Structured Family Caregiving Waiver
Supporting Loved Ones with Alzheimer’s or Dementia at Home
What Does a Structured Family Caregiver Do?
A structured family caregiver provides the everyday help and supervision that can become more important as Alzheimer’s or dementia progresses.
The goal is to provide consistent support at home from a caregiver who knows the participant, their routine and their needs.
Who Can Be a Caregiver
The primary caregiver may be an eligible family member, non-family member or legal guardian.
The caregiver must live full-time in the same home as the person receiving care and meet SFCW program requirements.
A substitute caregiver must also be identified so there is a plan for care when the primary caregiver is unavailable.
The primary caregiver may have another job as long as it does not interfere with caregiving responsibilities or affect the participant’s health or safety.
Who May Qualify for SFCW in Missouri?
The Structured Family Caregiving Waiver is specifically designed for Missouri residents with Alzheimer’s disease or a related dementia who need a nursing facility level of care but want to continue living at home.
FAQs
Have questions about the Structured Family Caregiving in Missouri?
Here is what families ask us most.
Can I get paid to care for a family member with dementia in Missouri?
Structured Family Caregiving allows an eligible live-in caregiver to provide care for a qualifying person with Alzheimer’s disease or a related dementia.
Both the participant and caregiver must meet Missouri SFCW requirements before services can begin.
Who qualifies for the Structured Family Caregiving Waiver in Missouri?
The program is for adults age 21 and older who have Alzheimer’s disease or a related dementia, meet nursing facility level of care requirements and qualify for the required MO HealthNet coverage.
The participant must also live full-time with the primary caregiver and have a backup caregiver plan.
Can a family member be the paid caregiver?
Yes. An eligible family member may serve as the primary caregiver. A non-family member or legal guardian may also qualify.
The primary caregiver must live in the same home as the participant and meet SFCW caregiver requirements.
Does the caregiver have to live with the participant?
Yes. Structured Family Caregiving uses a live-in caregiving model. The participant must reside full-time with the primary caregiver, either in the participant’s home or the caregiver’s home.
What is the difference between SFCW and Consumer Directed Services?
Both programs help eligible Missouri residents receive care at home, but they are designed for different situations.
Consumer Directed Services (CDS) allows eligible participants to direct their own personal care services and choose an attendant.
Structured Family Caregiving is specifically designed for eligible individuals with Alzheimer’s disease or a related dementia who live with their primary caregiver.
A participant enrolled in SFCW cannot be enrolled in another Home and Community-Based Services or waiver service at the same time.
Still have a question?
We are happy to help. Reach out to us and we will walk you through everything you need to know.
