms.gov/\"}, \"id\": \"care-ms\", \"office_facts\": [\"s26-ms-temporary-official-site\"], \"office_url\": \"https://medicaid.ms.gov/\", \"pays_for\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.ms.gov/\"}, \"program\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.ms.gov/\"}, \"scope\": \"state\", \"state\": \"Mississippi\"}", "fact_slugs": "s26-ms-medicaid-contact; s26-ms-temporary-official-site", "family_payment": "Not published", "family_payment_url": "https://medicaid.ms.gov/", "id": "care-ms", "next_check_on": "2027-01-23", "office_url": "https://medicaid.ms.gov/", "pays_for": "Not published", "pays_for_url": "https://medicaid.ms.gov/", "program": "Not published", "program_url": "https://medicaid.ms.gov/", "publishers": "Mississippi Division of Medicaid", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Mississippi Division of Medicaid\", \"quote\": \"Call the Contact Center to request an application by mail and to ask any questions about submitting it. You can also apply online through Access MS.\", \"slug\": \"s26-ms-medicaid-contact\", \"url\": \"https://medicaid.ms.gov/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Mississippi Division of Medicaid\", \"quote\": \"Website outage notice: The Mississippi Division of Medicaid’s regular website is currently down due to a temporary outage affecting our web-hosting vendor.\", \"slug\": \"s26-ms-temporary-official-site\", \"url\": \"https://medicaid.ms.gov/\"}]", "source_urls": "https://medicaid.ms.gov/", "state": "Mississippi" }, { "apply": "Use the official Online HCBS Referral Form. If online submission is unavailable, follow the manual's paper-referral and email instructions.", "apply_url": "https://health.mo.gov/book/export/html/4131", "checked_on": "2026-10-23", "code": "MO", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-mo-hcbs-referral\"], \"text\": \"Use the official Online HCBS Referral Form. If online submission is unavailable, follow the manual's paper-referral and email instructions.\", \"url\": \"https://health.mo.gov/book/export/html/4131\"}, \"code\": \"MO\", \"facts\": [\"s26-mo-consumer-directed-program\", \"s26-mo-consumer-directed-services\", \"s26-mo-consumer-directed-family\", \"s26-mo-consumer-directed-self-direction\", \"s26-mo-hcbs-referral\"], \"family_payment\": {\"facts\": [\"s26-mo-consumer-directed-family\", \"s26-mo-consumer-directed-self-direction\"], \"text\": \"A family member may be the attendant, except the participant's spouse or legal guardian. The participant must be able to direct their own care.\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, \"id\": \"care-mo\", \"office_facts\": [], \"office_url\": \"https://health.mo.gov/book/export/html/3106\", \"pays_for\": {\"facts\": [\"s26-mo-consumer-directed-services\"], \"text\": \"Authorized assistance with daily living and instrumental daily living for people with physical disabilities who meet program requirements.\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, \"program\": {\"facts\": [\"s26-mo-consumer-directed-program\"], \"text\": \"Personal Care Assistance Consumer Directed Services, State Plan model.\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, \"scope\": \"state\", \"state\": \"Missouri\"}", "fact_slugs": "s26-mo-consumer-directed-family; s26-mo-consumer-directed-program; s26-mo-consumer-directed-self-direction; s26-mo-consumer-directed-services; s26-mo-hcbs-referral", "family_payment": "A family member may be the attendant, except the participant's spouse or legal guardian. The participant must be able to direct their own care.", "family_payment_url": "https://health.mo.gov/book/export/html/3106", "id": "care-mo", "next_check_on": "2027-01-23", "office_url": "https://health.mo.gov/book/export/html/3106", "pays_for": "Authorized assistance with daily living and instrumental daily living for people with physical disabilities who meet program requirements.", "pays_for_url": "https://health.mo.gov/book/export/html/3106", "program": "Personal Care Assistance Consumer Directed Services, State Plan model.", "program_url": "https://health.mo.gov/book/export/html/3106", "publishers": "Missouri Department of Health and Senior Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Missouri Department of Health and Senior Services\", \"quote\": \"The attendant may be a family member. However, the attendant cannot be the participant’s spouse or legal guardian.\", \"slug\": \"s26-mo-consumer-directed-family\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Missouri Department of Health and Senior Services\", \"quote\": \"Personal Care Assistance Consumer Directed Services (CDS) is a Home and Community Based Services (HCBS) program offered through the Division of Senior and Disability Services (DSDS).\", \"slug\": \"s26-mo-consumer-directed-program\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Missouri Department of Health and Senior Services\", \"quote\": \"CDS is available to participants who can direct their own care and can live independently.\", \"slug\": \"s26-mo-consumer-directed-self-direction\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Missouri Department of Health and Senior Services\", \"quote\": \"CDS provides assistance with activities of daily living (ADL) and/or instrumental activities of daily living (IADL) provided as an alternative to nursing facility placement to persons with a physical disability.\", \"slug\": \"s26-mo-consumer-directed-services\", \"url\": \"https://health.mo.gov/book/export/html/3106\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Missouri Department of Health and Senior Services\", \"quote\": \"HCBS referrals shall be submitted utilizing the Online HCBS Referral Form. In instances where referrals cannot be submitted online, referrals can be submitted by completing the HCBS Referral Form and emailing to HCBSCallCenterReferrals@health.mo.gov.\", \"slug\": \"s26-mo-hcbs-referral\", \"url\": \"https://health.mo.gov/book/export/html/4131\"}]", "source_urls": "https://health.mo.gov/book/export/html/3106; https://health.mo.gov/book/export/html/4131", "state": "Missouri" }, { "apply": "Contact a regional program officer using the official page for referral information and program questions.", "apply_url": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "checked_on": "2026-10-23", "code": "MT", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-mt-cfcs-pcs-referral\"], \"text\": \"Contact a regional program officer using the official page for referral information and program questions.\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, \"code\": \"MT\", \"facts\": [\"s26-mt-cfcs-pcs-program\", \"s26-mt-cfcs-pcs-models\", \"s26-mt-cfcs-pcs-services\", \"s26-mt-cfcs-pcs-referral\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, \"id\": \"care-mt\", \"office_facts\": [], \"office_url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\", \"pays_for\": {\"facts\": [\"s26-mt-cfcs-pcs-services\"], \"text\": \"Authorized bathing, dressing, grooming, toileting, eating, medication assistance, mobility, exercise and medical escort. Other services depend on the program and assessed needs.\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, \"program\": {\"facts\": [\"s26-mt-cfcs-pcs-program\", \"s26-mt-cfcs-pcs-models\"], \"text\": \"Community First Choice Services and Personal Care Services, with agency-based or self-directed service options.\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, \"scope\": \"state\", \"state\": \"Montana\"}", "fact_slugs": "s26-mt-cfcs-pcs-models; s26-mt-cfcs-pcs-program; s26-mt-cfcs-pcs-referral; s26-mt-cfcs-pcs-services", "family_payment": "Not published", "family_payment_url": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "id": "care-mt", "next_check_on": "2027-01-23", "office_url": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "pays_for": "Authorized bathing, dressing, grooming, toileting, eating, medication assistance, mobility, exercise and medical escort. Other services depend on the program and assessed needs.", "pays_for_url": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "program": "Community First Choice Services and Personal Care Services, with agency-based or self-directed service options.", "program_url": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "publishers": "Montana Department of Public Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Montana Department of Public Health and Human Services\", \"quote\": \"CFCS/PCS-eligible individuals can choose from two service delivery options: Agency-Based CFCS/PCS (AB-CFCS/PCS) – Services are managed and provided through an agency. Self-Direct CFCS/PCS (SD-CFCS/PCS) – Individuals have greater control over their services.\", \"slug\": \"s26-mt-cfcs-pcs-models\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Montana Department of Public Health and Human Services\", \"quote\": \"The Community First Choice Services (CFCS) and Personal Care Services (PCS) programs are entitlement programs designed to provide long-term supportive care in the home setting.\", \"slug\": \"s26-mt-cfcs-pcs-program\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Montana Department of Public Health and Human Services\", \"quote\": \"Regional Program Officers can assist with policy clarification, general eligibility questions and provide information on the process for referring an individual to the Community First Choice/Personal Assistance Program.\", \"slug\": \"s26-mt-cfcs-pcs-referral\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Montana Department of Public Health and Human Services\", \"quote\": \"Bathing Dressing Grooming Toileting Eating, Medication assistance Ambulation and exercising Medical escort is also available\", \"slug\": \"s26-mt-cfcs-pcs-services\", \"url\": \"https://dphhs.mt.gov/SLTC/csb/CFCS-PCS\"}]", "source_urls": "https://dphhs.mt.gov/SLTC/csb/CFCS-PCS", "state": "Montana" }, { "apply": "Follow the official iServe link and ask about a Personal Assistance Services assessment.", "apply_url": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "checked_on": "2026-10-23", "code": "NE", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ne-personal-assistance-assessment\"], \"text\": \"Follow the official iServe link and ask about a Personal Assistance Services assessment.\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, \"code\": \"NE\", \"facts\": [\"s26-ne-personal-assistance-program\", \"s26-ne-personal-assistance-services\", \"s26-ne-personal-assistance-family\", \"s26-ne-personal-assistance-assessment\"], \"family_payment\": {\"facts\": [\"s26-ne-personal-assistance-family\"], \"text\": \"A family member may be paid if qualified and not legally responsible for you. A spouse or the parent or guardian of a minor child cannot be the paid provider.\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, \"id\": \"care-ne\", \"office_facts\": [], \"office_url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\", \"pays_for\": {\"facts\": [\"s26-ne-personal-assistance-services\"], \"text\": \"Assessed assistance with daily living, such as bathing or dressing, for a person with a chronic medical condition or disability.\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, \"program\": {\"facts\": [\"s26-ne-personal-assistance-program\"], \"text\": \"Medicaid Personal Assistance Services.\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, \"scope\": \"state\", \"state\": \"Nebraska\"}", "fact_slugs": "s26-ne-personal-assistance-assessment; s26-ne-personal-assistance-family; s26-ne-personal-assistance-program; s26-ne-personal-assistance-services", "family_payment": "A family member may be paid if qualified and not legally responsible for you. A spouse or the parent or guardian of a minor child cannot be the paid provider.", "family_payment_url": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "id": "care-ne", "next_check_on": "2027-01-23", "office_url": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "pays_for": "Assessed assistance with daily living, such as bathing or dressing, for a person with a chronic medical condition or disability.", "pays_for_url": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "program": "Medicaid Personal Assistance Services.", "program_url": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "publishers": "Nebraska Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nebraska Department of Health and Human Services\", \"quote\": \"How do I find out if I can receive Personal Assistance Services? Visit iServe How do I know how many Personal Assistance Services I need? Together, you, and your iServe worker will complete an assessment to determine the amount of time you require for your specific needs.\", \"slug\": \"s26-ne-personal-assistance-assessment\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nebraska Department of Health and Human Services\", \"quote\": \"Yes, as long as the family member is not legally responsible for you. A spouse or the parent/guardian of a minor child cannot be paid providers. The individual must be able to meet qualifications to become a provider.\", \"slug\": \"s26-ne-personal-assistance-family\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nebraska Department of Health and Human Services\", \"quote\": \"What are Personal Assistance Services? Assistance with activities of daily living, such as bathing or dressing, for an individual who has a chronic medical condition or a disability.