Louisiana has a relatively large senior population, as 15.9% of its more than 4.6 million residents are 65 and over. There are multiple reasons Louisiana may appeal to older adults, including financial benefits. Social Security and public pension income isn’t taxed, and the cost of living in Louisiana is lower than the national average. There are top-rated hospitals in the state, including Our Lady of the Lake Regional Medical Center in Baton Rouge and Willis Knighton Medical Center in Shreveport.

The average cost of home care in Louisiana is $3,623 per month. Home care — also called in-home care — differs from home health care in multiple ways. In-home caregivers provide companionship and help with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), which include companionship, bathing, dressing, meal preparation and shopping — among other tasks. Home health care is a medical service; caregivers may dress wounds, administer medications and therapies, monitor vital signs and provide other health-related services.

This guide provides costs and comparisons for home care in Louisiana. You’ll also find information about applying for Medicaid and a list of free resources for seniors.

The Cost of In-Home Care in Louisiana

As reported by the 2021 Genworth Cost of Care Survey, in-home care costs $3,623 per month in Louisiana. The national median cost is higher at $4,957, as is Oklahoma’s estimated cost of $4,862 per month. Other states also have a higher average monthly cost for in-home care, including Texas ($4,576) and Arkansas ($4,185). Mississippi and Alabama both have an average monthly cost of $3,813 for home care, which is about $200 more than the Louisiana average.

$3623

Louisiana

$4957

The United States

$4862

Oklahoma

$4576

Texas

$4185

Arkansas

$3813

Mississippi

$3813

Alabama

Louisiana’s cities vary when it comes to in-home care costs. New Orleans’ cost is the highest on our list at $4,195, while Lake Charles is close behind with an estimated monthly cost of $3,909 for in-home care. Baton Rouge and Lafayette share an estimated cost of $3,813, while seniors in Shreveport can expect to pay $3,241 for home care.

$3909

Lake Charles

$3813

Baton Rouge

$3813

Lafayette

$4195

New Orleans

$3241

Shreveport

There are other care types for older adults to consider. In addition to in-home care ($3,623), there’s home health care ($3,718) for seniors aging in place who need medical services. Adult day health care is less expensive ($1,788) and is an option for seniors in need of daytime medical care. Assisted living ($3,748) is an option for seniors who need assistance with daily activities and prefer to live in a senior community, while nursing home care ($5,759) in a semiprivate room is the most comprehensive and costly care type. 

$3623

In-Home Care

$3718

Home Health Care

$5759

Nursing Home Care

$3748

Assisted Living

$1788

Adult Day Health Care

Does Medicaid Cover Home Care in Louisiana?

Louisiana Medicaid covers in-home care through several waiver programs. Seniors who receive Medicaid may also qualify for additional services through one or more of these programs, which provide in-home assistance with ADLs and related tasks.

The Long-Term Personal Care Services Program (LT-PCS) is for Medicaid recipients in need of at-home assistance with everyday tasks. The Community Choices Waiver (CCW) is similar but also provides health-based services as well. Another program through which seniors can receive home care is the Program of All-Inclusive Care for the Elderly (PACE), which provides a wide variety of other care types including skilled nursing and adult day health care.

Home Care Waiver Programs in Louisiana

Seniors in need of home care have several options when it comes to coverage. As mentioned, Medicaid recipients may qualify for these waiver programs, which are geared towards the elderly and/or disabled. They provide in-home care, including help with ADLs, and the CCW and PACE programs also provide certain types of medical care.

Contact
Area Served
Services Provided

(877) 456-1146

Entire state

Medicaid recipients who need help with everyday activities such as toileting, dressing and meal preparation may qualify for the LT-PCS program. Light housekeeping, laundry and escort/transportation to medical appointments are also services that Louisiana seniors can receive through this program.

(877) 456-1146

Entire state

The CCW adds in-home care and more to the list of covered Medicaid services. Seniors who meet age and financial requirements may qualify for this waiver, which provides services that include but aren’t limited to skilled maintenance therapy services, medical equipment and assistive devices, in-home care, home health care and nutritional counseling.

(504) 945-1531 for greater New Orleans

(225) 490-0604 for Baton Rouge

(337) 470-4500 for Lafayette

Most Louisiana zip codes

Seniors in a PACE provider service area who don’t exceed income eligibility limits may qualify for this program. Many services are performed at a PACE center and transportation is provided. Examples of services that seniors can receive through this program include in-home care and home health care, inpatient care, primary care, assistive devices and various types of therapies.

