Quick Answer
Louisiana's Community Choices Waiver (CCW) and Long-Term Personal Care Services (LT-PCS) help seniors who qualify financially and clinically pay for home care. Apply through Louisiana Medicaid (1-888-342-6207). Expect a 6–18 month CCW waitlist; LT-PCS is faster but more limited.
Louisiana Medicaid can pay for home care — but the system was not built for tired adult children figuring it out from a kitchen table. This checklist breaks it into the order Baton Rouge families actually need to do the steps.
The two programs that matter for home care
Community Choices Waiver (CCW)
A Medicaid waiver that covers personal care, homemaker services, adult day health, transition services, and more — for adults 65+ (or 21+ with a disability) who would otherwise need a nursing facility level of care. There is a waitlist, often 6–18 months in Louisiana.
Long-Term Personal Care Services (LT-PCS)
Louisiana Medicaid State Plan benefit. Covers personal care attendant hours (bathing, dressing, meals, light housekeeping). Faster to start than CCW but typically fewer hours and no homemaker-only visits.
Eligibility snapshot
- Louisiana resident, age 65+ (or 21+ with qualifying disability)
- Medicaid-eligible income — generally under ~$2,901/month (2025 figure, individual)
- Countable assets generally under $2,000 (home and one car typically excluded)
- Clinical need: requires help with activities of daily living equivalent to nursing facility level
Documents to gather before you call
- Driver's license or state ID
- Social Security card
- Medicare card (if applicable)
- Proof of income — Social Security, pension, any other monthly income (last 3 months)
- Proof of assets — bank statements (last 3 months for all accounts)
- Life insurance policies with cash value
- Property deeds and vehicle titles
- List of current medications and conditions
- Doctor's contact info
The application steps, in order
- Call Louisiana Medicaid at 1-888-342-6207 and request a Long-Term Care application (Form 100A).
- Complete and return Form 100A with your financial documents.
- Request to be added to the CCW Request for Services Registry (the waitlist) at the same time.
- Once financial eligibility is confirmed, OAAS will schedule a Level of Care assessment in your home.
- If approved for LT-PCS, choose a provider agency (Aging Gracefully serves East Baton Rouge Parish).
- If approved for CCW after the waitlist, a support coordinator will help build your plan of care.
If you're denied or stuck on the waitlist
Denials happen most often for missing documents, not ineligibility. You have 30 days to appeal in writing. Waitlist position can be improved by filing for emergency designation if your situation changes (caregiver hospitalized, eviction, abuse risk).
Frequently Asked Questions
Does Louisiana Medicaid pay for home care?
Yes. Louisiana Medicaid offers two programs that cover non-medical home care: the Community Choices Waiver (CCW) for those needing nursing-facility level of care, and Long-Term Personal Care Services (LT-PCS) under the State Plan for personal care attendant hours.
How long is the Louisiana CCW waitlist?
Typically 6–18 months. You can request emergency designation if your caregiver becomes unavailable, you're at risk of homelessness, or there's an abuse or neglect risk. LT-PCS is generally faster to start than CCW.
What are the income limits for Louisiana Medicaid long-term care?
As of 2025, the individual income limit is approximately $2,901 per month and countable assets must generally be under $2,000. The home and one vehicle are typically excluded. Spousal protections apply.
What do I do if my Medicaid waiver application is denied?
Most denials are for missing documents, not true ineligibility. You have 30 days to appeal in writing. Re-submit with the missing items as soon as possible.