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terrypenn, it depends on what programs are available in your State. Medicaid is State run, thus different rules, regulations, and programs. Medicaid is funded by the State taxpayers....

and each State also receive Federal funding from the U.S. government, but unfortunately in 2017, Medicaid funding to the States had been reduced, thus many States had to forgo certain programs, or restructure their programs.

Thus, give your State Medicaid office a call.
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most states do have a Medicaid program that pays for home caregiver but there are income and other eligibility requirements.
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