Medicaid Recipients and Their Caregivers
Some Medicaid Home and Community-based Services (HCS) recipients may qualify for respite. Contact your HCS program case manager or service coordinator to learn more.
The Medicaid Health Insurance Premium Payment (HIPP) program helps families pay for employer-sponsored health insurance premiums. People of all ages enrolled in any Medicaid program, besides STAR Health, can be eligible for HIPP. Learn more on the HIPP webpage.
Contact your Managed Care Organization (MCO) to learn about these Medicaid services and benefits:
- Prescribed Pediatric Extended Care Centers (PPECC): For young people who meet medical necessity criteria and are available as an alternative to private duty nursing. PPECCs can include caregiver training to optimize the recipient’s health status and outcomes and promote and support family-centered, community-based care.
- Member Advisory Groups: STAR+PLUS and STAR Kids require MCOs to establish advisory groups consisting of members, caregivers and advocates who meet quarterly in each service area. This would provide caregivers with a forum to raise programmatic issues and concerns.
- Changes in Condition and Service Planning (for STAR+PLUS HCBS and Medically Dependent Children Program (MDCP) (STAR Kids and STAR Health)): A change in caregiver supports is considered a “change in condition,” requiring the MCO to review the individual service plan and authorize appropriate services. In other words, the MCO is required to adjust needed services, if the level of caregiver support changes.
- State Plan Long-term Services and Supports (for STAR+PLUS HCS services and MDCP [STAR Kids and STAR Health]): Offers services to members who may provide some indirect relief to caregivers. Examples include home-delivered meals, attendant care, minor home modifications and day activity health services.
- Non-Emergency Medical Transportation (NEMT): Covers medical and dental appointments. NEMT can also pay for gas money if a caregiver drives a member to an appointment.