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National question: Can a family caregiver get paid? Official programs decide eligibility.

Louisiana Long Term Personal Care Services (LT-PCS) / Self-Direction Option

Louisiana offers the Self-Direction Option for personal care services through its Long Term Personal Care Services (LT-PCS) program. LT-PCS is the state plan personal care benefit allowing Medicaid-eligible individuals to receive attendant care in their homes. The state also provides Structured Family Caregiving through Careforth for live-in family caregivers.

Louisiana LT-PCS Self-Direction Option provides consumer-directed personal care services with attendant pay rates of approximately $10-$14/hr. Family members including spouses can be hired as paid caregivers. Structured Family Caregiving is also available through Careforth. Waitlists are typical for waiver-based services.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Care recipient must have a qualifying disability
  • Care recipient age: at least 21
  • Relationship: spouse, parent

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Louisiana? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — spouse or parent — count for this program?
  • Is the person receiving care in the covered age range (21 or older)?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • exact income limits by household size
  • specific rate schedules
  • a direct application link

Services

Louisiana LT-PCS Self-Direction Option provides consumer-directed personal care services with attendant pay rates of approximately $10-$14/hr. Family members including spouses can be hired as paid caregivers. Structured Family Caregiving is also available through Careforth. Waitlists are typical for waiver-based services.

How to apply

  • Personal care services must be prior authorized; requests submitted to the Bureau of Health Services Financing (BHSF) or its designee; recipients or their responsible representative must request the service; call Louisiana Options in Long-Term Care at 1-877-456-1146