MissouriThe Structured Family Caregiver Waiver

Structured Family Caregiver Waiver

The Structured Family Caregiver Waiver (SFCW) is a program that enables family members (including spouses) or friends to care for their loved ones at home who suffer from Alzheimer’s or other dementia-related disorders. Similar to the Consumer Directed Services program but geared towards family members at home with individuals who have active Missouri Medicaid and suffer from dementia, this program will allow, for the first time, family members or others who reside in the same household to provide caring and companionship at home to their loved ones in need.

When did the program start?

The SFCW became effective on July 1st, 2021. The Missouri HealthNet Division (MHD) along with the Department of Health and Senior Services, Division of Senior and Disability Services (DSDS) implemented the Structured Family Caregiving Waiver (SFCW). SFCW is designed to provide an option for individuals ages 21 and older diagnosed with Alzheimer’s or a related disorder who wish to live at home in the community and would otherwise require institutionalization in a nursing facility to remain in the community. This waiver is unique in that it requires both the primary caregiver and participant to reside in the same home, whether it be the private home of the primary caregiver or the participant. Furthermore, the primary and substitute caregivers may be a non-family member, a family member, or a legal guardian, which includes spouses.

How does the program work?

SFCW services are inclusive of all homemaker and attendant care services outlined in the participant’s plan of care. Allowable activities include homemaker and attendant care services related to activities of daily living (ADLs) medication oversight, escorting to necessary appointments such as doctor appointments and community activities that are therapeutic in nature or assist with maintaining natural supports, and/or supportive and health-related attendant and homemaker services that substitute for the absence, loss, diminution or impairment of a physical or cognitive function. SFCW services also includes a qualified substitute caregiver chosen by the participant and employed by Emerest to provide services at times when the paid primary caregiver is not available.

Who can participate in the program?

All SFCW participants must meet the following eligibility criteria:

  • Reside in Missouri and have active Missouri Medicaid.
  • Initial entry into the SFCW is limited to individuals 21 years of age and over.
  • Diagnosed with Alzheimer’s or a related disorder.
  • The participant and primary caregiver must reside full time in the same household.
  • Require Nursing Facility Level of Care (LOC).

How much is the caregiver paid?

Caregivers in the Structured Family Caregiver Waiver (SFCW) program are paid by Emerest $53.68 per day of service. The caregiver may work every day of the year.

How do I sign up to participate or find out more information?

To find out more about the Structured Family Caregiver Waiver or to sign up to participate in the program through Emerest please call our office at 833-937-2912. Emerest provides this program everywhere in Missouri.

CDS is a free program available to all Medicaid participants. There is no cost to participate.
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