Louisiana · waiver service
Monitored In-Home Caregiving (MIHC) in Louisiana
Monitored In-Home Caregiving is a Community Choices Waiver service where a principal caregiver who lives with the participant provides day-to-day care and receives a daily stipend. The caregiver contracts with a licensed MIHC provider agency, which supplies a registered nurse and care manager, approves the home, and pays the per-diem stipend. The caregiver sends electronic daily notes to the agency.
Also called: MIHC · monitored in home caregiving · Louisiana caregiver stipend · live-in caregiver CCW
Who do you care for?
Quick facts
- Pay
- Daily stipend; agency billed $59.60–$89.40/day (OAAS fact sheet, 2022)
- Adult children & other relatives
- Yes
- Spouse
- Yes
- Parent of a minor child
- Not right now
- Waitlist
- long
Who qualifies for MIHC
- Is enrolled in the Community Choices Waiver (21 or older, long-term care Medicaid, nursing home level of care).
- Lives in a private, unlicensed home with the principal caregiver.
- Fits people moving out of nursing homes, people who need substantial or around-the-clock supervision, people with a history of falls, or people who need more help than CCW Personal Assistance Services can give.
- Pay tier is set by the participant's RUG III/HC category from the interRAI Home Care assessment.
Who can be paid as the caregiver
- Adult children & other relatives Yes
- an adult child or other relative who lives with the participant can be the principal caregiver if the MIHC provider approves and trains them.
- Spouse Yes
- the current rule lists the participant's spouse among the people allowed to be the MIHC principal caregiver.
- Parent of a minor child Not right now
- CCW, and so MIHC under CCW, serves adults 21 and older.
- Living together
- the principal caregiver must live with the participant.
Who employs the caregiver: Agency. The caregiver signs a contract with a licensed HCBS provider that has an MIHC module; that provider trains the caregiver, monitors care, and pays the stipend.
Spouse rules differ by program — see spouse pay in Louisiana.
How much MIHC pays
Daily stipend; agency billed $59.60–$89.40/day (OAAS fact sheet, 2022). MIHC is billed per day at two tiers by acuity. The OAAS fact sheet (reissued February 2022) lists Tier 1 at $59.60/day and Tier 2 at $89.40/day, plus $250 for the MIHC assessment. The OCDD developmental-disability waivers list MIHC at $90.03 (Level 1) and $135.04 (Level 2) per day from July 2022. These are rates paid to the agency; the share passed to the caregiver as a stipend is set by the provider and is not published. Third-party sites report about $85–$150/day (up to about $1,800/month); that figure is not confirmed by LDH. The rate does not include room and board.
Hours and budget: Paid as a per-day service rather than by the hour. The tier (Level 1 or Level 2) comes from the participant's RUG III/HC category. While on MIHC the participant cannot also get CCW Personal Assistance Services or home-delivered meals.
Compare with other Louisiana programs on the Louisiana caregiver pay page, or across states in pay rates by state.
Is there a waitlist?
MIHC is only available inside the Community Choices Waiver, so the CCW Request for Services Registry applies.
How to apply for MIHC
- Get a Community Choices Waiver slot by calling Louisiana Options in Long Term-Care at 1-877-456-1146.
- Tell your CCW support coordinator you want Monitored In-Home Caregiving and name the live-in caregiver.
- Choose a licensed MIHC provider; it does an MIHC assessment of the participant and the home.
- The caregiver signs a contract with the provider, completes training, and starts sending daily electronic notes.
- Louisiana Options in Long Term-Care · 1-877-456-1146 · official site
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MIHC questions
How much does Monitored In-Home Caregiving pay in Louisiana?
LDH publishes what it pays the agency, not the caregiver's stipend. The OAAS fact sheet lists $59.60 or $89.40 per day by tier. The caregiver gets a stipend from the agency; ask each MIHC provider what share it pays.
Can a spouse be paid as an MIHC caregiver?
Yes. The current Louisiana rule lists the spouse as allowed to be the principal caregiver. The participant's responsible representative cannot be the caregiver.
Do I have to live with the person?
Yes. MIHC is built around a principal caregiver who lives in the same private home as the participant.
Can we get MIHC and personal care hours at the same time?
No. Participants on MIHC cannot also receive CCW Personal Assistance Services or home-delivered meals during that time.
Who supervises the caregiver?
The MIHC provider's registered nurse and care manager. They visit, train the caregiver, and review daily electronic progress notes.
Sources: law.cornell.edu · ldh.la.gov · ldh.la.gov · ldh.la.gov · medicaidplanningassistance.org · Updated 2026-10-08. Program rules change — always confirm with the program.
Where most Louisiana caregivers are
Counties with the most residents aged 65 and older. The rules are the same everywhere in Louisiana — pick yours for the local picture.
Across the line
States that border Louisiana
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.