How to Know if You’re Eligible for Medicaid in Louisiana

In order to qualify for Louisiana Medicaid, there are income and asset limits based on household size. For single seniors, the annual income limit is $10,092 and assets can’t total more than $2,000 in value. Couples can’t have a yearly income in excess of $15,132 or assets worth more than $3,000.

Income Limits*
Asset Limits

Single Person

$10,092

$2,000

Two-Person Household

$15,132

$3,000

* per year

There are various other requirements that must be met to receive Medicaid. Senior applicants must:

  • Be age 65 or older, or
  • Blind and/or disabled
  • A Louisiana resident
  • A United States citizen or qualified non-citizen

How to Apply for Medicaid in Louisiana

Seniors can apply for Medicaid online through the Louisiana Department of Health’s self-service webpage. If you prefer in-person help, visit a Medicaid application center. Some of these centers serve residents on a walk-in basis while others require appointments, so call ahead. Telephone applications can be taken through Healthy Louisiana Enrollment at (855) 229-6848. Paper applications can be printed and mailed, faxed or delivered to your local Medicaid application center.

What Information You Will Need

There are certain documents you’ll need to include with your Medicaid application. This includes:

  • Identification
  • Social Security card
  • Proof of income
  • Employer information
  • Copies of insurance policies

How to Get Help Applying for Medicaid

There are various offices and agencies that provide Medicaid application assistance. Services are free of charge, and there may be various other senior-oriented services available.

Contact
Area Served
Services Provided

(888) 342-6207

Entire state

Seniors can get help with applying for Medicaid through the Louisiana Department of Health Medicaid office. Customer service is available through the toll-free number, and there’s a directory of local offices where residents can obtain personalized in-person service. This website has a section titled Helpful Information that may answer some questions.

(877) 267-2323

Nationwide

Another way to get help with Louisiana Medicaid is through the national Medicaid site. There are informative articles to read, along with a toll-free number for customer service.

Email assistance is available through this office at Medicaid.gov@cms.hhs.gov.

(225) 342-7100

Entire state

The Governor’s Office of Elderly Affairs publishes a directory of Louisiana AAA offices. These agencies not only provide help with Medicaid applications but also offer an array of other free resources and services to seniors.

Does Medicare Cover In-Home Care in Louisiana?

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.

  • Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
  • Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
  • Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
  • Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.

As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

Other Financial Assistance Options for In-Home Care in Louisiana

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read Caring.com’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost Resources for Seniors in Louisiana

There are free services for Louisiana seniors, including energy assistance and home repair programs. Older adults can access nutritional programs and even receive free transportation through various government and nonprofit agencies. Most of these resources are statewide, although some only cover certain areas.

Contact
Area Served
Services Provided

(225) 763-8700

Entire state

Through LIHEAP, seniors in Louisiana can receive help paying their energy bills. This service has financial eligibility requirements and is federally funded.

(318) 343-4467

Entire state

Senior homeowners can receive federal grants for necessary home repairs through the USDA. Like most assistance programs, this one is income-dependent. The phone number listed is for the Monroe area; on the website’s contact page, you’ll find phone numbers for other offices in the state.

(800) 522-3333

Entire state

Eligible seniors can receive free monthly food boxes through CSFP, a statewide government program. Some of the items these boxes contain include canned meat, produce, cheese, oatmeal, pasta or rice, dry milk and peanut butter.

Online

Entire state

This website helps seniors navigate the complex legal process and can direct them to free legal aid services throughout the state. There are links to court forms, housing and disaster-relief programs, and many other helpful resources on this statewide resource.

2-1-1

Southwest Louisiana

The United Way of Southwest Louisiana provides many free services to the area’s seniors. Through the website, seniors can learn more about the area’s 2-1-1 service. Call 2-1-1 for crisis intervention, food services, senior transportation, financial assistance and many other services.

COVID-19 Rules for In-Home Care Providers in Louisiana

In-home care providers in Louisiana must be vaccinated against COVID-19 unless determined exempt. This information is accurate as of April 2022; however, rules and regulations change frequently, so it’s important to check with the Louisiana Health Department for the most recent state guidelines. You can also call your Medicaid caseworker if you have questions about COVID-19 requirements for home care providers.

Different home care agencies may have different rules regarding vaccines and personal protective equipment (PPE). This equipment may include but isn’t limited to face masks and gloves, which can be currently expected as a standard requirement for all health care workers and even in-home care providers.