\", \"slug\": \"s26-ne-personal-assistance-program\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nebraska Department of Health and Human Services\", \"quote\": \"Assistance with activities of daily living, such as bathing or dressing, for an individual who has a chronic medical condition or a disability.\", \"slug\": \"s26-ne-personal-assistance-services\", \"url\": \"https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx\"}]", "source_urls": "https://dhhs.ne.gov/Pages/Medicaid-Home-and-Community-Based-Programs.aspx", "state": "Nebraska" }, { "apply": "For an initial PCS request, call Nevada Medicaid's fiscal agent at 800-525-2395, option 1 then option 4.", "apply_url": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "checked_on": "2026-10-23", "code": "NV", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-nv-personal-care-request\"], \"text\": \"For an initial PCS request, call Nevada Medicaid's fiscal agent at 800-525-2395, option 1 then option 4.\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, \"code\": \"NV\", \"facts\": [\"s26-nv-personal-care-program\", \"s26-nv-personal-care-models\", \"s26-nv-personal-care-services\", \"s26-nv-personal-care-request\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, \"id\": \"care-nv\", \"office_facts\": [], \"office_url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\", \"pays_for\": {\"facts\": [\"s26-nv-personal-care-services\"], \"text\": \"Assessed daily-living assistance, light housekeeping, laundry, essential shopping and meal preparation. Prior authorization is required.\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, \"program\": {\"facts\": [\"s26-nv-personal-care-program\", \"s26-nv-personal-care-models\"], \"text\": \"Personal Care Services, with agency and self-directed service models.\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, \"scope\": \"state\", \"state\": \"Nevada\"}", "fact_slugs": "s26-nv-personal-care-models; s26-nv-personal-care-program; s26-nv-personal-care-request; s26-nv-personal-care-services", "family_payment": "Not published", "family_payment_url": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "id": "care-nv", "next_check_on": "2027-01-23", "office_url": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "pays_for": "Assessed daily-living assistance, light housekeeping, laundry, essential shopping and meal preparation. Prior authorization is required.", "pays_for_url": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "program": "Personal Care Services, with agency and self-directed service models.", "program_url": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "publishers": "Nevada Medicaid", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nevada Medicaid\", \"quote\": \"Agency Model: Provider Type 30 – Personal Care Services Provider Agency Self Directed Services Model: Provider Type 83 – Personal Care Service Intermediary Service Organization (ISO).\", \"slug\": \"s26-nv-personal-care-models\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nevada Medicaid\", \"quote\": \"The Personal Care Services (PCS) program provides assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to support and maintain individuals living independently in their homes.\", \"slug\": \"s26-nv-personal-care-program\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nevada Medicaid\", \"quote\": \"Recipients ( for initial requests only ): Call Nevada Medicaid's fiscal agent at (800) 525-2395 (option 1 then option 4).\", \"slug\": \"s26-nv-personal-care-request\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Nevada Medicaid\", \"quote\": \"ADLs include: bathing/dressing/grooming, toileting, transferring and positioning, mobility and ambulation, and eating. IADLs include: light housekeeping, laundry, essential shopping, and meal preparation. Each individual’s need for PCS is assessed by a physical or occupational therapist. Requires prior authorization.\", \"slug\": \"s26-nv-personal-care-services\", \"url\": \"https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/\"}]", "source_urls": "https://www.nevadamedicaid.nv.gov/programs/long-term-services-support/personal-care-services/", "state": "Nevada" }, { "apply": "Not published", "apply_url": "https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence", "checked_on": "", "code": "NH", "complete_row_json": "{\"apply\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence\"}, \"code\": \"NH\", \"facts\": [], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence\"}, \"id\": \"care-nh\", \"office_facts\": [], \"office_url\": \"https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence\", \"pays_for\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence\"}, \"program\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence\"}, \"scope\": \"state\", \"state\": \"New Hampshire\"}", "fact_slugs": "", "family_payment": "Not published", "family_payment_url": "https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence", "id": "care-nh", "next_check_on": "", "office_url": "https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence", "pays_for": "Not published", "pays_for_url": "https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence", "program": "Not published", "program_url": "https://www.dhhs.nh.gov/programs-services/adult-aging-care/choices-independence", "publishers": "", "scope": "state", "source_provenance_json": "[]", "source_urls": "", "state": "New Hampshire" }, { "apply": "If enrolled in a NJ FamilyCare MCO, contact your MCO to request a PCA assessment for PPP enrollment.", "apply_url": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "checked_on": "2026-10-23", "code": "NJ", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-nj-personal-preference-assessment\"], \"text\": \"If enrolled in a NJ FamilyCare MCO, contact your MCO to request a PCA assessment for PPP enrollment.\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, \"code\": \"NJ\", \"facts\": [\"s26-nj-personal-preference-program\", \"s26-nj-personal-preference-services\", \"s26-nj-personal-preference-workers\", \"s26-nj-personal-preference-assessment\"], \"family_payment\": {\"facts\": [\"s26-nj-personal-preference-workers\"], \"text\": \"Relatives, friends or neighbors may be hired within PPP guidelines. Ask the MCO about qualifications and any restrictions for your proposed worker.\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, \"id\": \"care-nj\", \"office_facts\": [], \"office_url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\", \"pays_for\": {\"facts\": [\"s26-nj-personal-preference-services\"], \"text\": \"Approved personal-care tasks, including bathing, dressing, meal preparation and light housekeeping.\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, \"program\": {\"facts\": [\"s26-nj-personal-preference-program\"], \"text\": \"Personal Preference Program for NJ FamilyCare members approved for PCA services.\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, \"scope\": \"state\", \"state\": \"New Jersey\"}", "fact_slugs": "s26-nj-personal-preference-assessment; s26-nj-personal-preference-program; s26-nj-personal-preference-services; s26-nj-personal-preference-workers", "family_payment": "Relatives, friends or neighbors may be hired within PPP guidelines. Ask the MCO about qualifications and any restrictions for your proposed worker.", "family_payment_url": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "id": "care-nj", "next_check_on": "2027-01-23", "office_url": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "pays_for": "Approved personal-care tasks, including bathing, dressing, meal preparation and light housekeeping.", "pays_for_url": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "program": "Personal Preference Program for NJ FamilyCare members approved for PCA services.", "program_url": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "publishers": "New Jersey Department of Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Jersey Department of Human Services\", \"quote\": \"If you are enrolled in a NJ FamilyCare Managed Care Organization MCO (also known as an HMO or health plan), please contact your MCO to request a PCA assessment for enrollment into PPP.\", \"slug\": \"s26-nj-personal-preference-assessment\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Jersey Department of Human Services\", \"quote\": \"The New Jersey Personal Preference Program (PPP) offers a way for NJ FamilyCare/Medicaid members, who qualify for the Personal Care Assistant (PCA) service, to remain in their home, active in their community, and does not require the use of a home health care agency.\", \"slug\": \"s26-nj-personal-preference-program\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Jersey Department of Human Services\", \"quote\": \"Tasks include help with activities of daily living (ADLs) and instrumental activities of daily living (iADLs) essential to the member's health and comfort, such as bathing, dressing, meal preparation, and light housekeeping.\", \"slug\": \"s26-nj-personal-preference-services\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Jersey Department of Human Services\", \"quote\": \"Hire workers, including trusted individuals like friends, relatives, or neighbors\", \"slug\": \"s26-nj-personal-preference-workers\", \"url\": \"https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml\"}]", "source_urls": "https://nj.gov/humanservices/dmahs/individuals-families/njppp.shtml", "state": "New Jersey" }, { "apply": "Follow the official New Application instructions. The application requires registering an account with a valid email address.", "apply_url": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "checked_on": "2026-10-23", "code": "NM", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-nm-new-mexicare-application\"], \"text\": \"Follow the official New Application instructions. The application requires registering an account with a valid email address.\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, \"code\": \"NM\", \"facts\": [\"s26-nm-new-mexicare-program\", \"s26-nm-new-mexicare-requirements\", \"s26-nm-new-mexicare-support\", \"s26-nm-new-mexicare-family\", \"s26-nm-new-mexicare-review\", \"s26-nm-new-mexicare-application\"], \"family_payment\": {\"facts\": [\"s26-nm-new-mexicare-family\", \"s26-nm-new-mexicare-review\"], \"text\": \"The program describes financial assistance for caregivers helping friends or family members. Eligibility and approval must be confirmed by program staff.\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, \"id\": \"care-nm\", \"office_facts\": [], \"office_url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\", \"pays_for\": {\"facts\": [\"s26-nm-new-mexicare-support\"], \"text\": \"Financial assistance and training for caregivers helping with daily activities because of physical or cognitive limitations.\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, \"program\": {\"facts\": [\"s26-nm-new-mexicare-program\", \"s26-nm-new-mexicare-requirements\"], \"text\": \"New MexiCare, a state aging-department program subject to its eligibility requirements.\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, \"scope\": \"state\", \"state\": \"New Mexico\"}", "fact_slugs": "s26-nm-new-mexicare-application; s26-nm-new-mexicare-family; s26-nm-new-mexicare-program; s26-nm-new-mexicare-requirements; s26-nm-new-mexicare-review; s26-nm-new-mexicare-support", "family_payment": "The program describes financial assistance for caregivers helping friends or family members. Eligibility and approval must be confirmed by program staff.", "family_payment_url": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "id": "care-nm", "next_check_on": "2027-01-23", "office_url": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "pays_for": "Financial assistance and training for caregivers helping with daily activities because of physical or cognitive limitations.", "pays_for_url": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "program": "New MexiCare, a state aging-department program subject to its eligibility requirements.", "program_url": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "publishers": "New Mexico Aging and Long-Term Services Department", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"In order to start an application, you will need to create an account by registering using a valid email address. Once you start an application you can save it and continue the process at a later time.\", \"slug\": \"s26-nm-new-mexicare-application\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"New MexiCare provides financial assistance and training to caregivers who are assisting friends or family members with daily activities due to physical or cognitive limitations.\", \"slug\": \"s26-nm-new-mexicare-family\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"New MexiCare provides financial assistance and training to caregivers who are assisting friends or family members with daily activities due to physical or cognitive limitations.