0810.000.00 MO HealthNet Coverage

0810.040.05 In-Home Respite Care

In-home respite care provides required care to an elderly individual while providing temporary relief to the usual caregiver(s) within the confines of the claimant’s normal living situation.

Services are oriented toward maintenance/supervision and include:

  • meal preparation;
  • minor chores;
  • minor personal care; and
  • companionship.

A unit of service for in-home care is from eight to twelve consecutive hours of service to one individual, of which no more than four hours entail personal care or homemaker activities.

An eligible claimant is allowed a maximum of 42 days per calendar year with the restriction that the cost of respite care, in any given month, combined with all other waivered Medicaid Services provided in that month, not exceed the average statewide cost, per resident per month, of ICF care.  (These costs will be approved and monitored through the Division of Senior Services system).

In-home respite care services are obtained through authorized Title XIX providers.

NOTE:  Respite services provided by members of the claimant’s household or immediate family are not covered by Medicaid.