In-Home Personal Care Services

Senior Services provides Personal Care and Housekeeping services through a number of different programs. In general, housekeeping is provided only to those also needing personal care services. For state funded services, initial authorization is by Home and Community Services. The file is transferred to our Case Managers for ongoing case management and re-authorization once the Service Plan has been put into place. Each of the in-home programs has slightly different guidelines both for financial eligibility and what kinds of services can be provided.

Medicaid Personal Care

Medicaid Personal Care is available to those who are categorically eligible for Medicaid, and who need help with at least one Personal Care task such as bathing, eating, dressing, toileting, personal hygiene, or body care. Assistance with household tasks may be provided only if personal care assistance is needed.


COPES is available to persons who would be expected to need nursing home care without the availability of services. The person must need substantial or total assistance with two or more personal care tasks or need minimal, substantial, or total assistance with three or more tasks. COPES is available to those who earn more than the Medicaid standard, but they must contribute to the cost of care.

The cost of providing Medicaid services (including Medicaid Personal Care and COPES) or Chore Services may, in some circumstances, be recovered from the estates of program participants. The details are complicated and individualized advice should be obtained.

Senior Personal Care

Senior Personal Care is a small state funded program that is available to some whose resources or income are too high for federally supported programs. Participation in cost is on a sliding fee scale.

Private Pay Chore Services

Private Pay Chore Services is available to those not eligible for other programs. Since the recipient of the service pays the cost, an agreement is negotiated for the services they wish to purchase.


Respite provides time off for unpaid caregivers. The cost is on a sliding fee scale based on the person needing the care (not the caregiver’s income). Additionally the family caregiver must qualify based on a state assessment or an individual can pay privately for respite services.