Who Is Eligible for Home Care Services?

Author: Tiffany Stockton

Reviewed by: Catherine Braxton

Elderly individuals and those with disabilities are eligible for home care services in most cases. Individuals recovering from illness or surgery, individuals with chronic conditions and those receiving hospice care also qualify. Specific needs and available resources play roles in determining eligibility. Criteria vary based on location or programs, and services depend upon income levels and insurance coverage.

Navigating Home Care Services

Home care services consist of supportive care provided to individuals within the comfort of their own homes. These services assist with activities of daily living, promote independence and improve the quality of life for seniors at all stages or in many circumstances. Individuals can tailor home care to meet their unique needs and preferences, providing a flexible and personalized approach to care delivery.

Home care services include:

  • Help with bathing, dressing and grooming
  • Medication management
  • Meal preparation
  • Light housekeeping
  • Transportation
  • Companionship
  • Skilled nursing care
  • Therapy services

Qualifying for Home Care Services

Seniors or individuals with disabilities unable to complete daily tasks independently often qualify for home care services. Individuals recovering from illness, surgery or injury may also benefit from temporary home care services to assist with recovery and rehabilitation. Medical home care applies to individuals with chronic health conditions and those receiving palliative or hospice care at home, as long as they don’t need the more advanced care of a nursing home or want life-extending treatments.

Family caregivers providing care for elderly or disabled loved ones at home may qualify for respite care services to alleviate caregiver stress and prevent burnout.

Assessing Eligibility for Home Care Services

Determining eligibility for home care services involves a comprehensive assessment of an individual’s needs, health status and available resources. Funding sources often dictate the specific eligibility criteria, but health care professionals, social workers or home care agencies typically conduct the assessments.In addition to functional limitations regarding activities of daily living, medical professionals analyze medical conditions and the level of support required to promote recovery or manage chronic conditions. They then evaluate the individual’s home environment and support network for harmful impacts or risks to overall well-being. If the assessment determines the need, seniors can find in-home care nearby.