Does Louisiana Pay For In-home Care?

Date Updated: July 26, 2024

Written by:

Rachel Lustbader

Rachel Lustbader is a writer and editor with a background in healthcare and technology. Her work has been published on websites including HealthCare.com, BiteSizeBio.com, BetterHelp.com, Caring.com, and PayingforSeniorCare.com. She studied health science and public health at Boston University.

Both of Rachel’s grandmothers had very positive experiences in senior living communities, and Rachel saw firsthand the impact that kind, committed caregivers and community managers can have on seniors’ and their family members’ lives. With her work at Caring, Rachel hopes to help other families find communities, caregivers, and at-home products that benefit elderly loved ones and make life less stressful for family caregivers

Louisiana does pay for in-home care under certain circumstances. The state funds in-home care through several Medicaid waiver programs, although it doesn’t cover 24/7 support. These programs are:

Community Choices Waiver
Long-Term Personal Care Services
Program for All-Inclusive Care for the Elderly

You’ll need to meet the eligibility criteria for Medicaid to enroll in Louisiana’s in-home care programs. CCW and L-T PCS enrollees must require a nursing facility level of care, while PACE enrollees must be state-certified as requiring the level of care usually delivered in a care home. You may also be eligible for the Adult Day Health Care Waiver if you need services while attending an adult day health center.

In-Home Care Services Covered by the CCW

The CCW covers adults over 21 with certain disabilities. It usually pays for in-home personal assistance services for essential acts of daily living, such as bathing and preparing meals. CCW enrollees may also be eligible for supportive services while transitioning from living in a care home to living at home.

Other services covered by Louisiana’s CCW may include:

Health and social services delivered by a local care center
Certain home modifications
Therapies to restore or maintain functional abilities, such as occupational or physical therapy
Meal deliveries
Nursing care
Respite services for caregivers
Housing services
Assistive devices
Medical supplies

In-Home Care Services Covered by L-T PCS

Louisiana’s L-T PCS pays for support with essential acts of daily living for adults aged 21 or older. For example, enrollees can receive support with eating, dressing and using the bathroom. The program may fund services to help enrollees manage their medical appointments and remember to take their medication.

L-T PCS also covers essential household tasks, such as shopping, laundry and light cleaning. However, it won’t pay for support with nonessential tasks, such as laundry or shopping for family members not enrolled in the program. It doesn’t pay for nursing care, companionship or other services unrelated to daily living.

In-Home Care Services Covered by PACE

Louisiana’s PACE program covers preventative, health and care services necessary to help eligible adults over 55 continue living at home. It replaces coverage for in-home care via Medicare and Medicaid. Enrollees receive services at a local PACE center, and the program covers their transportation between the centers and their homes. Therefore, you can only enroll if you live in a PACE service area.

PACE covers a broad range of services, which may include the following:

Personal care
Assistive devices
Services to restore functional abilities, such as speech and occupational therapy
Respite services
Caregiver education
Recreational services
Nutritional services
Transportation