Medicaid Benefits: Self-Directed Personal Assistance Services
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2018
| Location | Benefit Covered | Copayment Required? | Limits on Services |
|---|---|---|---|
| United States | Yes - 21 No - 24 NR - 6 | Yes - 1 | Yes - 17 |
| Alabama | No | ||
| Alaska | No | ||
| Arizona | No | ||
| Arkansas | NR | NR | NR |
| California | Yes | No | No |
| Colorado | No | ||
| Connecticut | No | ||
| Delaware | No | ||
| District of Columbia | No | ||
| Florida | Yes | No | Florida Medicaid reimburses for 1 unit of assistive care services per recipient, per day. These services are delivered to recipients living in assisted living facilities, adult family care homes, and residential treatment facilities |
| Georgia | No | ||
| Hawaii | No | ||
| Idaho | Yes | No | No |
| Illinois | NR | NR | NR |
| Indiana | Yes | No | Home and community based waiver service only |
| Iowa | NR | NR | NR |
| Kansas | Yes | No | For all waivers, a lifetime limit of $7500 per beneficiary. Up to a maximum of $300 per year may be approved for the maintenance or repair of an item previously purchased through an assistive service. |
| Kentucky | No | ||
| Louisiana | No | ||
| Maine | No | ||
| Maryland | Yes | No | Pre-authorize based on level of care |
| Massachusetts | No | ||
| Michigan | Yes | No | Medical Necessity |
| Minnesota | Yes | No | NR |
| Mississippi | No | ||
| Missouri | No | ||
| Montana | Yes | No | 40 hour weekly limit (excluding medical escort) |
| Nebraska | Yes | No | Personal assistance services provided by a legally responsible relative are not reimbursable |
| Nevada | No | ||
| New Hampshire | NR | NR | NR |
| New Jersey | Yes | No | Limited to MLTSS population |
| New Mexico | No | ||
| New York | NR | NR | NR |
| North Carolina | No | ||
| North Dakota | No | ||
| Ohio | Yes | No | Not available under the State Plan but available through HCBS Waivers |
| Oklahoma | Yes | No | Only for adults in the ADvantage Waiver |
| Oregon | Yes | No | Personal care services are limited to 20 hours per month. Individuals whose assessed need exceeds the 20 hour limit may receive approval for additional hours through a prior approval process |
| Pennsylvania | No | ||
| Rhode Island | Yes | No | No |
| South Carolina | NR | NR | NR |
| South Dakota | No | ||
| Tennessee | Yes | No | Limits on various HCBS are specified in Tennessee's 1915(c) and 1115 waivers |
| Texas | Yes | No | Requires an assessment of need and amount of PAS |
| Utah | Yes | No | Limited to individuals with disabilities who are employed for at least 80 hours per month. Services are intended to support employment. |
| Vermont | Yes | No | Participant-Directed Attendant Care Services requires prior authorization at least annually and is covered only when the individual requires physical assistance with a minimum of two activities of daily living due to a chronic physical condition and has the personal capacity to obtain and direct attendant care |
| Virginia | Yes | Yes - Not Specified | 8 hours a day CCC Plus Waiver |
| Washington | No | ||
| West Virginia | Yes | No | Services limited to Aged & Disabled as well as Traumatic Brain Injury waivers |
| Wisconsin | No | ||
| Wyoming | No |