·State program
Missouri Structured Family Caregiving
Missouri's Structured Family Caregiving program pays family caregivers a daily stipend through a Medicaid waiver to provide in-home care to individuals aged 21+ with Alzheimer's disease or a related dementia as an alternative to nursing facility placement. The caregiver must live with the care recipient. Spouses may serve as caregivers. A provider agency coordinates services, provides caregiver training, and conducts regular oversight visits.
What it offers
Pays family caregivers a daily stipend for providing in-home care to Medicaid-eligible individuals aged 21+ with Alzheimer's disease or a related dementia who require a nursing facility level of care. Missouri's July 2026 HCBS Services Units and Rates appendix lists Structured Family Caregiver as S5126HB, one day, one unit/day, at $110.33. The SFCW policy says the unit is one day/24 hours, the provider may not receive more than 35% of the unit rate, and the provider must pay the primary and substitute caregivers for services rendered. The caregiver must live with the care recipient. Spouses, legal guardians, immediate family, other family, and non-family caregivers may serve when they meet program requirements. An enrolled SFCW provider develops and manages the person-centered care plan and must be selected through participant choice and provider availability. Income and resource eligibility are determined through Medicaid, not SFCW directly.
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the person receiving care live in Missouri?
Residency is usually the first thing a program checks.
- 02
What are the current income and asset limits, and whose income counts?
Our record lists an asset limit around $6,068 — limits change, so confirm the current figures.
- 03
Is the person receiving care in the covered age range (21–null)?
- 04
What counts as a qualifying disability or level of care need, and what documentation shows it?
- 05
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 06
Which citizenship or immigration statuses does the program accept, and which documents show it?
- 07
Do you need to live with the person receiving care, and how is that verified?
- 08
Do the work hours meet the minimum (our record lists null hours)?
- 09
Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.
Many agencies have one that isn’t advertised on the website.
- 10
What documents do you need from us to start an application?
- 11
Is there a waitlist right now, and how long is it?