\", \"slug\": \"s26-nm-new-mexicare-program\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"Applicant must be age 60+ Have cognitive or physical limitations requiring assistance with two or more activities of daily living\", \"slug\": \"s26-nm-new-mexicare-requirements\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"Please note that by completing and submitting this information is not a final determination of eligibility. Submission is not a guarantee that services will be provided. Additional information may be requested by program staff in order to determine your eligibility.\", \"slug\": \"s26-nm-new-mexicare-review\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New Mexico Aging and Long-Term Services Department\", \"quote\": \"New MexiCare provides financial assistance and training to caregivers who are assisting friends or family members with daily activities due to physical or cognitive limitations.\", \"slug\": \"s26-nm-new-mexicare-support\", \"url\": \"https://www.aging.nm.gov/long-term-care/new-mexicare/\"}]", "source_urls": "https://www.aging.nm.gov/long-term-care/new-mexicare/", "state": "New Mexico" }, { "apply": "Contact your managed-care plan or Local Department of Social Services about assessment and CDPAP requirements. Existing participants must work with the statewide fiscal intermediary.", "apply_url": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "checked_on": "2026-10-23", "code": "NY", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ny-cdpap-contact\", \"s26-ny-cdpap-statewide-fi\"], \"text\": \"Contact your managed-care plan or Local Department of Social Services about assessment and CDPAP requirements. Existing participants must work with the statewide fiscal intermediary.\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, \"code\": \"NY\", \"facts\": [\"s26-ny-cdpap-program\", \"s26-ny-cdpap-services\", \"s26-ny-cdpap-family\", \"s26-ny-cdpap-contact\", \"s26-ny-cdpap-statewide-fi\"], \"family_payment\": {\"facts\": [\"s26-ny-cdpap-family\"], \"text\": \"A friend or family member may be the assistant, except a spouse, designated representative or parent of a consumer under 21.\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, \"id\": \"care-ny\", \"office_facts\": [], \"office_url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\", \"pays_for\": {\"facts\": [\"s26-ny-cdpap-services\"], \"text\": \"Authorized personal-care, home-health-aide or nursing services for people meeting program requirements.\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, \"program\": {\"facts\": [\"s26-ny-cdpap-program\"], \"text\": \"Consumer Directed Personal Assistance Program for eligible Medicaid members.\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, \"scope\": \"state\", \"state\": \"New York\"}", "fact_slugs": "s26-ny-cdpap-contact; s26-ny-cdpap-family; s26-ny-cdpap-program; s26-ny-cdpap-services; s26-ny-cdpap-statewide-fi", "family_payment": "A friend or family member may be the assistant, except a spouse, designated representative or parent of a consumer under 21.", "family_payment_url": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "id": "care-ny", "next_check_on": "2027-01-23", "office_url": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "pays_for": "Authorized personal-care, home-health-aide or nursing services for people meeting program requirements.", "pays_for_url": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "program": "Consumer Directed Personal Assistance Program for eligible Medicaid members.", "program_url": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "publishers": "New York State Department of Health", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New York State Department of Health\", \"quote\": \"Consumers may also contact their Managed Care Plan or Local Department of Social Services (LDSS).\", \"slug\": \"s26-ny-cdpap-contact\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New York State Department of Health\", \"quote\": \"This can include a friend or family member, as long as they are not the Medicaid member's spouse, their designated representative or the parent of a CDPAP consumer under the age of 21.\", \"slug\": \"s26-ny-cdpap-family\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New York State Department of Health\", \"quote\": \"The Consumer Directed Personal Assistance Program, or \\\"CDPAP\\\", is a New York State Medicaid program that allows Medicaid members who are eligible for home care services to choose and hire their own personal caregiver, or \\\"personal assistant\\\".\", \"slug\": \"s26-ny-cdpap-program\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New York State Department of Health\", \"quote\": \"The CDPAP services provided by a personal assistant can include any of the services normally provided by a personal care aide (home attendant), home health aide, or nurse.\", \"slug\": \"s26-ny-cdpap-services\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"New York State Department of Health\", \"quote\": \"Public Partnership LLC (PPL) (External Link) is the Statewide Fiscal Intermediary for New York State CDPAP. All CDPAP recipients are required to work with PPL as their Fiscal Intermediary.\", \"slug\": \"s26-ny-cdpap-statewide-fi\", \"url\": \"https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/\"}]", "source_urls": "https://www.health.ny.gov/health_care/medicaid/program/longterm/cdpap/", "state": "New York" }, { "apply": "Contact the CAP/DA case management entity in the applicant's county to request a referral.", "apply_url": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "checked_on": "2026-10-23", "code": "NC", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-nc-capda-referral\"], \"text\": \"Contact the CAP/DA case management entity in the applicant's county to request a referral.\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, \"code\": \"NC\", \"facts\": [\"s26-nc-capda-program\", \"s26-nc-capda-consumer-direction\", \"s26-nc-capda-services\", \"s26-nc-capda-referral\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, \"id\": \"care-nc\", \"office_facts\": [], \"office_url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\", \"pays_for\": {\"facts\": [\"s26-nc-capda-services\"], \"text\": \"Authorized home aide, adult day health, equipment and modifications, meal preparation and delivery, respite and other services under the assessed plan.\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, \"program\": {\"facts\": [\"s26-nc-capda-program\", \"s26-nc-capda-consumer-direction\"], \"text\": \"Community Alternatives Program for Disabled Adults, with consumer-directed services as an available service model.\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, \"scope\": \"state\", \"state\": \"North Carolina\"}", "fact_slugs": "s26-nc-capda-consumer-direction; s26-nc-capda-program; s26-nc-capda-referral; s26-nc-capda-services", "family_payment": "Not published", "family_payment_url": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "id": "care-nc", "next_check_on": "2027-01-23", "office_url": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "pays_for": "Authorized home aide, adult day health, equipment and modifications, meal preparation and delivery, respite and other services under the assessed plan.", "pays_for_url": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "program": "Community Alternatives Program for Disabled Adults, with consumer-directed services as an available service model.", "program_url": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "publishers": "NC Medicaid", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"NC Medicaid\", \"quote\": \"Consumer-direction is a service delivery model that allows a CAP/DA Medicaid beneficiary or designated representative to act in the role of employer of record to direct their personal care services\", \"slug\": \"s26-nc-capda-consumer-direction\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"NC Medicaid\", \"quote\": \"CAP/DA is a Medicaid Home- and Community-Based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-Based Waiver Services.\", \"slug\": \"s26-nc-capda-program\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"NC Medicaid\", \"quote\": \"Contact a local CAP/DA case management entity in the county of residence of the applicant to request a CAP/DA referral.\", \"slug\": \"s26-nc-capda-referral\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"NC Medicaid\", \"quote\": \"Adult day health CAP In-home aide 1 CAP In-home aide 2 Equipment, modification and technology Meal preparation and delivery Respite services - Institutional respite and In-Home Aide respite\", \"slug\": \"s26-nc-capda-services\", \"url\": \"https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda\"}]", "source_urls": "https://medicaid.ncdhhs.gov/providers/programs-and-services/long-term-care/community-alternatives-program-disabled-adults-capda", "state": "North Carolina" }, { "apply": "Use the Family Paid Caregiver Portal linked by HHS. Applications depend on program review and available funding.", "apply_url": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "checked_on": "2026-10-23", "code": "ND", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-nd-funding-limit\", \"s26-nd-apply\"], \"text\": \"Use the Family Paid Caregiver Portal linked by HHS. Applications depend on program review and available funding.\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, \"code\": \"ND\", \"facts\": [\"s26-nd-program\", \"s26-nd-extraordinary-care\", \"s26-nd-extraordinary-definition\", \"s26-nd-funding-limit\", \"s26-nd-apply\"], \"family_payment\": {\"facts\": [\"s26-nd-extraordinary-care\", \"s26-nd-funding-limit\"], \"text\": \"Legally responsible family members may receive payment for qualifying extraordinary care. This pilot is limited to its listed waivers and available funding.\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, \"id\": \"care-nd\", \"office_facts\": [], \"office_url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\", \"pays_for\": {\"facts\": [\"s26-nd-extraordinary-care\", \"s26-nd-extraordinary-definition\"], \"text\": \"Extraordinary care beyond typical legally responsible family care, for people enrolled in one of the specifically listed Medicaid waivers.\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, \"program\": {\"facts\": [\"s26-nd-program\"], \"text\": \"Family Paid Caregiver Pilot Program\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, \"scope\": \"state\", \"state\": \"North Dakota\"}", "fact_slugs": "s26-nd-apply; s26-nd-extraordinary-care; s26-nd-extraordinary-definition; s26-nd-funding-limit; s26-nd-program", "family_payment": "Legally responsible family members may receive payment for qualifying extraordinary care. This pilot is limited to its listed waivers and available funding.", "family_payment_url": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "id": "care-nd", "next_check_on": "2027-01-23", "office_url": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "pays_for": "Extraordinary care beyond typical legally responsible family care, for people enrolled in one of the specifically listed Medicaid waivers.", "pays_for_url": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "program": "Family Paid Caregiver Pilot Program", "program_url": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "publishers": "North Dakota Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"North Dakota Health and Human Services\", \"quote\": \"You can access and submit an application on the Family Paid Caregiver Portal.\", \"slug\": \"s26-nd-apply\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"North Dakota Health and Human Services\", \"quote\": \"Family members who are legally responsible individuals and provide extraordinary care to either a child or adult who are enrolled in one of the following Medicaid 1915(c) waivers may receive payments from the state. Autism Spectrum Disorder Birth Through 17 Waiver Children with Medically Fragile Needs Home and Community-Based Services Waiver Children’s Hospice Home and Community-Based Services Waiver Traditional Individual with Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver\", \"slug\": \"s26-nd-extraordinary-care\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"North Dakota Health and Human Services\", \"quote\": \"When a family member provides care for someone with medical or behavioral needs that is beyond what a legally responsible individual would typically perform.\", \"slug\": \"s26-nd-extraordinary-definition\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"North Dakota Health and Human Services\", \"quote\": \"While the bill does not specifically authorize new enrollments, applications may be processed in the order received as funds may become available.\", \"slug\": \"s26-nd-funding-limit\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"North Dakota Health and Human Services\", \"quote\": \"Family Paid Caregiver Pilot Program\", \"slug\": \"s26-nd-program\", \"url\": \"https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program\"}]", "source_urls": "https://www.hhs.nd.gov/individuals-disabilities/family-paid-caregiver-pilot-program", "state": "North Dakota" }, { "apply": "If applying for or enrolled in PASSPORT, contact the case manager or the PASSPORT administrative agency for your county.", "apply_url": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "checked_on": "2026-10-23", "code": "OH", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-oh-apply\"], \"text\": \"If applying for or enrolled in PASSPORT, contact the case manager or the PASSPORT administrative agency for your county.