Structured Family Caregiving

Structured Family Caregiving is a service that is available to people with developmental disabilities through the CIH Medicaid waiver. The individual lives in the private home of a principal caregiver who may be a non-family member (foster care) or a family member who is not the individual’s spouse, the parent of an individual who is a minor, or the legal guardian of the individual.  In this type of setting, the caregiver responsible for providing supervision, assistance with daily living skills, and other services a person needs. The caregiver is employed, trained, supervised and paid by an approved waiver provider agency.

Advantages of Structured Family Caregiving

  • Living in a natural family environment
  • Continuity of relationships
  • Increased development of natural supports and community connections
  • Cost effective for the person buying services

Frequently Asked Questions

Q: If a child is aging out of foster care and qualifies for Medicaid waiver services, can he/she continue to live with the same foster parent using Structured Family Caregiving?

A: Yes, a person could continue living with the foster parent, as long as that foster parent is hired, trained and supervised by an agency approved to provide Structured Family Caregiving services.

Q: I want Structured Family Caregiving services, but can I also go to day program and have behavior supports?

A: Yes, a person receiving Structured Family Caregiving services can also have day services and behavior support services on their plan of care.

Q: I sometimes need a short break from the demands of being a caregiver. Is respite available for me?

A: Yes, respite is available to caregivers. The provider agency is responsible for reserving 10% of the Structured Family Caregiving rate to be used for respite care, and working with the team to arrange the service.