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Getting paid to care for a family member in Illinois

Depends. In Illinois, whether a family member can be paid depends on the program's rules, which are below with their sources. Whether a spouse can be paid depends on the program.

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Medicaid waiver

Community Care Program In-Home Service

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Who qualifies

People 60 or older who live in Illinois, are U.S. citizens or eligible non-citizens, have non-exempt assets of $17,500 or less (a home, car and personal furnishings are exempt), are at risk of nursing facility placement as measured by the Determination of Need (DON) assessment, and apply for Medicaid and enroll if eligible.

Source: Community Care Program (Illinois Department on Aging)Checked

Can a family member be paid

Depends. It depends on the provider agency. In-Home Service providers in the Community Care Program may choose to hire any family member who meets qualifications, passes a background check, completes 24 hours of pre-service training and agrees to be supervised by the provider. Not all providers employ family members as home care aides.

Your Care Coordination Unit will discuss the options with you, and you can change your mind at any time.

Source: In-Home Service, Community Care Program (Illinois Department on Aging)Checked

Can a spouse be paid

Depends. It depends on the provider agency. The Department on Aging says In-Home Service providers may choose to hire any family member, including a spouse, on the same conditions as other family members.

Source: In-Home Service, Community Care Program (Illinois Department on Aging)Checked

Can a legal guardian be paid

Depends. It depends on the provider agency. Providers may also choose to hire a legal guardian, a Power of Attorney or a representative payee who meets the same conditions.

Source: In-Home Service, Community Care Program (Illinois Department on Aging)Checked

Medicaid self-directed care

Home Services Program (HSP)

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Who qualifies

People under 60 at the time of application (unless in the AIDS or Brain Injury Medicaid waiver) with a significant disability lasting 12 months or longer, who are at imminent risk of nursing facility placement, have a decision on Medicaid eligibility, need home services costing no more than nursing facility care, meet the asset limit and score the required points on the Determination of Need (DON). Customers select, employ and supervise their own Individual Providers.

Source: Home Services Program, DHS 4243 (Illinois Department of Human Services, Division of Rehabilitation Services)Checked

Can a family member be paid

Depends. Under limited circumstances. The Department's customer guide says a relative may be able to be paid to provide services, but spouses are not allowed, and neither are parents, legal guardians, foster parents or stepparents of a customer under 18, or children under 18 caring for a parent.

Source: HSP Customer Guidance for Managing Providers, DHS 4365 (R-02-12) (Illinois Department of Human Services)Checked

Can a spouse be paid

No. No. The customer's legally responsible family members, including the spouse, shall not be paid through HSP to be the customer's service provider.

Source: Illinois Administrative Code, Title 89, Part 684, Section 684.30 Family Members as Service ProvidersChecked

How to apply

Community Care Program In-Home Service

How to apply

Community Care Program services are coordinated by local Care Coordination Units (CCUs). Find your local CCU with the Department on Aging's map tool, or call the Senior HelpLine below.

Source: Community Care Program (Illinois Department on Aging)Checked

Phone

1-800-252-8966

Illinois Department on Aging Senior HelpLine (711 TRS).

Source: Community Care Program (Illinois Department on Aging)Checked

Home Services Program (HSP)

How to apply

Use the online Rehabilitation Services Web Referral to refer yourself or someone else. Services are provided through 47 local offices: use the DHS Office Locator to find the nearest Rehabilitation Services office, or call the toll-free number below.

Source: Home Services Program (Illinois Department of Human Services)Checked

Phone

(800) 843-6154

Toll free, voice in English or Spanish. TTY (866) 324-5553.

Source: Home Services Program (Illinois Department of Human Services)Checked

Sources

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