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Louisiana Monitored In-Home Caregiving (MIHC) - Community Choices Waiver

Monitored In-Home Caregiving (MIHC) is a service under the Community Choices Waiver (CCW) where a principal caregiver lives with the participant and provides basic self-care and assistance with activities of daily living. The caregiver receives a daily stipend through a professional agency that provides oversight and training.

Application Process: 1. Contact Louisiana Options in Long Term-Care at 1-877-456-1146 to be screened and added to the Request for Services Registry (RFSR). 2. When a slot becomes available (on a first-come, first-served basis, unless priority criteria are met), a face-to-face assessment (MDS-HC) is conducted. 3. Financial and medical eligibility is determined, and a Plan of Care is developed with a Support Coordinator.

Providers: Participants can browse the Freedom of Choice (FOC) Provider Listings at https://ldh.la.gov/directory/foc. Providers must be licensed by the Health Standards Section with an MIHC module.

The daily rates are: Tier 1 (Level 1) at $59.60 per day and Tier 2 (Level 2) at $89.40 per day. The waiver has a total enrollment cap of 8,053 funded slots (as of Oct 2025).

Eligibility

  • Care recipient must have a qualifying disability
  • Applicant age: at least 21
  • Relationship: 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 — parent — count for this program?
  • 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?

Services

The daily rates are: Tier 1 (Level 1) at $59.60 per day and Tier 2 (Level 2) at $89.40 per day. The waiver has a total enrollment cap of 8,053 funded slots (as of Oct 2025).

How to apply

  • Contact Louisiana Options in Long-Term Care at 1-877-456-1146 (TTY 711)