Can Your Loved One Keep Their Caregiver If They Switch to Medicaid (Title 19)?

 In many cases, yes — Euro Homecare can maintain the same caregiver when a client transitions from private pay to Title 19 (Medicaid) funding. This continuity of care is one of the reasons families choose to work with an agency that accepts Medicaid, and it is something most agencies cannot offer.

Why This Question Matters for Families Planning Long-Term Care

Many families begin home care as private-pay clients, covering costs directly or through private long-term care insurance. Over time, as funds are depleted or circumstances change, a client may become eligible for Title 19 Medicaid coverage. At that point, families often assume they will have to start over — finding a new agency, introducing a new caregiver, and rebuilding a relationship that may have taken months to establish. That assumption is not always correct when you are working with Euro Homecare.

How the Transition from Private Pay to Title 19 Works

Euro Homecare accepts Title 19 (Medicaid) clients — something many home care agencies in Connecticut do not do. Because we serve clients under both private pay and state funding, we are often able to continue the same caregiver placement when a funding transition occurs. The caregiver who has been working with your loved one, who knows their routine and personality, does not have to be replaced simply because the payment source has changed.

What Families Should Consider Before a Transition

Medicaid reimbursement rates are lower than private-pay rates, and not every placement can be maintained exactly as it was — scheduling or hours may need to be adjusted based on what Title 19 authorizes. Families should plan ahead by understanding their loved one's eligibility, beginning the Title 19 application process before private funds are fully exhausted, and discussing the transition with Euro Homecare early so options can be assessed.

Why Continuity of Care Matters for Seniors

For seniors — particularly those with dementia or significant routine dependency — a caregiver change is not a minor disruption. Trust takes time to build, and the loss of a familiar caregiver can increase anxiety, resistance to care, and emotional distress. Preserving that relationship through a funding transition is not just a convenience — it is a meaningful clinical and emotional benefit.

Next Steps for Families Approaching a Title 19 Transition

If your loved one is currently receiving private-pay care and you anticipate a transition to Medicaid, the best time to speak with us is before that transition happens. Early planning gives us the best opportunity to maintain continuity. Contact Euro Homecare to discuss your situation, or learn more about the payment options we accept.

Frequently Asked Questions