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 Louisiana?
Last verified October 17, 2026 · All Louisiana resources
In Louisiana, the income limit is $2,982/month and the asset limit is $2,000 single. Louisiana's special income level for nursing home care and home and community-based waivers is $2,982 a month for one person and $5,964 for a couple in 2026, with a resource limit of $2,000 for one person or $3,000 for a couple. Applicants for the Community Choices, ADHC and other waivers whose gross income is over the limit are reviewed under the HCBS Spend-Down Medically Needy program instead of using an income trust. Nursing home applicants over the limit can also qualify through spend-down if their medical expenses are high enough. Waiver participants keep income up to three times the SSI benefit for their living expenses.
| Program | Louisiana Medicaid long-term care: Community Choices Waiver (CCW), Adult Day Health Care (ADHC) Waiver, Long Term Personal Care Services (LT-PCS) and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (special income level) |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Qualified income (Miller) trust used | No |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 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 Louisiana Medicaid waivers that pay for home care.
How to apply in Louisiana (Louisiana Department of Health (LDH), Medicaid and Office of Aging and Adult Services)
Sources
More for Louisiana
Medicaid eligibility by state: other states
Related guides
Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.