In California, Medicaid (referred to as Medi-Cal) offers vital support for seniors who require in-home care, helping them maintain their independence while receiving necessary medical or nonmedical assistance. Medi-Cal’s in-home care services fall under two primary categories: home health care and nonmedical home care. Here’s a breakdown of what California seniors and caregivers need to know about accessing these services.
Medi-Cal provides coverage for both medical and nonmedical in-home care through programs like Home and Community-Based Services (HCBS) and the In-Home Supportive Services (IHSS) program. These programs are designed to help seniors avoid institutional care by receiving necessary services at home.
Home health care refers to medically necessary services provided by licensed professionals. Medi-Cal covers services such as:
These services are provided by licensed professionals such as registered nurses, physical therapists, or other medical specialists. Home health care is typically offered to individuals who meet nursing-home-level care requirements as determined by a Medi-Cal assessment.
For seniors who need help with daily living activities but not medical treatments, Medi-Cal provides nonmedical care through programs like IHSS and HCBS. These services often include:
IHSS is one of the most popular programs in California for nonmedical care. It allows seniors to hire caregivers, including family members, to provide in-home support.
Eligibility for Medi-Cal’s in-home care programs depends on both medical needs and financial status:
Medi-Cal can cover 24-hour in-home care through programs like In-Home Supportive Services (IHSS) or Home and Community-Based Services (HCBS) waivers for those with significant medical or personal care needs. Eligibility is determined based on a detailed assessment, and approved hours depend on the individual's specific requirements. While 24-hour care is available, it’s not guaranteed and varies by program and funding.
Home and Community-Based Services (HCBS) waivers are another key option for in-home care in California. These waivers allow Medi-Cal to cover services not typically included in its standard benefits, such as:
California offers various HCBS waivers, including the Aged and Disabled (A&D) Waiver and the Community-Based Adult Services (CBAS) program. However, enrollment in these programs is often limited, and waitlists are common.
For California seniors, Medi-Cal provides critical in-home care options that range from medical treatments to assistance with everyday tasks. Here are a few steps to help you or your loved one get started:
California’s Medi-Cal program offers comprehensive support for seniors who wish to age in place. Whether it’s medical care from skilled professionals or nonmedical support from a trusted family member, these programs ensure that seniors have access to the care they need to live comfortably and safely at home. Navigating Medi-Cal can be complex, but with the right resources and guidance, you can find the in-home care solutions that best fit your situation.
1+1 Cares is a referral agency that works for clients and caregivers. We match caregivers with clients and inform them of your requirements. We work for you so you and your loved one can have a safe, enjoyable caregiving experience.