\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, \"code\": \"OH\", \"facts\": [\"s26-oh-program\", \"s26-oh-services\", \"s26-oh-family-conditions\", \"s26-oh-apply\"], \"family_payment\": {\"facts\": [\"s26-oh-family-conditions\"], \"text\": \"Qualified adult family members may be hired. Certification and background checks apply. A spouse or legally designated relative requires case-manager review under the specified rules.\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, \"id\": \"care-oh\", \"office_facts\": [], \"office_url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\", \"pays_for\": {\"facts\": [\"s26-oh-program\", \"s26-oh-services\"], \"text\": \"Choices Home Care Attendant Service or Consumer-Directed Personal Care Service, within the PASSPORT waiver.\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, \"program\": {\"facts\": [\"s26-oh-program\"], \"text\": \"PASSPORT Participant Direction\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, \"scope\": \"state\", \"state\": \"Ohio\"}", "fact_slugs": "s26-oh-apply; s26-oh-family-conditions; s26-oh-program; s26-oh-services", "family_payment": "Qualified adult family members may be hired. Certification and background checks apply. A spouse or legally designated relative requires case-manager review under the specified rules.", "family_payment_url": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "id": "care-oh", "next_check_on": "2027-01-23", "office_url": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "pays_for": "Choices Home Care Attendant Service or Consumer-Directed Personal Care Service, within the PASSPORT waiver.", "pays_for_url": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "program": "PASSPORT Participant Direction", "program_url": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "publishers": "Ohio Department of Aging", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Ohio Department of Aging\", \"quote\": \"The individual must be applying for PASSPORT or enrolled on PASSPORT to use a participant direction service. If an individual or their representative has questions or is interested in participant direction, they should contact their case manager. The PASSPORT Administrative Agency serving the individual’s county of residence can also be contacted for assistance.\", \"slug\": \"s26-oh-apply\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Ohio Department of Aging\", \"quote\": \"The individual can hire any person of their choice over the age of 18 that meets certification requirements outlined in 173-39-02, 173-39-03, and 173-39-02.4 which includes completing a background check per OAC 173-9. They may choose to hire family members, friends, acquaintances, neighbors, etc. The individual can hire a spouse or relative with a legal representative designation if requirements in Ohio Administrative Code (OAC) 5160-44-32 can be met. If the individual wishes to hire their spouse or relative with a legal representative designation as their provider, they should discuss this directly with the case manager to determine if it is allowable under OAC 5160-44-32.\", \"slug\": \"s26-oh-family-conditions\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Ohio Department of Aging\", \"quote\": \"Participant direction is a voluntary service option available to individuals on Ohio’s PASSPORT Medicaid Waiver Program.\", \"slug\": \"s26-oh-program\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Ohio Department of Aging\", \"quote\": \"There are two service options that fall under participant direction. This includes Choices Home Care Attendant Service (C-HCAS) and Consumer-Directed Personal Care Service (CD-PCS):\", \"slug\": \"s26-oh-services\", \"url\": \"https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction\"}]", "source_urls": "https://aging.ohio.gov/care-and-living/get-help/home-and-community-care/passport-participant-direction", "state": "Ohio" }, { "apply": "Contact your case manager or the CDPASS office using the official orientation instructions.", "apply_url": "https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf", "checked_on": "2026-10-23", "code": "OK", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ok-apply\"], \"text\": \"Contact your case manager or the CDPASS office using the official orientation instructions.\", \"url\": \"https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf\"}, \"code\": \"OK\", \"facts\": [\"s26-ok-program\", \"s26-ok-plan-hours\", \"s26-ok-family-conditions\", \"s26-ok-apply\"], \"family_payment\": {\"facts\": [\"s26-ok-family-conditions\"], \"text\": \"The ADvantage CDPASS orientation permits some family employees. Spouses, guardians, people holding powers of attorney and authorized representatives are excluded, with only exceptional spouse exceptions. Background checks apply. Confirm Medically Fragile Waiver rules with the program.\", \"url\": \"https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf\"}, \"id\": \"care-ok\", \"office_facts\": [], \"office_url\": \"https://oklahoma.gov/okdhs/services/aging/cdpass.html\", \"pays_for\": {\"facts\": [\"s26-ok-program\", \"s26-ok-plan-hours\"], \"text\": \"Self-directed personal care for active ADvantage or Medically Fragile Waiver members, within approved service-plan hours and wage limits.\", \"url\": \"https://oklahoma.gov/okdhs/services/aging/cdpass.html\"}, \"program\": {\"facts\": [\"s26-ok-program\"], \"text\": \"Consumer Directed Personal Assistance Services and Supports (CDPASS)\", \"url\": \"https://oklahoma.gov/okdhs/services/aging/cdpass.html\"}, \"scope\": \"state\", \"state\": \"Oklahoma\"}", "fact_slugs": "s26-ok-apply; s26-ok-family-conditions; s26-ok-plan-hours; s26-ok-program", "family_payment": "The ADvantage CDPASS orientation permits some family employees. Spouses, guardians, people holding powers of attorney and authorized representatives are excluded, with only exceptional spouse exceptions. Background checks apply. Confirm Medically Fragile Waiver rules with the program.", "family_payment_url": "https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf", "id": "care-ok", "next_check_on": "2027-01-23", "office_url": "https://oklahoma.gov/okdhs/services/aging/cdpass.html", "pays_for": "Self-directed personal care for active ADvantage or Medically Fragile Waiver members, within approved service-plan hours and wage limits.", "pays_for_url": "https://oklahoma.gov/okdhs/services/aging/cdpass.html", "program": "Consumer Directed Personal Assistance Services and Supports (CDPASS)", "program_url": "https://oklahoma.gov/okdhs/services/aging/cdpass.html", "publishers": "Oklahoma Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oklahoma Human Services\", \"quote\": \"If you would like to apply or have any additional questions, please contact your Case Manager or call us at 1-800-435-4711.\", \"slug\": \"s26-ok-apply\", \"url\": \"https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oklahoma Human Services\", \"quote\": \"Yes, some family members are eligible to work for you. However, spouses, legal guardians, powers of attorney, and authorized representatives may not serve as your employee. Some exceptions are allowed, but only for spouses in the most exceptional situations. Anyone hired must pass a background check.\", \"slug\": \"s26-ok-family-conditions\", \"url\": \"https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oklahoma Human Services\", \"quote\": \"Once service plan hours are set by the Member’s Case Manager, the Member will negotiate the wage rate with the employee (within a maximum limit) and develop a member-centered service schedule.\", \"slug\": \"s26-ok-plan-hours\", \"url\": \"https://oklahoma.gov/okdhs/services/aging/cdpass.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oklahoma Human Services\", \"quote\": \"The Consumer Directed Personal Assistance Services and Supports (CDPASS) service allows active ADvantage and Medically Fragile Waiver program Members to self-direct personal care services by:\", \"slug\": \"s26-ok-program\", \"url\": \"https://oklahoma.gov/okdhs/services/aging/cdpass.html\"}]", "source_urls": "https://oklahoma.gov/content/dam/ok/en/okdhs/documents/okdhs-publication-library/10-02_Self-GuidedOrientationADvantageProgramCD-Pass_cap_01062022.pdf; https://oklahoma.gov/okdhs/services/aging/cdpass.html", "state": "Oklahoma" }, { "apply": "For older adults and people with physical disabilities, contact an Area Agency on Aging or Aging and People with Disabilities office about Medicaid LTSS.", "apply_url": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "checked_on": "2026-10-23", "code": "OR", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-or-apply\"], \"text\": \"For older adults and people with physical disabilities, contact an Area Agency on Aging or Aging and People with Disabilities office about Medicaid LTSS.\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, \"code\": \"OR\", \"facts\": [\"s26-or-program\", \"s26-or-family-cash-benefit\", \"s26-or-apply\"], \"family_payment\": {\"facts\": [\"s26-or-program\", \"s26-or-family-cash-benefit\"], \"text\": \"The Independent Choices Program permits hiring a spouse or other family member. Medicaid LTSS participation and program rules apply.\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, \"id\": \"care-or\", \"office_facts\": [], \"office_url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\", \"pays_for\": {\"facts\": [\"s26-or-program\", \"s26-or-family-cash-benefit\"], \"text\": \"A monthly cash benefit to hire, manage and pay in-home workers through Medicaid LTSS.\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, \"program\": {\"facts\": [\"s26-or-program\"], \"text\": \"Independent Choices Program\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, \"scope\": \"state\", \"state\": \"Oregon\"}", "fact_slugs": "s26-or-apply; s26-or-family-cash-benefit; s26-or-program", "family_payment": "The Independent Choices Program permits hiring a spouse or other family member. Medicaid LTSS participation and program rules apply.", "family_payment_url": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "id": "care-or", "next_check_on": "2027-01-23", "office_url": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "pays_for": "A monthly cash benefit to hire, manage and pay in-home workers through Medicaid LTSS.", "pays_for_url": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "program": "Independent Choices Program", "program_url": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "publishers": "Oregon Department of Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oregon Department of Human Services\", \"quote\": \"Older adults and people with physical disabilities: Contact an Area Agency on Aging or Aging and People with Disabilities office.\", \"slug\": \"s26-or-apply\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oregon Department of Human Services\", \"quote\": \"You hire and manage your in-home workers. The program gives you a monthly cash benefit and you pay your workers yourself. You can hire who you want, including home care workers, your spouse, or other family members.\", \"slug\": \"s26-or-family-cash-benefit\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Oregon Department of Human Services\", \"quote\": \"Independent Choices Program This is an option if you have Medicaid LTSS.\", \"slug\": \"s26-or-program\", \"url\": \"https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx\"}]", "source_urls": "https://www.oregon.gov/odhs/home-care-consumers/pages/default.aspx", "state": "Oregon" }, { "apply": "Read the CHC enrollment information and the linked COMPASS application route.", "apply_url": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "checked_on": "2026-10-23", "code": "PA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-pa-apply\"], \"text\": \"Read the CHC enrollment information and the linked COMPASS application route.\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, \"code\": \"PA\", \"facts\": [\"s26-pa-program\", \"s26-pa-coverage\", \"s26-pa-apply\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, \"id\": \"care-pa\", \"office_facts\": [], \"office_url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\", \"pays_for\": {\"facts\": [\"s26-pa-coverage\"], \"text\": \"CHC coordinates health care coverage for qualified participants. Ask which in-home services your plan covers.\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, \"program\": {\"facts\": [\"s26-pa-program\"], \"text\": \"Community HealthChoices\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, \"scope\": \"state\", \"state\": \"Pennsylvania\"}", "fact_slugs": "s26-pa-apply; s26-pa-coverage; s26-pa-program", "family_payment": "Not published", "family_payment_url": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "id": "care-pa", "next_check_on": "2027-01-23", "office_url": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "pays_for": "CHC coordinates health care coverage for qualified participants. Ask which in-home services your plan covers.", "pays_for_url": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "program": "Community HealthChoices", "program_url": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "publishers": "Pennsylvania Department of Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Pennsylvania Department of Human Services\", \"quote\": \"Apply online using COMPASS COMPASS is an online platform which makes it easy to apply for, or renew, your benefits.