The Gem State or the Potato State. Either way, many will know you’re talking about Idaho, the 43rd state
of the United States and land of potatoes and gems. The 39th most populous state, Idaho is also the 14th
largest in the union and only the second place in which to find the star garnet gem. Idaho was one of the
fastest growing retirement spots for those 65 and older, with the state ranking 2nd on Forbes’ best states to
For those in Idaho, there are several different Medicaid waivers that individuals and their families can
take to help them with assisted living or medical help. All waivers are offered by the Idaho Home and
Community Based Services or HCBS and are approved under the §1915© section of the Social Security
Idaho Personal Care Services Program
The Personal Care Services Program (PCSP) is for elderly and disabled residents that provides assistance
with daily living activities, with the goal to help individuals maintain their independence and avoid
institutionalization. PCSP allows individuals to self-direct their own care by providing responsibility for
care requirements and hiring care givers for the necessary care. One of the great components of this is the
ability for individuals to hire their family members as their caregivers.
Some of the services that available include assistance with daily activities such as bathing, grooming, and
personal hygiene, assistance with taking prescription medicines, meal preparation, housekeeping,
shopping, and transportation.
To be eligible for PCSP, individuals need to be qualified for Medicaid and are residing at home, with a
written note form their doctor stating that they need personal care services for medical reasons. For those
who may not meet the financial requirements, there is something called Medicaid planning, where excess
income and assets are converted in to not-countable income.
Aged & Disabled Medicaid Waiver
The Aged & Disabled Medicaid waiver (also known as the Idaho Medicaid waiver) is for those individuals
who are aged, blind, or disabled who do not want to reside in a nursing facility. This waiver also pays for
services within assisted living communities.
One of the main factors of this waiver is the Participant Direction (also known as the Cash and
Counseling and Consumer Direction program), which allows the individuals to choose who provides them
with care. Participants select their own care provider, though they are required to use a 3rd party financial
management organization. Some of the services provided are not subject to the direction of the individual,
such as attendant care, homemaker and chore services and skilled nursing.
Like the PCSP waiver, friends or family members can be hired to provide services, as long as they are
qualified and have passed background checks and screening by the administering agency.
To be eligible for the Aged & Disabled waiver, individuals must be legal residents of the state of Idaho and
be 65 or older. Participants are also required to be financially eligible for the Idaho Long Term Care or
Nursing Home Medicaid program; there is a difference between the Medicaid and Nursing Home
financial guidelines. If the individual is disabled, the monthly income limit is $731, while those who need
nursing home care, but are not disabled have a monthly limit of $2,163.
Adult Developmental Disabilities Waiver
The Adult Developmental Disabilities program is for adult individuals who have developmental
disabilities. This program, which overheads several different projects, provides assistance in the form of
behavioral consultation, chore services, community support employment, fiscal employment, home
modifications, respite, home delivered meals, nursing services, and nonmedical transportation. Many of
the programs that reside under this banner allow for individuals to have control over the choice of
providers and keeping track of their finances, allowing for responsibility and keeping individuals within
their home or to continue working if they so choose.
To be eligible for this waiver, individuals need to have a chronic medical disability, with that disability
appearing before they turned twenty-two years of age, needs to have been caused by an impairment, such
as intellectual disability, cerebral palsy, epilepsy, autism, or another condition that is closely related.
Individuals must be limited in at least three major life activities, including self-care, learning, mobility, self-
direction, or others.
With a growing population of seniors and retirees, Idaho is poised to seem a growth within their senior
population. With that, those who are 65 and older are able to take advantage of the waivers that the state
can provide them; this means that individuals who are covered by Medicaid or Medicaid eligible can put
off some of their financial or personal reasons in regards to assisted living or nursing facilities. Idaho offers
several different options which residents can utilize, with many of these having separate programs
underneath the main to handle all individuals who meet the requirements.
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Idaho Personal Care Services
Aged & Disabled Waiver
Adult Developmental Disabilities Care Management
2015 by Regina
- Article by Regina
Woodard exclusively for Assisted Living Directory