Although Medicaid does not directly fund in-home care in Utah, there are two waiver programs in Utah that may help pay some of the costs of in-home care for seniors who choose to age in place. Each waiver has different requirements, including income limits for eligibility. The Aging Waiver covers non-clinical care such as homemaking and personal care. The New Choices Waiver covers residents of long-term care facilities who wish to return to community-based living and includes the costs of specific clinical services.
The Aging Waiver
The Aging Waiver is designed to provide supportive services that help recipients retain a high level of independence and a good quality of life. Covered services include basic household tasks such as light cleaning, laundry, meal preparation, household errands, medication reminders and non-medical transportation. The waiver also helps with emergency response systems and environmental accessibility adaptations.
Because the Aging Waiver is not an entitlement, services are not guaranteed. The waiver program serves a limited number of individuals, and there is typically a waiting list. Recipients can only use the services that are deemed necessary for their particular situations. Recipients must be aged 65 or over, require a nursing home level of care and be eligible for Medicaid in Utah. Those who aren’t enrolled in Medicaid can apply through the Utah Department of Health.
The New Choices Waiver
Utah also has a New Choices Waiver, which is designed to allow current residents of long-term care facilities such as nursing homes, assisted living facilities and certain other licensed facilities to return to community-based living situations, including private homes. Unlike the Aging Waiver, the New Choices Waiver covers clinical services such as skilled nursing, rehabilitation services and specialized medical equipment; it may also cover costs of caregiver training, respite care and adult day health care. However, we’ve included it here because it also covers the costs of in-home care services such as homemaking and non-medical transportation.
Those wishing to participate in the New Choices Waiver program must have been in an institutionalized care setting for a minimum amount of time and their needs must be able to be safely met in the environment they’ve chosen. They must also meet the requirements for standard Medicaid in Utah. If you aren’t already enrolled in Medicaid, you can apply through the Utah Department of Health.