Medicaid State Plan Personal Care Services¶
Personal care is an optional Medicaid state plan benefit under section 1905(a)(24). States decide whether to add it through the state plan process. State eligibility, service authorization, and caregiver-payment rules require separate review.
Personal care can help eligible Medicaid participants with daily activities. This record describes the federal state plan option. It does not establish which states offer the service or which relatives can be paid.
Some details for this program are still being verified. Check the official source for the most current information.
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.
What this record does not yet say¶
- state and territory participation
- jurisdiction eligibility and service authorization
- relative payment rules by authority
- service amounts and limits
- required documents by jurisdiction
- decision timing by jurisdiction
- availability by jurisdiction
- current regulatory text
Services¶
Personal care can help eligible Medicaid participants with daily activities. This record describes the federal state plan option. It does not establish which states offer the service or which relatives can be paid.
How to apply¶
- Use the CMS directory to find the state Medicaid agency.
- Ask the agency whether state plan personal care is offered and how to request the required service assessment.
- Ask which relatives may be paid and which service authority applies. State plan personal care, 1915(i), 1915(j), 1915(k), and waiver services have separate rules.
Use the official program page for application details: official program page.
Check the service authority¶
- CMS lists personal care under section 1905(a)(24) separately from 1915(i) state plan HCBS, 1915(j) self-directed assistance, and 1915(k) Community First Choice. Do not transfer eligibility or relative-payment rules between them. [Program source]