In-Home Care Laws and Regulations in Louisiana

In an effort to protect those who require in-home care, the state of Louisiana maintains strict regulations regarding who can provide care.

In-Home Care Laws and Regulations in Louisiana
Scope of Care
A home care provider is defined as a company, either for profit or not-for-profit, that provides home care services for individuals in need.
Care Plan Requirements
Caregivers must put together individual service plans for each client that meet their goals and objectives based on the individual's strengths and areas of need.
Medication Management
Medication management is considered an instrumental activity of daily living and is included in care plans as necessary.
Staff Screening Requirements
Staff members are required to undergo background checks prior to hiring. Those hired cannot have a criminal record or appear on sex offender registries.
Staff Training Requirements
Staff members must undergo comprehensive training before being permitted to work with clients.
Medicaid Coverage
Medicaid programs can be used to cover care where eligible or applicable.
Reporting Abuse
Elder abuse can be reported to Elderly Protective Services at 1-833-577-6532 or (225) 342-0144, 24 hours a day.

Frequently Asked Questions

How Much Does In-Home Care Cost in Louisiana?

In Louisiana, in-home care is quite affordable, averaging $3,218 per month. This cost is nearly $1,000 lower than the national average of $4,200. However, some cities in Louisiana, such as Baton Rouge, do demand a higher price for full-service home care. For people who require additional nursing resources, home health care is available for several dollars more a month, with a monthly average of $3,241.

Does Medicaid Pay for In-Home Care?

Yes, Medicaid can pay for in-home care for those who qualify in Louisiana. Care under the Program of All-Inclusive Care for the Elderly, the Louisiana Community Choices Waiver and Long Term – Personal Care Services can all be covered by Medicaid. Some programs, such as Long Term – Personal Care Services, require Medicaid coverage for eligibility.

Are There Financial Assistance Programs for In-Home Care in Louisiana?

Yes, there are several financial assistance programs for in-home care in Louisiana, including the Program of All-Inclusive Care for the Elderly, the Louisiana Community Choices Waiver and Long Term – Personal Care Services. These programs can provide support to seniors who meet income and eligibility guidelines, making in-home care affordable for those living on a fixed income.

What Are “Activities of Daily Living”?

Activities of daily living, or ADL, are tasks that are essential to live a normal life. These include things like washing, dressing, eating, cleaning and transferring. ADL are the primary duties performed by in-home caregivers. These individuals can also provide things like companionship, cleaning and food preparation for seniors unable to accomplish these tasks solo. Caregivers providing ADL assistance don’t offer comprehensive medical care; they’re limited to basic first aid.

What Is the Difference Between In-Home Care and Home Health Care?

The primary difference between in-home care and home health care relates to the number of health care responsibilities required. In-home care focuses on activities of daily living rather than nursing care, and caregivers are limited to basic first aid and medication management. Home health care involves nursing assistance and provides sophisticated care for those with more complex medical issues.

How to Find an In-Home Care Provider in Louisiana

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At Caring.com, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.

Finding a Home Care Provider Checklist

Find Home Care Agencies Near You

To find quality home care providers near you, simply input the zip code or city where you would like to start your search. We have an extensive directory of home care agencies all across the nation that includes in-depth information about each provider and hundreds of thousands of reviews from seniors and their loved ones.

2022

Home Instead – Baton Rouge, LA

5055 S Sherwood Forest Blvd, Baton Rouge, LA, 70816

My worker does whatever I need because I’m stuck in my nursing home since March 10,2020. If it weren’t for the thing’s she does it would probably affect my mental health as well as my physical … (read more)
My worker does whatever I need because I’m stuck in my nursing home since March 10,2020. If it weren’t for the thing’s she does it would probably affect my mental health as well as my physical … (read more)

Griswold Home Care

4637 Jamestown Ave # D, Baton Rouge, LA, 70808

My 95 year old father moved in with me after my mom died. We got along just great for a while but the stress of being a caregiver 24 hours a day, 7 days a week began to wear on me and my children ins … (read more)
My 95 year old father moved in with me after my mom died. We got along just great for a while but the stress of being a caregiver 24 hours a day, 7 days a week began to wear on me and my children ins … (read more)

At Home Care of Louisiana

8017 Jefferson Hwy STE A5, Baton Rouge, LA, 70809

We’re using At Home Care of Louisiana for my mother. They sit with her, take her places, do laundry, and clean around her area. They also vacuum and clean the bathroom. They do light housekeeping. I c … (read more)
We’re using At Home Care of Louisiana for my mother. They sit with her, take her places, do laundry, and clean around her area. They also vacuum and clean the bathroom. They do light housekeeping. I c … (read more)

