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HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver

Missourisub_regulatoryDepartment of Health and Senior Services — Division of Senior and Disability Services (DSDS)

What this rule requires your agency to do

  • 1The SFCW provider must develop, implement, and provide a Person-Centered Care Plan (PCCP) that addresses the participant's needs and ensures the primary and substitute caregivers are properly qualified.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)
  • 2The SFCW provider shall not receive more than 35% of the SFCW unit rate and must pay the primary and substitute caregivers for services rendered.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)
  • 3The provider must employ and make available a qualified substitute (backup) caregiver familiar with the participant's needs to provide services when the primary caregiver is unavailable.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)
  • 4The SFCW provider must be enrolled as a SFCW provider with DSS, MO HealthNet Division, and MMAC.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)
  • 5The SFCW unit of service is one unit per day (a 24-hour period) and shall never be authorized together with any other HCBS.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)
  • 6A list of all qualified providers must be made available to the participant or legal guardian upon request, at reassessment, or whenever a provider change is requested.(HCBS Policy Manual 3.60 — Structured Family Caregiving Waiver)

Applies to: personal care

DSDS HCBS manual section 3.60 governing the Structured Family Caregiving Waiver for Alzheimer's/dementia participants, including provider enrollment, PCCP and backup-caregiver requirements, per-diem authorization, and the 35% provider retention cap.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.