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As of October 2015, all 50 states and the District of Columbia offer Medicaid waiver self-directed long-term services and supports (LTSS) programs that allow qualified individuals to manage their own care — meaning that people can hire and fire their own caregivers.

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Your chances are best if you are caring for someone eligible for Medicaid and living in a state with a Medicaid care program or caring for a U. Step 1: If your family member qualifies and is ready to join the more than 1 million people already participating in self-directed care plans, contact your state Medicaid office to begin the process.

Some states permit the care recipient to hire a family member to provide care.

A flexible budget — average is $2,500 monthly — enables them to choose the goods and services they find most useful, including a caregiver to assist with everyday tasks such as bathing, cooking, feeding, dressing, using the bathroom and adjusting prosthetic devices.

The caregiver is chosen by the veteran and may be any physically and mentally capable family member — including spouse, sibling, child or grandchild.

You may also visit your local regional benefit office to file your request.

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