Always Best Care of Metro Baton Rouge

619 Jefferson Hwy, Suite 1D, Baton Rouge, LA, 70806

Always Best Care of Metro Baton Rouge is pretty good. There’s some confusion on getting scheduled people here but they always work it out. We’ve used them for my mom for about a week a month ago and t … (read more)
Always Best Care of Metro Baton Rouge is pretty good. There’s some confusion on getting scheduled people here but they always work it out. We’ve used them for my mom for about a week a month ago and t … (read more)

Compassionate Care Of Loving Hands LLC – Slidell, LA

301 Spartan Dr, Slidell, LA, 70461

Compassionate Care Of Loving Hands Is A Wonderful Caregiver Services I Been a Client For About 3 Years Now in I Dont Regrat A Bit Ms Henderson the owner Make Sure Her Staff Is Well Organized and Here … (read more)
Compassionate Care Of Loving Hands Is A Wonderful Caregiver Services I Been a Client For About 3 Years Now in I Dont Regrat A Bit Ms Henderson the owner Make Sure Her Staff Is Well Organized and Here … (read more)

TLC Home Companion Care

7516 Blue Bonnet Boulevard, PMB 254, Baton Rouge, LA, 70810

We had someone from TLC Home Companion Care Inc come to our home three times a week. We are allowed 15.5 hours in a week. She bathed and tended to her, washed the sheet and clothes, cleaned and fixed … (read more)
We had someone from TLC Home Companion Care Inc come to our home three times a week. We are allowed 15.5 hours in a week. She bathed and tended to her, washed the sheet and clothes, cleaned and fixed … (read more)

ComForcare Senior Services – Baton Rouge

5713 Superior Dr., Suite B5, Baton Rouge, LA, 70816

My mother’s long term care policy requires that you use an agency. We were able to have Comfortcare hire our regular caregiver and bill the Long Term Care Insurer. It’s unfortunate that this adds abou … (read more)
My mother’s long term care policy requires that you use an agency. We were able to have Comfortcare hire our regular caregiver and bill the Long Term Care Insurer. It’s unfortunate that this adds abou … (read more)

Comfort Keepers Baton Rouge, LA

4626 Jamestown Ave # 6, Baton Rouge, LA, 70808

Both of my caregivers were extremely compassionate and likable. Thank you for providing such efficient care!
Both of my caregivers were extremely compassionate and likable. Thank you for providing such efficient care!

A First Name Basis – Baton Rouge

5319 Didesse Drive, Baton Rouge, LA, 70808

Beware when choosing this agency. There are no stable workers assigned to your love one. Their staff choose who they want to work with. Your love one could have as many as 20 or more permanent workers … (read more)
Beware when choosing this agency. There are no stable workers assigned to your love one. Their staff choose who they want to work with. Your love one could have as many as 20 or more permanent workers … (read more)

1st Home Health Kare

2034 Wooddale Blvd, Baton Rouge, LA, 70806


Caring Hearts Pca

6554 Florida Blvd, Baton Rouge, LA, 70806


Health Systems 2000

1901 Oak Park Blvd, Lake Charles, LA, 70601


Horizons Personal Care

3233 South Sherwood Forest, Suite 108a, Baton Rouge, LA, 70816


Tender Loving Care Indepent

1926 Wooddale Blvd, Baton Rouge, LA, 70806


Homewatch CareGivers Serving Baton Rouge

2321 Drusilla Lane Suite B, Baton Rouge, LA, 70809



Advanced Personal Care Options

3233 S Sherwood Forest Blvd, Baton Rouge, LA, 70816


More Care – Baton Rouge, LA

7341 Jefferson Hwy suite i , Baton Rouge, LA, 70806


Marions Home Sitting

17643 Milan Drive , Hammond, LA, 70068


Always Best Care of Baton Rouge

3029 S Sherwood Forest Blvd., Ste. 300,, Baton Rouge, LA, 70816

Since 1996, the compassionate caregivers from Always Best Care have helped thousands of families with non-medical in-home care needs. We provide free consultations and are dedicated to exceeding your … (read more)
Since 1996, the compassionate caregivers from Always Best Care have helped thousands of families with non-medical in-home care needs. We provide free consultations and are dedicated to exceeding your … (read more)

Home Care Services in Louisiana (100)