Which agency pays for Home Health Aide Services and-or Long Term Services?

My dad had a stroke last year and we are trying to find out which agency pays for his Home Health Aide Services and-or Long Term Services.

He has been certified by his physician’s that he needs Home Health Aide Services and or Long-Term home care assistance in performing day to day activities for the rest of his life.

My parents have the following Medical Insurances:

- Medicare A and B

- Blue Shield through PERSCare - PPO - Though his wife’s employer

- Long Term Care Insurance through PERS

- Dad is also a Veteran WWII and has VA services, but hasn’t used any VA services to date.

Who pays first, second third and Final for his Home Health Aide Services-Long Term Care Services, Medicare, VA, Blue Shield PERSCARE or PERS Long Term Care?

Currently they are paying $1500.00 out of their pocket to a license Home Health Agency.

Any help would be greatly appreciated.

FYI - PERS - Public Employees Retirement Service