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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.

Pays family caregivers a tax-free 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. The Medicaid reimbursement rate is $103.80 per day (effective 7/1/2025). Provider agencies must pass through at least 65% of the daily rate to the caregiver, resulting in approximately $67.47 per day ($472 per week, $2,024 per month). The caregiver must live with the care recipient. Spouses may serve as caregivers. An approved Structured Family Caregiving provider agency coordinates services, provides caregiver training, and conducts regular oversight visits. Income eligibility is determined through Medicaid, not this program directly.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Asset limit of $6,068
  • Care recipient must be at least 21 years old
  • U.S. citizenship or qualified immigrant status required
  • Care recipient must have a qualifying disability or need for assistance
  • Caregiver must live with the care recipient
  • Must be a resident of MO
  • Must be Medicaid-eligible
  • No income test required
  • Must require a nursing facility level of care

Services

Pays family caregivers a tax-free 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. The Medicaid reimbursement rate is $103.80 per day (effective 7/1/2025). Provider agencies must pass through at least 65% of the daily rate to the caregiver, resulting in approximately $67.47 per day ($472 per week, $2,024 per month). The caregiver must live with the care recipient. Spouses may serve as caregivers. An approved Structured Family Caregiving provider agency coordinates services, provides caregiver training, and conducts regular oversight visits. Income eligibility is determined through Medicaid, not this program directly.

How to apply

Apply online or find more information at the official program page.

  • medicaid (depends_on): Care recipient must be Medicaid-eligible
  • hcbs-waivers (companion): SFC is available through the Missouri Structured Family Caregiving Waiver (SFCW)