Medicaid's Optional Personal Care Services Reimbursement

In the United States, there is a growing crisis affecting the long term care of our aging population. For many elderly adults, the reliance upon family and friends is common with many offering support to the aging population. In terms of long term care, there are few unpaid options to the elderly and, as a result, care is provided by those closest to the aging.

Long term care, in some states, is supported for the elderly population who is interested in, and can, live independently. Known as the Medicaid State Plan Personal Care Services option, PCS, states have the option to permit reimbursement or funding of non-medical assistance. Under the PCS program, seniors can obtain services and support for even the most essential activities of daily living (ADL), including assistance with bathing, eating and dressing.

In some states, however, the option to provide PCS services are not extended to the Medicaid recipients in the state. Without PCS services, the elderly population is at risk for poor hygiene, lack of nutrition, weight loss and even significant dehydration. Without these benefits, once again, the elderly in these states will rely heavily upon family, friends, civic and volunteer organizations to meet their needs.

In contrast, some states are moving one step further. In addition to authorizing the Medicaid PCS plan, the state may also provide for additional benefits to those who are under age 60 or are not otherwise eligible for Medicaid. In states such as New Jersey, Florida and Arizona, programs such as "Cash and Counseling" provide for cash payment to spouses and parents in lieu of a home service payment to an outside agency who may provide support.