Does Medicaid Pay For Home Health Care?

does medicaid pay for home health care

Home health care refers to medical and support services provided in an individual’s own home by nurses, therapists and social workers; trained caregivers also may assist in daily tasks like bathing, dressing and meal preparation. Home health care can vary depending on which state it’s provided in.

Medicaid covers home health services deemed medically necessary by a physician, such as to help someone recovering from illness or injury stay at home and avoid moving into an institution such as a nursing home.

Medicaid home health care programs vary by state. For instance, New York City and all of the state’s counties rely on managed long-term care plans such as MLTC to deliver home attendant services; similar to an insurance company this model contracts with licensed home care services agencies (LHCSAs). Another Medicaid option that offers home attendant services is Consumer Directed Personal Assistance Program (CDPAP), which allows individuals to select and pay directly for home attendants.

Some states offer waiver programs that provide home health care services for individuals with disabilities, often including adults and children who suffer from developmental conditions like cerebral palsy or traumatic brain injury (TBI). Waiver programs allow these individuals to remain at home rather than being forced into residential settings.

Home healthcare services can be costly. For instance, eight to twelve hours of daily homecare could cost as much as $15,000 each month in most cases; such an amount would quickly eat away at equity in most homes and therefore most Medicaid beneficiaries must contribute some of their income towards covering home health care costs unless they have established an Asset Pooled Trust or similar asset protection scheme.

Medicaid may cover more than traditional home health care; it may cover wheelchairs and orthotic braces used at home as well as transportation costs to appointments, hearing aids or eyeglasses may also be covered for those in need – coverage will depend on which state it’s in; to learn more, reach out directly to your state Medicaid office.