The following information should be helpful if your loved one qualifies for Medicaid and you feel it would be inappropriate to place them in a nursing home.
1. The first term you should be familiar with is Medicaid "waivers" - which means that if someone qualifies for Medicaid, that money can be spent on services to keep them in their home.
It's sometimes referred to as Community Based Services.
FYI / background: DHS used to fund this - it was subcontracted through agencies. Now they use Managed Care Organizations
2. The second term Self Directed Services or the "Consumer model"
This is 1 set of paperwork that legally sets you up as an employer, so that you can hire your friends, family, neighbors, anyone you want - to take care of you, using Medicaid funds. This takes the government out as middleman. There is an app for managing hours, payroll, etc. Restriction: can't hire spouse or power of attorney. Pay starts at $10.87 (PA)