Tailored Home Care

Eligibility

General

Age 60+, living at home, and unable to complete one or more daily-living or household tasks; a responsible helper is unavailable or the primary caregiver needs relief.

NC specifics

Local providers supported by the Home and Community Care Block Grant offer levels of home management, personal care and respite. Service must be appropriate for needs that can be safely met at home.

What it provides

• Assessed home-management help; personal care or caregiver respite.

Eligibility

General

Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.

NC specifics

Federal VA pension rules apply nationwide.

What it provides

• Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.

Eligibility

General

Low-income people who need help with room and board in an eligible residential facility, or who qualify for the separate in-home component because they are at risk of entering a residential facility.

NC specifics

Special Assistance has separate adult-care-home and in-home programs. The latter assists eligible people at risk of residential placement; rules and payment standards must be matched to the correct setting.

What it provides

• A cash supplement for eligible low-income residents toward residential-facility room and board; or separate assistance through the in-home program.

Eligibility

General

Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.

NC specifics

QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.

What it provides

• QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.

Eligibility

General

Eligible households responsible for heating costs may receive LIEAP assistance; age 60+ households and certain disability households have an early application period.

NC specifics

Early applications run December 1–31 for qualifying older/disability households; others January 1–March 31 or until funds are exhausted. Crisis Intervention is a separate component with different rules.

What it provides

• One-time vendor payment toward heating costs; subject to eligibility and funding.