Medicaid Home Care (HCBS) in 2025

(Authors: Maiss Mohamed, Alice Burns, and Molly O’Malley Watts for The Kaiser Family Foundation Published: Jan 5, 2026)

Many older adults and people with disabilities require assistance with self-care such as bathing, dressing, and eating. Help with such services is known as “long-term care” and may be provided in institutional settings such as nursing facilities or in people’s homes and the community, including assisted living facilities. Four-in-ten adults incorrectly believe that Medicare is the primary source of coverage for low-income people who need nursing or home care, but Medicaid is the primary payer—covering nearly two-thirds of all home care spending in the United States in 2023. Continue reading here…

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