\", \"slug\": \"s26-pa-apply\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Pennsylvania Department of Human Services\", \"quote\": \"CHC will coordinate your health care coverage to improve the quality of your health care experience — serving more people in communities rather than in facilities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life.\", \"slug\": \"s26-pa-coverage\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Pennsylvania Department of Human Services\", \"quote\": \"Community HealthChoices\", \"slug\": \"s26-pa-program\", \"url\": \"https://www.pa.gov/agencies/dhs/resources/medicaid/chc\"}]", "source_urls": "https://www.pa.gov/agencies/dhs/resources/medicaid/chc", "state": "Pennsylvania" }, { "apply": "Contact the Personal Choice office or a community partner agency listed on the official program page for program and enrollment instructions.", "apply_url": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "checked_on": "2026-10-23", "code": "RI", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-ri-contact\"], \"text\": \"Contact the Personal Choice office or a community partner agency listed on the official program page for program and enrollment instructions.\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, \"code\": \"RI\", \"facts\": [\"s26-ri-program\", \"s26-ri-services\", \"s26-ri-contact\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, \"id\": \"care-ri\", \"office_facts\": [], \"office_url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\", \"pays_for\": {\"facts\": [\"s26-ri-program\", \"s26-ri-services\"], \"text\": \"Personal care, homemaker and chore services, self-directed goods and services, and supports within Medicaid LTSS.\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, \"program\": {\"facts\": [\"s26-ri-program\"], \"text\": \"Personal Choice Program\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, \"scope\": \"state\", \"state\": \"Rhode Island\"}", "fact_slugs": "s26-ri-contact; s26-ri-program; s26-ri-services", "family_payment": "Not published", "family_payment_url": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "id": "care-ri", "next_check_on": "2027-01-23", "office_url": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "pays_for": "Personal care, homemaker and chore services, self-directed goods and services, and supports within Medicaid LTSS.", "pays_for_url": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "program": "Personal Choice Program", "program_url": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "publishers": "Rhode Island Executive Office of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Rhode Island Executive Office of Health and Human Services\", \"quote\": \"For more information about Personal Choice contact 401-462-6393 or one of our community partner agencies:\", \"slug\": \"s26-ri-contact\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Rhode Island Executive Office of Health and Human Services\", \"quote\": \"The Personal Choice program is a self-directed option for Medicaid long-term services and supports (LTSS) for people who want to get care while continuing to live at home.\", \"slug\": \"s26-ri-program\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Rhode Island Executive Office of Health and Human Services\", \"quote\": \"Personal Choice includes a specific set of Medicaid services including personal care, homemaker and chore services, self-directed goods and services, and supports. The State has contracts with several community agencies that assist a beneficiary participating in the program with developing a plan of care, managing services, and paying the caregiver they choose.\", \"slug\": \"s26-ri-services\", \"url\": \"https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program\"}]", "source_urls": "https://eohhs.ri.gov/consumer/healthcare/long-term-services-and-supports/personal-choice-program", "state": "Rhode Island" }, { "apply": "Use the official waiver overview chart to read the Community Choices application instructions.", "apply_url": "https://www.scdhhs.gov/resources/waivers", "checked_on": "2026-10-23", "code": "SC", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-sc-apply\"], \"text\": \"Use the official waiver overview chart to read the Community Choices application instructions.\", \"url\": \"https://www.scdhhs.gov/resources/waivers\"}, \"code\": \"SC\", \"facts\": [\"s26-sc-program\", \"s26-sc-apply\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver\"}, \"id\": \"care-sc\", \"office_facts\": [], \"office_url\": \"https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver\", \"pays_for\": {\"facts\": [\"s26-sc-program\"], \"text\": \"Assistive services at home as an alternative to nursing home residence, for qualified waiver participants.\", \"url\": \"https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver\"}, \"program\": {\"facts\": [\"s26-sc-program\"], \"text\": \"Community Choices (CC) Waiver\", \"url\": \"https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver\"}, \"scope\": \"state\", \"state\": \"South Carolina\"}", "fact_slugs": "s26-sc-apply; s26-sc-program", "family_payment": "Not published", "family_payment_url": "https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver", "id": "care-sc", "next_check_on": "2027-01-23", "office_url": "https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver", "pays_for": "Assistive services at home as an alternative to nursing home residence, for qualified waiver participants.", "pays_for_url": "https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver", "program": "Community Choices (CC) Waiver", "program_url": "https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver", "publishers": "South Carolina Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"South Carolina Department of Health and Human Services\", \"quote\": \"Descriptions of these waiver programs, who is eligible and how you can apply are available on the waiver overview chart.\", \"slug\": \"s26-sc-apply\", \"url\": \"https://www.scdhhs.gov/resources/waivers\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"South Carolina Department of Health and Human Services\", \"quote\": \"The Community Choices (CC) waiver offers an alternative option to nursing home residence by providing qualified individuals the choice to receive assistive services at home rather than in an institutional setting.\", \"slug\": \"s26-sc-program\", \"url\": \"https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver\"}]", "source_urls": "https://www.scdhhs.gov/resources/waivers; https://www.scdhhs.gov/resources/waivers/community-choices-cc-waiver", "state": "South Carolina" }, { "apply": "Not published", "apply_url": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "checked_on": "2026-10-23", "code": "SD", "complete_row_json": "{\"apply\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}, \"code\": \"SD\", \"facts\": [\"s26-sd-program\", \"s26-sd-attendant-family\"], \"family_payment\": {\"facts\": [\"s26-sd-program\", \"s26-sd-attendant-family\"], \"text\": \"Under the ADLS waiver, family or friends may be paid for personal attendant services if they meet all attendant qualifications. This is not a statement about every South Dakota waiver.\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}, \"id\": \"care-sd\", \"office_facts\": [], \"office_url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\", \"pays_for\": {\"facts\": [\"s26-sd-attendant-family\"], \"text\": \"ADLS personal attendant services, including daily personal care. Meal preparation and housekeeping are conditional on no other family member at home being able to provide them.\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}, \"program\": {\"facts\": [\"s26-sd-program\"], \"text\": \"Assistive Daily Living Services (ADLS) Waiver for individuals with quadriplegia\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}, \"scope\": \"state\", \"state\": \"South Dakota\"}", "fact_slugs": "s26-sd-attendant-family; s26-sd-program", "family_payment": "Under the ADLS waiver, family or friends may be paid for personal attendant services if they meet all attendant qualifications. This is not a statement about every South Dakota waiver.", "family_payment_url": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "id": "care-sd", "next_check_on": "2027-01-23", "office_url": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "pays_for": "ADLS personal attendant services, including daily personal care. Meal preparation and housekeeping are conditional on no other family member at home being able to provide them.", "pays_for_url": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "program": "Assistive Daily Living Services (ADLS) Waiver for individuals with quadriplegia", "program_url": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "publishers": "South Dakota Department of Social Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"South Dakota Department of Social Services\", \"quote\": \"Personal Attendant Services - includes services such as bathing, grooming, oral hygiene, assistance with self-administration of medications, routine bowel, and bladder care. Meal preparation and housekeeping may be provided if there is no other family member in the home to provide that service. Family or friends may be paid for this service if they meet all the personal attendant qualifications.\", \"slug\": \"s26-sd-attendant-family\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"South Dakota Department of Social Services\", \"quote\": \"Assistive Daily Living Services (ADLS) Waiver for Individuals with Quadriplegia who would Require Nursing Home Care if not for Special Services Performed in their Home\", \"slug\": \"s26-sd-program\", \"url\": \"https://dss.sd.gov/economicassistance/medical_programs.aspx\"}]", "source_urls": "https://dss.sd.gov/economicassistance/medical_programs.aspx", "state": "South Dakota" }, { "apply": "For long-term care, TennCare members can contact their health plan. People without TennCare can contact their local Area Agency on Aging and Disability.", "apply_url": "https://www.tn.gov/content/tn/tenncare/members-applicants/how-do-i-apply-for-tenncare.html", "checked_on": "2026-10-23", "code": "TN", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-tn-apply\"], \"text\": \"For long-term care, TennCare members can contact their health plan. People without TennCare can contact their local Area Agency on Aging and Disability.\", \"url\": \"https://www.tn.gov/content/tn/tenncare/members-applicants/how-do-i-apply-for-tenncare.html\"}, \"code\": \"TN\", \"facts\": [\"s26-tn-program\", \"s26-tn-direction-limit\", \"s26-tn-agency-family\", \"s26-tn-guardian-limits\", \"s26-tn-apply\"], \"family_payment\": {\"facts\": [\"s26-tn-agency-family\", \"s26-tn-guardian-limits\", \"s26-tn-direction-limit\"], \"text\": \"Family or household members must meet normal employment qualifications. Court-appointed guardians or conservators need explicit court-order permission. This guidance excludes consumer-directed workers and notes pending implementing rules.\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, \"id\": \"care-tn\", \"office_facts\": [], \"office_url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\", \"pays_for\": {\"facts\": [\"s26-tn-program\", \"s26-tn-agency-family\", \"s26-tn-guardian-limits\"], \"text\": \"Qualified provider-agency HCBS services within the benefits available in the enrolled person's person-centered plan.\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, \"program\": {\"facts\": [\"s26-tn-program\", \"s26-tn-direction-limit\"], \"text\": \"CHOICES and other TennCare LTSS waivers, provider agency family caregiver route\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, \"scope\": \"state\", \"state\": \"Tennessee\"}", "fact_slugs": "s26-tn-agency-family; s26-tn-apply; s26-tn-direction-limit; s26-tn-guardian-limits; s26-tn-program", "family_payment": "Family or household members must meet normal employment qualifications. Court-appointed guardians or conservators need explicit court-order permission. This guidance excludes consumer-directed workers and notes pending implementing rules.", "family_payment_url": "https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html", "id": "care-tn", "next_check_on": "2027-01-23", "office_url": "https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html", "pays_for": "Qualified provider-agency HCBS services within the benefits available in the enrolled person's person-centered plan.", "pays_for_url": "https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html", "program": "CHOICES and other TennCare LTSS waivers, provider agency family caregiver route", "program_url": "https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html", "publishers": "TennCare", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"TennCare\", \"quote\": \"Provider agencies are permitted to hire family members or other household members in caregiver roles to perform home and community-based (HCBS) services, as well as certain limited Medicaid services, provided that the individual meets the qualifications and criteria for employment (i.e. licensure/certification, background check qualifications, training requirements, etc.) that would apply to any individual in a paid caregiving role.