Is there an affordable source in IA for house cleaning for self pay clients?

My brother, age 68, had a brain injury when young and has had free help through organizations in IA for cleaning his apt and job coaches. Yes, he still works, has only been able to get part time jobs and needs help making decisions. He also lives independently for now.
With all the changes in funding for these services, they are now requiring that he go on Medicaid so that he can continue with these services. He does not qualify financially. Yes, if you just count his income, he qualifies. But, thanks to his diligence of work for his whole life and to our parents for leaving him some $$, his assets are too high for him to qualify for Medicaid.
We refuse to tie up his assets in Medicaid approved trusts/annuities, as we want to have choices for his care as he needs more and more of it in the next decade to come.
However, we are faced with private pay options that don't seem affordable, starting Jan 1st, 2026. $52 and hour, to keep the weekly cleaning lady that we've been working with, through Happier at Home. Please help me find a better alternative, for those of you have been there before me!
Thank you!Linda