Idaho's Choice for Home Care

Navigating Home Care in Idaho

Worried About the Cost of Home Care in Idaho?

Home care in Idaho may be covered through Idaho Medicaid under State Plan Personal Care Services (PCS) or the Aged & Disabled (A&D) Waiver. If approved, many eligible individuals pay little to no out-of-pocket cost. Some participants may have a Share of Cost (SOC) determined by the Idaho Department of Health and Welfare.

Need Help for a Loved One at Home?

We provide personal care, companionship, homemaker services, and respite care to support daily living needs. Services are structured according to Medicaid authorization, managed care enrollment, or private-pay arrangements to help individuals safely remain at home instead of institutional care.

Considering Switching Providers?

If you are currently receiving Medicaid home care services but feel your needs are not fully supported, you have the right to change providers. We coordinate smooth transitions, verify eligibility, and ensure continuity of authorized service hours through Medicaid, Molina, or UnitedHealthcare plans.

SERVICES PROVIDED THROUGH IN-HOME CARE

What can a caregiver help with?

Care plans are personalized based on Medicaid authorization, waiver eligibility, managed care enrollment, or private-pay arrangements. Services are designed to meet functional needs and support long-term independence.

Attendant Care

Attendant Care

Companion Care

Companion Care

Homemaker Services

Homemaker Services

Light housekeeping

Light housekeeping

Medication reminders

Medication reminders

Meal Preparation

Meal Preparation

Mobility Assistance

Mobility Assistance

Personal Care

Personal Care

Respite Care

Respite Care

Supplemental services under the A&D Waiver

Supplemental services under the A&D Waiver

*All services are delivered in accordance with Idaho Medicaid guidelines.

Attendant Care

Attendant Care

Companion Care

Companion Care

Homemaker Services

Homemaker Services

Light housekeeping

Light housekeeping

Medication reminders

Medication reminders

Meal Preparation

Meal Preparation

Mobility Assistance

Mobility Assistance

Personal Care

Personal Care

Respite Care

Respite Care

Supplemental services under the A&D Waiver

Supplemental services under the A&D Waiver

HOW IT WORKS

How Home Care Starts in Idaho

We simplify the process of starting home care by guiding you through financial eligibility review, medical assessment, and service coordination under Idaho Medicaid programs.

Consultation

We review your situation and help you understand available home care options, including State Plan PCS, the A&D Waiver, managed care plans, and private-pay services. Eligibility and service levels are determined through Idaho's assessment process.

Financial & Medical Eligibility Review

Financial eligibility is determined by the Idaho Department of Health and Welfare (IDHW). Medical eligibility is assessed to confirm medical necessity or Nursing Facility Level of Care for A&D Waiver services.

Authorization & Care Planning

Once services are authorized, we develop a personalized care plan based on approved service hours and client needs. For private-pay clients, services are customized according to individual preferences and goals while maintaining quality and consistency of care.

Ongoing Support

We verify eligibility regularly, coordinate with Molina or UnitedHealthcare when applicable, and ensure services remain compliant with Idaho Medicaid requirements.

Call us today — you could be approved for paid home care in as little as 30 days.

Eligibility Requirements in Idaho

You may qualify for Medicaid home care in Idaho if:

You are an Idaho resident

You must live in Idaho and meet Medicaid financial eligibility requirements.

You need help with daily living activities

You require assistance with daily tasks such as bathing, dressing mobility, meal preparation, or other daily living activities.

You have coverage or payment options

You are enrolled in Medicaid (including Molina or UnitedHealthcare when applicable) or qualify for State Plan PCS or the A&D Waiver programs.

Some participants may have a Share of Cost (SOC) determined by the state.

Not Sure If You're Eligible?

Understanding Idaho Medicaid eligibility can be complex. We offer:

  • Free eligibility reviews
  • Guidance on PCS vs A&D Waiver
  • Verification of Molina or UnitedHealthcare enrollment
  • Explanation of Share of Cost (SOC)
  • Private-pay consultation options

Serving Families Across Idaho

Butte Boise Boundary Gem Jefferson Latah Minidoka Teton Ada Adams Benewah Bonner Bonneville Oneida Power Shoshone Twin Falls Camas Caribou Clark Fremont Gooding Jerome Kootenai Lewis Madison Nez Perce Bannock Canyon Elmore Lincoln Payette Owyhee Valley Washington Cassia Clearwater Custer Idaho Lemhi Bear Lake Franklin Bingham Blaine
  • Ada
  • Adams
  • Bannock
  • Bear Lake
  • Benewah
  • Bingham
  • Blaine
  • Boise
  • Bonner
  • Bonneville
  • Boundary
  • Butte
  • Camas
  • Canyon
  • Caribou
  • Cassia
  • Clark
  • Clearwater
  • Custer
  • Elmore
  • Franklin
  • Fremont
  • Gem
  • Gooding
  • Idaho
  • Jefferson
  • Jerome
  • Kootenai
  • Latah
  • Lemhi
  • Lewis
  • Lincoln
  • Madison
  • Minidoka
  • Nez Perce
  • Oneida
  • Owyhee
  • Payette
  • Power
  • Shoshone
  • Teton
  • Twin Falls
  • Valley
  • Washington

Frequently Asked Questions

  • Does Idaho Medicaid cover home care?

    Yes. Idaho Medicaid covers home care services through State Plan Personal Care Services (PCS) for up to 16 hours per week and through the Aged & Disabled (A&D) Waiver for individuals requiring more extensive care. Eligibility depends on financial qualifications and medical necessity.
  • What is the difference between PCS and the A&D Waiver?

    Personal Care Services (PCS) are designed for individuals who need assistance with daily living activities. Individuals who require a higher level of care and meet Nursing Facility Level of Care criteria may qualify for services through the Aged & Disabled (A&D) Waiver.
  • What income qualifies for Medicaid home care in Idaho?

    Income limits vary depending on the program. Under AABD Medicaid, income limits are approximately $1,047 per month for a single individual and $1,511 for a couple. For the Aged & Disabled (A&D) Waiver, income may be allowed up to approximately $3,002 per month, subject to asset limits and state confirmation.
  • Do Molina and UnitedHealthcare cover home care in Idaho?

    Yes. Molina Healthcare of Idaho and UnitedHealthcare Community Plan administer managed care programs for dual-eligible participants under IMP and MMCP. Coverage depends on plan enrollment and Medicaid eligibility.
  • What services are available under private pay?

    Private-pay home care includes personal care, companionship, homemaker services, and respite care. Services are customized based on individual needs and are not limited by Medicaid eligibility requirements.

Get started today

If you or a family member may qualify for home care under Idaho Aged and Disabled (AD) Waiver, our team can provide clear guidance on eligibility, Medicaid enrollment steps, and program coordination.

Call or submit a request through our contact form to begin the process.

Submit your request

Thank You!

for Reaching Out
to MODANI!

Stay connected with us

For any assistance, contact our customer support at intake.id@modanicare.com. or call us at 208.435.2800