\", \"slug\": \"s26-tn-agency-family\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"TennCare\", \"quote\": \"Do you need help with Long-Term Care? If you have TennCare, you can call your TennCare health plan (MCO). The number is on your TennCare card. If you do not have TennCare, contact your local Area Agency on Aging and Disability (AAAD) for free at 1-866-836-6678.\", \"slug\": \"s26-tn-apply\", \"url\": \"https://www.tn.gov/content/tn/tenncare/members-applicants/how-do-i-apply-for-tenncare.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"TennCare\", \"quote\": \"With this change, all HCBS services in our waiver programs will now be eligible for family member employment by provider agencies. These rules are pending. No. Provider agencies do not employ consumer-directed workers. Members interested in pursuing consumer direction should contact their MCO Coordinator.\", \"slug\": \"s26-tn-direction-limit\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"TennCare\", \"quote\": \"Conservators and other court appointed legal guardians cannot be employed by a provider agency as a family caregiver unless such employment is explicitly permitted in the order of guardianship or conservatorship. Parents of minor children through birth or adoption are eligible to be a family caregiver without court approval. Finally, Public Chapter 182 also prohibits compensation for care provided in excess of the amount of benefits available on the enrolled individual’s person-centered plan.\", \"slug\": \"s26-tn-guardian-limits\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"TennCare\", \"quote\": \"All HCBS services provided by a provider agency in all LTSS waiver programs: CHOICES ECF CHOICES Katie Beckett 1915(c) waivers: Self-determination, Statewide, and Comprehensive Aggregate Cap waivers\", \"slug\": \"s26-tn-program\", \"url\": \"https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html\"}]", "source_urls": "https://www.tn.gov/content/tn/tenncare/members-applicants/how-do-i-apply-for-tenncare.html; https://www.tn.gov/tenncare/long-term-services-supports/provider-agency-information-for-hiring-family-caregivers.html", "state": "Tennessee" }, { "apply": "Discuss the CDS option and its enrollment steps with your MCO service coordinator using the official handbook.", "apply_url": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services", "checked_on": "2026-10-23", "code": "TX", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-tx-coordinator\"], \"text\": \"Discuss the CDS option and its enrollment steps with your MCO service coordinator using the official handbook.\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, \"code\": \"TX\", \"facts\": [\"s26-tx-program\", \"s26-tx-services\", \"s26-tx-authorized-plan\", \"s26-tx-family-limits\", \"s26-tx-coordinator\"], \"family_payment\": {\"facts\": [\"s26-tx-family-limits\"], \"text\": \"For personal assistance, a qualified relative or legal guardian may provide care except a legally responsible individual. A spouse cannot be a paid PAS provider.\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/6100-home-community-based-services\"}, \"id\": \"care-tx\", \"office_facts\": [], \"office_url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\", \"pays_for\": {\"facts\": [\"s26-tx-program\", \"s26-tx-services\", \"s26-tx-authorized-plan\"], \"text\": \"Personal assistance and CFC personal assistance or habilitation through the CDS option, when available in the member's program and authorized plan.\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, \"program\": {\"facts\": [\"s26-tx-program\"], \"text\": \"Consumer Directed Services (CDS), STAR+PLUS and STAR+PLUS HCBS\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, \"scope\": \"state\", \"state\": \"Texas\"}", "fact_slugs": "s26-tx-authorized-plan; s26-tx-coordinator; s26-tx-family-limits; s26-tx-program; s26-tx-services", "family_payment": "For personal assistance, a qualified relative or legal guardian may provide care except a legally responsible individual. A spouse cannot be a paid PAS provider.", "family_payment_url": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/6100-home-community-based-services", "id": "care-tx", "next_check_on": "2027-01-23", "office_url": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services", "pays_for": "Personal assistance and CFC personal assistance or habilitation through the CDS option, when available in the member's program and authorized plan.", "pays_for_url": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services", "program": "Consumer Directed Services (CDS), STAR+PLUS and STAR+PLUS HCBS", "program_url": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services", "publishers": "Texas Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Texas Health and Human Services\", \"quote\": \"one or more program services in the member’s authorized service plan are available for delivery through the CDS option;\", \"slug\": \"s26-tx-authorized-plan\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Texas Health and Human Services\", \"quote\": \"To assist the member in making an informed decision, the managed care organization (MCO) service coordinator must present information about service delivery options to the member or LAR.\", \"slug\": \"s26-tx-coordinator\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Texas Health and Human Services\", \"quote\": \"The state allows a member to select a relative or legal guardian, other than a legally responsible individual, to be the member's provider for this service if the relative or legal guardian meets the requirements for this type of service. Federal and state rules prohibit a spouse from being a paid PAS provider.\", \"slug\": \"s26-tx-family-limits\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/6100-home-community-based-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Texas Health and Human Services\", \"quote\": \"Consumer Directed Services (CDS) allows a member or their legally authorized representative (LAR) to hire and manage the people who provide their services within their current STAR+PLUS and STAR+PLUS Home and Community Based Services (HCBS) program.\", \"slug\": \"s26-tx-program\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Texas Health and Human Services\", \"quote\": \"STAR+PLUS services available in the Consumer Directed Services (CDS) option are: Personal Assistance Services (PAS); and Community First Choice (CFC) PAS or Habilitation.\", \"slug\": \"s26-tx-services\", \"url\": \"https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services\"}]", "source_urls": "https://fhb.hhs.texas.gov/handbooks/starplus-handbook/6100-home-community-based-services; https://fhb.hhs.texas.gov/handbooks/starplus-handbook/8200-consumer-directed-services", "state": "Texas" }, { "apply": "Not published", "apply_url": "https://medicaid.utah.gov/ltc-2/ag/", "checked_on": "2026-10-23", "code": "UT", "complete_row_json": "{\"apply\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, \"code\": \"UT\", \"facts\": [\"s26-ut-program\", \"s26-ut-attendant-services\", \"s26-ut-respite-services\", \"s26-ut-assessed-limits\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, \"id\": \"care-ut\", \"office_facts\": [], \"office_url\": \"https://medicaid.utah.gov/ltc-2/ag/\", \"pays_for\": {\"facts\": [\"s26-ut-attendant-services\", \"s26-ut-respite-services\", \"s26-ut-assessed-limits\"], \"text\": \"Assessed services can include personal attendant services and respite care. The waiver serves a limited number of people.\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, \"program\": {\"facts\": [\"s26-ut-program\"], \"text\": \"Aging Waiver\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, \"scope\": \"state\", \"state\": \"Utah\"}", "fact_slugs": "s26-ut-assessed-limits; s26-ut-attendant-services; s26-ut-program; s26-ut-respite-services", "family_payment": "Not published", "family_payment_url": "https://medicaid.utah.gov/ltc-2/ag/", "id": "care-ut", "next_check_on": "2027-01-23", "office_url": "https://medicaid.utah.gov/ltc-2/ag/", "pays_for": "Assessed services can include personal attendant services and respite care. The waiver serves a limited number of people.", "pays_for_url": "https://medicaid.utah.gov/ltc-2/ag/", "program": "Aging Waiver", "program_url": "https://medicaid.utah.gov/ltc-2/ag/", "publishers": "Utah Department of Health and Human Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Utah Department of Health and Human Services\", \"quote\": \"Serves a limited number of individuals Individuals can use only those services they are assessed as needing\", \"slug\": \"s26-ut-assessed-limits\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Utah Department of Health and Human Services\", \"quote\": \"Personal Attendant Services\", \"slug\": \"s26-ut-attendant-services\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Utah Department of Health and Human Services\", \"quote\": \"Aging Waiver\", \"slug\": \"s26-ut-program\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Utah Department of Health and Human Services\", \"quote\": \"Respite Care Services (May Be Provided in Long Term Care Settings)\", \"slug\": \"s26-ut-respite-services\", \"url\": \"https://medicaid.utah.gov/ltc-2/ag/\"}]", "source_urls": "https://medicaid.utah.gov/ltc-2/ag/", "state": "Utah" }, { "apply": "Contact the Department of Vermont Health Access for an application or financial eligibility questions using the official Choices for Care brochure.", "apply_url": "https://asd.vermont.gov/sites/asd/files/documents/CFC_Brochure_Revised_February_2026.pdf", "checked_on": "2026-10-23", "code": "VT", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-vt-apply\"], \"text\": \"Contact the Department of Vermont Health Access for an application or financial eligibility questions using the official Choices for Care brochure.\", \"url\": \"https://asd.vermont.gov/sites/asd/files/documents/CFC_Brochure_Revised_February_2026.pdf\"}, \"code\": \"VT\", \"facts\": [\"s26-vt-program\", \"s26-vt-apply\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://asd.vermont.gov/services/choices-for-care-program\"}, \"id\": \"care-vt\", \"office_facts\": [], \"office_url\": \"https://asd.vermont.gov/services/choices-for-care-program\", \"pays_for\": {\"facts\": [\"s26-vt-program\"], \"text\": \"A package of long-term services and supports for eligible adults, available at home or in other chosen settings. Confirm the authorized care plan with the program.\", \"url\": \"https://asd.vermont.gov/services/choices-for-care-program\"}, \"program\": {\"facts\": [\"s26-vt-program\"], \"text\": \"Choices for Care\", \"url\": \"https://asd.vermont.gov/services/choices-for-care-program\"}, \"scope\": \"state\", \"state\": \"Vermont\"}", "fact_slugs": "s26-vt-apply; s26-vt-program", "family_payment": "Not published", "family_payment_url": "https://asd.vermont.gov/services/choices-for-care-program", "id": "care-vt", "next_check_on": "2027-01-23", "office_url": "https://asd.vermont.gov/services/choices-for-care-program", "pays_for": "A package of long-term services and supports for eligible adults, available at home or in other chosen settings. Confirm the authorized care plan with the program.", "pays_for_url": "https://asd.vermont.gov/services/choices-for-care-program", "program": "Choices for Care", "program_url": "https://asd.vermont.gov/services/choices-for-care-program", "publishers": "Vermont Department of Disabilities, Aging and Independent Living", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Vermont Department of Disabilities, Aging and Independent Living\", \"quote\": \"For an application or questions about financial eligibility, contact the Department of Vermont Health Access (DVHA) at:\", \"slug\": \"s26-vt-apply\", \"url\": \"https://asd.vermont.gov/sites/asd/files/documents/CFC_Brochure_Revised_February_2026.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Vermont Department of Disabilities, Aging and Independent Living\", \"quote\": \"Choices for Care (High/Highest) provides a package of long-term services and supports to Vermonters who are age 18 years and over and need nursing home level of care. People who need nursing home level of care typically require extensive or total assistance on a daily basis with personal care. Eligible people choose where to receive their services: in their home, in their family’s home, an Adult Family Care home, Enhanced Residential Care or nursing facility. People must meet a clinical and financial eligibility for long-term care Medicaid in Vermont.\", \"slug\": \"s26-vt-program\", \"url\": \"https://asd.vermont.gov/services/choices-for-care-program\"}]", "source_urls": "https://asd.vermont.gov/services/choices-for-care-program; https://asd.vermont.gov/sites/asd/files/documents/CFC_Brochure_Revised_February_2026.pdf", "state": "Vermont" }, { "apply": "Ask local social services for an LTSS screening and the Medicaid application steps. The screening and Medicaid determinations are separate program requirements.", "apply_url": "https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/", "checked_on": "2026-10-23", "code": "VA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-va-apply\"], \"text\": \"Ask local social services for an LTSS screening and the Medicaid application steps. The screening and Medicaid determinations are separate program requirements.