0810.000.00 MO HealthNet Coverage

0810.035.10 Basic Eligibility Guidelines for Personal Care Services

IM-120 November 18, 2021

To be eligible for the Personal Care Services program, a claimant must be:

  1. Currently eligible for Title XIX (Medicaid) benefits;
  2. Recommended for Personal Care Services by the attending physician;
  3. Determined to be in need of Nursing Facility (NF), Acute Care Hospital or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) level of care (as if they were entering a nursing care facility); and
  4. Evaluated, by the Department of Health & Senior Services, to determine that the available services correspond to the claimant’s prescribed needs.