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Lauren Perpetua
Senior Resources

What is the benefit that a family member can apply for if they are caring for their loved one at home to be reimbursed for those services?

By Lauren Perpetua

January 31, 2024 | Caregiver Support

Grandparents at Holidays

We often get asked many questions about Medicaid and the benefits provided to those who qualify, so we hope this helps. 

Through Medicaid, there are a couple of programs that will provide support for family members of those caring for loved ones.

The SMMC LTC Program

Seniors who meet the Medicaid criteria and are financially eligible select a plan from one of the providers in their area. Once the person has qualified for the program, they’re assigned a Long-Term Care case manager. Once the family, participant, and case manager develop the care plan, the program allows participants some degree of participation called the Participant-Directed option (PDO). This option is where the caregiver comes in. Program participants or their representatives can choose who provides care for them. The care recipient can hire family members, friends, or professionals to provide care. 

There’s also the  Home Care for the Elderly Program (HCE)

The HCE program is a Florida Medicaid program that provides payments directly to the caregivers rather than to the participant. However, the HCE program does not pay a family member for their time. Instead, they help reimburse the family for essential items and medical equipment.  The caregiver can be a family member, but that is not required. There are two types of payments. One is the Special Payment which compensates the caregiver for medical items and services. The other is the Basic Payment to help with the cost of housing, food, clothing, and some durable medical equipment. 

Florida Residents – To learn more about the Statewide Medicaid Managed Care Long-term Care Program, click here. 

Also, if you need more information about Medicaid, please reach out to us. We are here to help. 

We can arm you with resources to keep them safe at home or look at senior living community options to compare. You are not alone. 

Lauren Perpetua

Lauren Perpetua

Lauren is the Chief Strategy Officer for Sunways Senior Living Concierge. She is passionate about connecting caregivers with resources needed to navigate the aging process of their loved ones. 

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