\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}, \"code\": \"VA\", \"facts\": [\"s26-va-program\", \"s26-va-services\", \"s26-va-lri-conditions\", \"s26-va-apply\"], \"family_payment\": {\"facts\": [\"s26-va-lri-conditions\"], \"text\": \"For a parent or legal guardian of a minor, or a spouse, DMAS describes extraordinary personal care subject to age, hour and aide-qualification rules. IADLs and general supervision are excluded. Paid LRI care removes respite availability. Confirm the applicable scope with DMAS.\", \"url\": \"https://dmas.virginia.gov/for-members/benefits-and-services/waivers/legally-responsible-individuals/\"}, \"id\": \"care-va\", \"office_facts\": [], \"office_url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\", \"pays_for\": {\"facts\": [\"s26-va-services\"], \"text\": \"Personal care and respite through agency-directed or consumer-directed models, according to the approved waiver services.\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}, \"program\": {\"facts\": [\"s26-va-program\"], \"text\": \"Commonwealth Coordinated Care Plus (CCC Plus) Waiver\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}, \"scope\": \"state\", \"state\": \"Virginia\"}", "fact_slugs": "s26-va-apply; s26-va-lri-conditions; s26-va-program; s26-va-services", "family_payment": "For a parent or legal guardian of a minor, or a spouse, DMAS describes extraordinary personal care subject to age, hour and aide-qualification rules. IADLs and general supervision are excluded. Paid LRI care removes respite availability. Confirm the applicable scope with DMAS.", "family_payment_url": "https://dmas.virginia.gov/for-members/benefits-and-services/waivers/legally-responsible-individuals/", "id": "care-va", "next_check_on": "2027-01-23", "office_url": "https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/", "pays_for": "Personal care and respite through agency-directed or consumer-directed models, according to the approved waiver services.", "pays_for_url": "https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/", "program": "Commonwealth Coordinated Care Plus (CCC Plus) Waiver", "program_url": "https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/", "publishers": "Virginia Department of Medical Assistance Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Virginia Department of Medical Assistance Services\", \"quote\": \"The individual may request a LTSS Screening through their local Dept. of Social Services. The individual must be eligible for Medicaid in order to receive and have waiver services paid by Medicaid.\", \"slug\": \"s26-va-apply\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Virginia Department of Medical Assistance Services\", \"quote\": \"Legally responsible individuals (LRIs) may provide personal care services. Legally responsible individuals are defined as parents or legal guardians of minors or the participant’s spouse. Personal care services provided by a legally responsible individual must be extraordinary in nature, which is above and beyond what they are obligated to provide. Personal care may only be used to meet the extraordinary needs of the participant under the age of 18 due to his or her disability, and it is above and beyond the typical basic care for a child that all families with children of the same age may experience. For individuals younger than 18 years of age, the LRI must meet the needs of the participant, including the need for assistance and supervision typically required for children at various stages of growth and development. Reimbursement may be made to LRIs for up to 40 hours per week. When the LRI is reimbursed to provide assistance for multiple children, they may be reimbursed for up to 40 hours per week for each child. The LRI must also meet the same requirements as other personal care aides or attendants. All services rendered by a paid LRI must be within the scope of the personal care service and are limited to support with Activities of Daily Living (ADLs). Instrumental Activities of Daily Living (IADLs) and general supervision are not considered extraordinary care and are, therefore, not allowable. Respite services are not available when there is a paid LRI providing personal care/assistance.\", \"slug\": \"s26-va-lri-conditions\", \"url\": \"https://dmas.virginia.gov/for-members/benefits-and-services/waivers/legally-responsible-individuals/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Virginia Department of Medical Assistance Services\", \"quote\": \"The Commonwealth Coordinated Care Plus waiver is a Home and Community-Based Services (HCBS) waiver offering supports and services to the following groups of individuals:\", \"slug\": \"s26-va-program\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Virginia Department of Medical Assistance Services\", \"quote\": \"Personal care and respite services can be provided in two different models under the CCC Plus Waiver: Agency direction or consumer direction. Waiver members may choose either consumer-directed or agency-directed care, or both.\", \"slug\": \"s26-va-services\", \"url\": \"https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/\"}]", "source_urls": "https://dmas.virginia.gov/for-members/benefits-and-services/waivers/legally-responsible-individuals/; https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/", "state": "Virginia" }, { "apply": "Use the official DSHS instructions to apply to Consumer Direct Care Network Washington as an Individual Provider.", "apply_url": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "checked_on": "2026-10-23", "code": "WA", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-wa-program\", \"s26-wa-apply\"], \"text\": \"Use the official DSHS instructions to apply to Consumer Direct Care Network Washington as an Individual Provider.\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, \"code\": \"WA\", \"facts\": [\"s26-wa-program\", \"s26-wa-family-conditions\", \"s26-wa-services\", \"s26-wa-apply\"], \"family_payment\": {\"facts\": [\"s26-wa-family-conditions\"], \"text\": \"Family members may become paid caregivers when the care recipient qualifies for Medicaid LTSS. This program does not pay a spouse to care for the other spouse. Check family caregiver qualifications with the program.\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, \"id\": \"care-wa\", \"office_facts\": [], \"office_url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\", \"pays_for\": {\"facts\": [\"s26-wa-program\", \"s26-wa-services\"], \"text\": \"Assistance with daily personal care and household tasks in the person's home, within Medicaid LTSS services.\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, \"program\": {\"facts\": [\"s26-wa-program\", \"s26-wa-family-conditions\"], \"text\": \"Apple Health Medicaid LTSS, Individual Providers through Consumer Direct Care Network Washington\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, \"scope\": \"state\", \"state\": \"Washington\"}", "fact_slugs": "s26-wa-apply; s26-wa-family-conditions; s26-wa-program; s26-wa-services", "family_payment": "Family members may become paid caregivers when the care recipient qualifies for Medicaid LTSS. This program does not pay a spouse to care for the other spouse. Check family caregiver qualifications with the program.", "family_payment_url": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "id": "care-wa", "next_check_on": "2027-01-23", "office_url": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "pays_for": "Assistance with daily personal care and household tasks in the person's home, within Medicaid LTSS services.", "pays_for_url": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "program": "Apple Health Medicaid LTSS, Individual Providers through Consumer Direct Care Network Washington", "program_url": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "publishers": "Washington State Department of Social and Health Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Washington State Department of Social and Health Services\", \"quote\": \"Apply directly to Consumer Direct Care Network Washington.\", \"slug\": \"s26-wa-apply\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Washington State Department of Social and Health Services\", \"quote\": \"Family members who provide care to a relative can become paid caregivers if the care recipient qualifies for Medicaid Long Term Services and Supports. Under Apple Health and the Long Term Services and Supports program, you cannot be paid to provide care for your spouse.\", \"slug\": \"s26-wa-family-conditions\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Washington State Department of Social and Health Services\", \"quote\": \"Employs caregivers as Individual Providers to support Medicaid-qualified people in their homes. This includes paid family caregivers.\", \"slug\": \"s26-wa-program\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Washington State Department of Social and Health Services\", \"quote\": \"Caregivers help older adults and people with disabilities by assisting with tasks such as: Bathing, dressing, and personal hygiene Using the toilet and walking Preparing meals and light housekeeping Grocery shopping and attending medical appointments\", \"slug\": \"s26-wa-services\", \"url\": \"https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver\"}]", "source_urls": "https://www.dshs.wa.gov/adult-and-aging-services/caregiving-resources/becoming-paid-caregiver", "state": "Washington" }, { "apply": "Read the ADW application instructions for the MNER form. A listed medical professional must complete, sign and submit the request.", "apply_url": "https://adwprogram.wv.gov/", "checked_on": "2026-10-23", "code": "WV", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-wv-apply\"], \"text\": \"Read the ADW application instructions for the MNER form. A listed medical professional must complete, sign and submit the request.\", \"url\": \"https://adwprogram.wv.gov/\"}, \"code\": \"WV\", \"facts\": [\"s26-wv-program\", \"s26-wv-personal-options-limits\", \"s26-wv-personal-attendant\", \"s26-wv-apply\"], \"family_payment\": {\"facts\": [\"s26-wv-personal-options-limits\"], \"text\": \"Under Personal Options, the person hires their own staff. A spouse or legal guardian cannot be that staff member. Ask the program which other relatives can be paid and qualified.\", \"url\": \"https://adwprogram.wv.gov/\"}, \"id\": \"care-wv\", \"office_facts\": [], \"office_url\": \"https://adwprogram.wv.gov/\", \"pays_for\": {\"facts\": [\"s26-wv-personal-attendant\", \"s26-wv-personal-options-limits\"], \"text\": \"Personal attendant help with daily personal care and meals, through agency services or the Personal Options model.\", \"url\": \"https://adwprogram.wv.gov/\"}, \"program\": {\"facts\": [\"s26-wv-program\", \"s26-wv-personal-options-limits\"], \"text\": \"Aged and Disabled Waiver (ADW), including Personal Options\", \"url\": \"https://adwprogram.wv.gov/\"}, \"scope\": \"state\", \"state\": \"West Virginia\"}", "fact_slugs": "s26-wv-apply; s26-wv-personal-attendant; s26-wv-personal-options-limits; s26-wv-program", "family_payment": "Under Personal Options, the person hires their own staff. A spouse or legal guardian cannot be that staff member. Ask the program which other relatives can be paid and qualified.", "family_payment_url": "https://adwprogram.wv.gov/", "id": "care-wv", "next_check_on": "2027-01-23", "office_url": "https://adwprogram.wv.gov/", "pays_for": "Personal attendant help with daily personal care and meals, through agency services or the Personal Options model.", "pays_for_url": "https://adwprogram.wv.gov/", "program": "Aged and Disabled Waiver (ADW), including Personal Options", "program_url": "https://adwprogram.wv.gov/", "publishers": "West Virginia Bureau of Senior Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"West Virginia Bureau of Senior Services\", \"quote\": \"To start the ADW application process, you must fill out a Medical Necessity Evaluation Re​quest (MNER) form. Have your doctor (doctor of medicine (MD) or doctor of osteopathic medicine (DO)), physician’s assistant or nurse complete, sign, and submit it to:\", \"slug\": \"s26-wv-apply\", \"url\": \"https://adwprogram.wv.gov/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"West Virginia Bureau of Senior Services\", \"quote\": \"Personal Attendant Services – A trained staff member will help you with bathing, dressing, grooming, eating, fixing your meals, or other personal care needs.\", \"slug\": \"s26-wv-personal-attendant\", \"url\": \"https://adwprogram.wv.gov/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"West Virginia Bureau of Senior Services\", \"quote\": \"You may get help through a Traditional (Agency) that will provide your case management services and personal attendant services, or you may choose to self-direct your personal attendant services (Personal Options), which means your staff is hired by you and work directly for you. Staff hired by you cannot be a spouse or legal guardian to you.\", \"slug\": \"s26-wv-personal-options-limits\", \"url\": \"https://adwprogram.wv.gov/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"West Virginia Bureau of Senior Services\", \"quote\": \"The Aged and Disabled Waiver (ADW) program is a long-term care option that provides in-home care and community help.