Family caregivers play an important role in states’ efforts to help Medicaid beneficiaries safely remain in their communities. And, as of August 2022, at least seven states (Connecticut, Georgia, Indiana, Louisiana, Missouri, North Carolina, and South Dakota) covered structured family caregiving (SFC) services provided to older adults and/or people with physical disabilities under their Medicaid programs. SFC services consist of a package of services that support home and community-based services (HCBS) waiver participants’ primary caregivers and includes payment, individualized training based on the needs of the waiver participant, coaching, back-up or respite care, and other supports. This chart, which is based on research and interviews with state staff, details the Medicaid SFC policies that Georgia, Missouri, and South Dakota have implemented to help older adults remain in the homes they share with their loved ones. For more information, please see the report, Medicaid Structured Family Caregiving: Enabling Family Members to make Caregiving Their Primary Focus.
Acknowledgements
The author thanks the Medicaid program administrators from Georgia, Missouri, and South Dakota for their assistance in helping us to better understand structured family caregiving in their states. NASHP especially thanks those who participated in interviews: Caitlin Clarey, South Dakota’s HOPE waiver manager; Melanie Highland, director of senior and disability services; and Rena Cox, bureau chief, long-term services and supports at Missouri’s Medicaid agency. NASHP also thanks Catherine Ivy, Georgia Department of Community Health, for her participation in a NASHP webinar from which we drew key information.
This project was made possible by support from The John A. Hartford Foundation and the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $992,990 with 75 percentage funded by ACL/HHS and $247,253 amount and 25 percentage funded by non-government source(s). The contents are those of the author and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. government.
