Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in District of Columbia?
Last verified October 17, 2026 · All District of Columbia resources
In District of Columbia, the income limit is $2,982/month and the asset limit is $4,000 single. DC's home and community-based waivers allow income up to 300% of the SSI benefit, which is $2,982 a month in 2026, or up to 100% of the federal poverty level for people who are elderly or disabled. Savings and other assets can be up to $4,000 for one person or $6,000 for a couple, higher than the $2,000 most states use. Everyone 21 or older applying for nursing facility care must be assessed by DHCF's Long Term Care Unit.
| Program | DC Medicaid long-term care: Elderly and Persons with Physical Disabilities (EPD) Waiver, IDD Waiver and the Institutional Care Program for nursing facilities |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of SSI) |
| How income is counted | special income limit (300% SSI) |
| Asset limit (single) | $4,000 single |
| Asset limit (couple, both applying) | $6,000 couple |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the District of Columbia Medicaid waivers that pay for home care.
How to apply in District of Columbia (DC Department of Health Care Finance (DHCF))
What should you confirm with the state?
DHCF's page lists these limits under the IDD Waiver; confirm with DHCF or the Aging and Disability Resource Center that the same limits apply to the EPD Waiver.
Sources
More for District of Columbia
Medicaid eligibility by state: other states
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