\", \"slug\": \"s26-wv-program\", \"url\": \"https://adwprogram.wv.gov/\"}]", "source_urls": "https://adwprogram.wv.gov/", "state": "West Virginia" }, { "apply": "Contact your local aging and disability resource center or Tribal aging and disability resource specialist.", "apply_url": "https://www.dhs.wisconsin.gov/iris/enroll.htm", "checked_on": "2026-10-23", "code": "WI", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-wi-apply\"], \"text\": \"Contact your local aging and disability resource center or Tribal aging and disability resource specialist.\", \"url\": \"https://www.dhs.wisconsin.gov/iris/enroll.htm\"}, \"code\": \"WI\", \"facts\": [\"s26-wi-program\", \"s26-wi-services\", \"s26-wi-family-conditions\", \"s26-wi-apply\"], \"family_payment\": {\"facts\": [\"s26-wi-family-conditions\"], \"text\": \"A family member, friend or other qualified person may be hired. Workers should have a background check and be approved before being paid.\", \"url\": \"https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf\"}, \"id\": \"care-wi\", \"office_facts\": [], \"office_url\": \"https://www.dhs.wisconsin.gov/iris/enroll.htm\", \"pays_for\": {\"facts\": [\"s26-wi-services\"], \"text\": \"Examples in the IRIS overview include transportation and supportive home care. Ask which services can be approved in your plan.\", \"url\": \"https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf\"}, \"program\": {\"facts\": [\"s26-wi-program\"], \"text\": \"IRIS (Include, Respect, I Self-Direct)\", \"url\": \"https://www.dhs.wisconsin.gov/iris/enroll.htm\"}, \"scope\": \"state\", \"state\": \"Wisconsin\"}", "fact_slugs": "s26-wi-apply; s26-wi-family-conditions; s26-wi-program; s26-wi-services", "family_payment": "A family member, friend or other qualified person may be hired. Workers should have a background check and be approved before being paid.", "family_payment_url": "https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf", "id": "care-wi", "next_check_on": "2027-01-23", "office_url": "https://www.dhs.wisconsin.gov/iris/enroll.htm", "pays_for": "Examples in the IRIS overview include transportation and supportive home care. Ask which services can be approved in your plan.", "pays_for_url": "https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf", "program": "IRIS (Include, Respect, I Self-Direct)", "program_url": "https://www.dhs.wisconsin.gov/iris/enroll.htm", "publishers": "Wisconsin Department of Health Services", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wisconsin Department of Health Services\", \"quote\": \"To enroll in IRIS, the first step is to contact your local aging and disability resource center (ADRC) or Tribal aging and disability resource specialist (ADRS).\", \"slug\": \"s26-wi-apply\", \"url\": \"https://www.dhs.wisconsin.gov/iris/enroll.htm\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wisconsin Department of Health Services\", \"quote\": \"Workers you employ may be a family member or friend, or another qualified person. All workers should have a background check and be approved before they can be paid to provide services to you.\", \"slug\": \"s26-wi-family-conditions\", \"url\": \"https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wisconsin Department of Health Services\", \"quote\": \"IRIS (Include, Respect, I Self-Direct) is a Medicaid long-term care program for older adults and adults with disabilities in Wisconsin. It is a self-directed program.\", \"slug\": \"s26-wi-program\", \"url\": \"https://www.dhs.wisconsin.gov/iris/enroll.htm\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wisconsin Department of Health Services\", \"quote\": \"transportation, supportive home care\", \"slug\": \"s26-wi-services\", \"url\": \"https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf\"}]", "source_urls": "https://www.dhs.wisconsin.gov/iris/enroll.htm; https://www.dhs.wisconsin.gov/publications/p0/p00088m.pdf", "state": "Wisconsin" }, { "apply": "Follow the official CCW steps. Contact the regional Benefits and Eligibility Specialist, select a case management agency and complete the application and required assessment.", "apply_url": "https://health.wyo.gov/healthcarefin/hcbs/", "checked_on": "2026-10-23", "code": "WY", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-wy-apply\"], \"text\": \"Follow the official CCW steps. Contact the regional Benefits and Eligibility Specialist, select a case management agency and complete the application and required assessment.\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}, \"code\": \"WY\", \"facts\": [\"s26-wy-program\", \"s26-wy-apply\"], \"family_payment\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}, \"id\": \"care-wy\", \"office_facts\": [], \"office_url\": \"https://health.wyo.gov/healthcarefin/hcbs/\", \"pays_for\": {\"facts\": [], \"text\": \"Not published\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}, \"program\": {\"facts\": [\"s26-wy-program\"], \"text\": \"Community Choices Waiver (CCW)\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}, \"scope\": \"state\", \"state\": \"Wyoming\"}", "fact_slugs": "s26-wy-apply; s26-wy-program", "family_payment": "Not published", "family_payment_url": "https://health.wyo.gov/healthcarefin/hcbs/", "id": "care-wy", "next_check_on": "2027-01-23", "office_url": "https://health.wyo.gov/healthcarefin/hcbs/", "pays_for": "Not published", "pays_for_url": "https://health.wyo.gov/healthcarefin/hcbs/", "program": "Community Choices Waiver (CCW)", "program_url": "https://health.wyo.gov/healthcarefin/hcbs/", "publishers": "Wyoming Department of Health", "scope": "state", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wyoming Department of Health\", \"quote\": \"Contact the Benefits and Eligibility Specialist in your area. Select a Case Management Agency. Complete the Community Choices Waiver Application. A Public Health Nurse (PHN) will contact you to schedule your required LT101 assessment.\", \"slug\": \"s26-wy-apply\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"Wyoming Department of Health\", \"quote\": \"Community Choices Waiver (CCW)\", \"slug\": \"s26-wy-program\", \"url\": \"https://health.wyo.gov/healthcarefin/hcbs/\"}]", "source_urls": "https://health.wyo.gov/healthcarefin/hcbs/", "state": "Wyoming" }, { "apply": "Ask your VA social worker about the program and local availability.", "apply_url": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "checked_on": "2026-10-23", "code": "US-VDC", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-va-vdc-apply\"], \"text\": \"Ask your VA social worker about the program and local availability.\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, \"code\": \"US-VDC\", \"facts\": [\"s26-va-vdc-apply\", \"s26-va-vdc-availability\", \"s26-va-vdc-budget\", \"s26-va-vdc-family\", \"s26-va-vdc-program\"], \"family_payment\": {\"facts\": [\"s26-va-vdc-family\", \"s26-va-vdc-availability\"], \"text\": \"A family member or neighbor might be hired. VA must confirm community-care eligibility, clinical criteria and local availability.\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, \"id\": \"care-us-vdc\", \"office_facts\": [], \"office_url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\", \"pays_for\": {\"facts\": [\"s26-va-vdc-program\", \"s26-va-vdc-budget\"], \"text\": \"A participant-managed service budget for home and community supports.\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, \"program\": {\"facts\": [\"s26-va-vdc-program\"], \"text\": \"Veteran Directed Care\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, \"scope\": \"federal\", \"state\": \"Federal VA program\"}", "fact_slugs": "s26-va-vdc-apply; s26-va-vdc-availability; s26-va-vdc-budget; s26-va-vdc-family; s26-va-vdc-program", "family_payment": "A family member or neighbor might be hired. VA must confirm community-care eligibility, clinical criteria and local availability.", "family_payment_url": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "id": "care-us-vdc", "next_check_on": "2027-01-23", "office_url": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "pays_for": "A participant-managed service budget for home and community supports.", "pays_for_url": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "program": "Veteran Directed Care", "program_url": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "publishers": "U.S. Department of Veterans Affairs", "scope": "federal", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"If Veteran-Directed Care seems right for you, talk with your VA social worker and find out if it is available in your location.\", \"slug\": \"s26-va-vdc-apply\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"All enrolled Veterans are eligible for Veteran Directed Care if they are eligible for community care, meet the clinical criteria for the service, and it is available. Services may vary by location.\", \"slug\": \"s26-va-vdc-availability\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"Veterans in this program are given a budget for services that is managed by the Veteran or the Veteran’s representative. With the help of a counselor, Veterans hire their own workers to meet their daily needs to help them live at home or in their community.\", \"slug\": \"s26-va-vdc-budget\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"As a part of this program, Veterans or their representatives receive help developing a spending plan and hiring workers (which might include their own family member or neighbor) to help Veterans live independently in the community.\", \"slug\": \"s26-va-vdc-family\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"Veteran Directed Care gives Veterans of all ages the opportunity to receive the Home and Community Based Services they need in a consumer-directed way.\", \"slug\": \"s26-va-vdc-program\", \"url\": \"https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp\"}]", "source_urls": "https://www.va.gov/geriatrics/pages/Veteran-Directed_Care.asp", "state": "Federal VA program" }, { "apply": "The caregiver and Veteran apply jointly. Online, mail and in-person routes are available.", "apply_url": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "checked_on": "2026-10-23", "code": "US-PCAFC", "complete_row_json": "{\"apply\": {\"facts\": [\"s26-va-pcafc-apply\"], \"text\": \"The caregiver and Veteran apply jointly. Online, mail and in-person routes are available.\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, \"code\": \"US-PCAFC\", \"facts\": [\"s26-va-pcafc-apply\", \"s26-va-pcafc-program\", \"s26-va-pcafc-stipend\"], \"family_payment\": {\"facts\": [\"s26-va-pcafc-stipend\", \"s26-va-pcafc-apply\"], \"text\": \"The stipend route concerns eligible primary family caregivers. VA assesses the caregiver and Veteran through a joint application.\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, \"id\": \"care-us-pcafc\", \"office_facts\": [], \"office_url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\", \"pays_for\": {\"facts\": [\"s26-va-pcafc-stipend\"], \"text\": \"Eligible primary family caregivers may receive a monthly stipend.\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, \"program\": {\"facts\": [\"s26-va-pcafc-program\"], \"text\": \"Program of Comprehensive Assistance for Family Caregivers (PCAFC)\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, \"scope\": \"federal\", \"state\": \"Federal VA program\"}", "fact_slugs": "s26-va-pcafc-apply; s26-va-pcafc-program; s26-va-pcafc-stipend", "family_payment": "The stipend route concerns eligible primary family caregivers. VA assesses the caregiver and Veteran through a joint application.", "family_payment_url": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "id": "care-us-pcafc", "next_check_on": "2027-01-23", "office_url": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "pays_for": "Eligible primary family caregivers may receive a monthly stipend.", "pays_for_url": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "program": "Program of Comprehensive Assistance for Family Caregivers (PCAFC)", "program_url": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "publishers": "U.S. Department of Veterans Affairs", "scope": "federal", "source_provenance_json": "[{\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"You and the Veteran will need to apply together and participate in an application process to determine if you’re eligible for the Program of Comprehensive Assistance for Family Caregivers. You can apply online, by mail, or in person.\", \"slug\": \"s26-va-pcafc-apply\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"Find out if you may be eligible and how to apply for the Program of Comprehensive Assistance for Family Caregivers (PCAFC).\", \"slug\": \"s26-va-pcafc-program\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}, {\"checked_on\": \"2026-10-23\", \"next_check_on\": \"2027-01-23\", \"publisher\": \"U.S. Department of Veterans Affairs\", \"quote\": \"Eligible Primary Family Caregivers may also receive these benefits: A monthly stipend (payment).\", \"slug\": \"s26-va-pcafc-stipend\", \"url\": \"https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/\"}]", "source_urls": "https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/", "state": "Federal VA program" } ], "updated": "2026-10-23" }