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Frequently Asked Questions

What Others Have Asked—And What You Might Want to Know

  • All States (General FAQs)
  • Arizona
  • Colorado
  • Connecticut
  • Georgia
  • Indiana
  • Massachusetts
  • Missouri
  • Nevada
  • New York
  • Oregon
  • Pennsylvania

Important: Medicaid home-care rules, caregiver pay, eligibility and benefits vary by state. The questions below explain FreedomCare in general. Select your state at the top of the page to get details specific to your location.

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FreedomCare FAQs

 FreedomCare currently operates in 15 states: Arizona, Colorado, Connecticut, Georgia, Illinois, Indiana, Massachusetts, Michigan, Missouri, Nevada, New York, Ohio, Oregon, Pennsylvania, Wisconsin. In each of these states, eligible Medicaid recipients can choose a trusted family member or friend as their paid caregiver. FreedomCare handles enrollment, payroll, and compliance so families can focus on care. We continue to expand; if your state isn’t listed, check back or call us to be notified when we launch near you. 

Please select your state above for eligibility rules and program details specific to where you live.

FreedomCare is an agency that helps eligible Medicaid recipients choose their own in-home caregiver, typically a family member or close friend, and ensures that the caregiver gets paid. FreedomCare acts as an agency that manages enrollment, payroll, training, and compliance on behalf of the family. The person receiving care directs their own care plan; FreedomCare handles the administrative and financial infrastructure behind it. The result is that families spend less time on paperwork and more time focused on care.

FreedomCare is not a government agency, but it works hand-in-hand with your state’s Medicaid program. Medicaid allows eligible recipients to choose their own caregiver instead of being assigned one, and FreedomCare is the approved partner that makes that process simple. We handle all the paperwork, payments, and support so your family doesn’t have to. Think of FreedomCare as the bridge between you, your caregiver, and the Medicaid benefit you’re already entitled to.


Please select your state above for eligibility rules and program details specific to where you live.

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FAQs - Patient

Please select your state above for eligibility rules and program details specific to where you live.

FreedomCare helps patients receive care at home from a caregiver they already know and trust, such as a family member or close friend. Instead of having a stranger as a caregiver, patients can choose someone they are comfortable with while FreedomCare supports the process by handling caregiver enrollment, training, and payroll through Medicaid home care programs.

Because Medicaid benefits, program rules, and enrollment steps vary by state, please select your state at the top of the page to see how FreedomCare works where you live.

With traditional home care agencies, a caregiver is assigned to you, often someone you’ve never met, and on a schedule that the agency controls. With FreedomCare, you choose your own caregiver: a son, daughter, spouse, sibling, relative, or trusted friend. FreedomCare is built to give you more choice and flexibility. 

To check who you can choose as your caregiver and the state program rules, please select your state at the top of the page.

FreedomCare’s services are completely free to both the patient and the caregiver. The program is funded entirely through Medicaid, meaning there are no fees, no enrollment costs, and no out-of-pocket expenses at any stage. If you have Medicaid, the cost of your care and your caregiver’s pay are both covered by the program. You do not need private insurance or Medicare to participate, Medicaid alone qualifies you.

There are different Medicaid plans, waivers, or eligibility rules in each state. Select your state at the top of the page to know about your location

Caregivers can help with many activities of daily living, such as bathing, dressing, eating, grooming, mobility, and other daily tasks that help patients remain safe and comfortable at home. Depending on the Medicaid home care program, caregivers may also assist with certain household tasks related to a patient’s care and overall well-being.

The exact services a caregiver can provide and the eligibility requirements for receiving care vary by state Medicaid program. Select your state at the top of the page to see what services may be available where you live.

No. Joining FreedomCare does not change your doctor, your Medicaid plan, or any other benefits you currently receive. FreedomCare only changes how your in-home personal care is delivered, everything else stays exactly as it is. That said, program details and covered services vary by state. 

Because Medicaid benefits, home care programs, and coordination with other services can vary by state, select your state at the top of the page to learn how FreedomCare works where you live.

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FAQs - Caregiver

To know more about eligibility, enrollment process and pay & benefit in your location, select your state at top of the page.

Yes. Many Medicaid home care programs allow a family member or trusted friend to be paid for providing care to someone they know. Through FreedomCare, eligible caregivers can enroll to support a loved one with daily care needs while receiving payment through the Medicaid home care benefit.  Because caregiver eligibility rules, relationship restrictions, and program details vary by state, select your state at the top of the page to see how becoming a caregiver works where you live.

No. Caregivers do not need a professional certification or prior training to provide care through FreedomCare. Many caregivers are family members or trusted friends who help with everyday care needs at home, and FreedomCare provides guidance and support during onboarding so caregivers understand how to safely assist the person they care for.

Caregivers working through FreedomCare are paid for the hours they spend providing care to the person they support at home. The number of paid hours is based on the patient’s approved care plan, which is determined after a Medicaid assessment of the patient’s care needs. 

Pay rates, payment schedules, overtime rules, and caregiver benefits vary by each state’s Medicaid program, so select your state at the top of the page to see how caregiver pay works where you live.

As a caregiver through FreedomCare, your main responsibility is to provide the hours of care outlined in the patient’s approved care plan and reliably support the person who depends on you. This includes following the care plan, clocking in and out for every shift, and letting FreedomCare know if the patient’s needs or your availability change.  The caregiving activities and program requirements vary by state, select your state above to see what responsibilities apply where you live.

Yes, many caregivers work through FreedomCare while also having another job. Caregiver schedules are typically based on the patient’s approved care hours, and those hours can often be arranged in a way that fits around other work or personal responsibilities. 

Because the number of approved hours, scheduling flexibility, and program rules are determined by each state’s Medicaid program, select your state at the top of the page to see how caregiver schedules work where you live.

Yes, in many cases someone who lives with the patient can serve as their caregiver through FreedomCare. Living in the same home does not automatically prevent you from being a caregiver, as long as you meet the program’s requirements and provide the approved hours of care outlined in the patient’s care plan.

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FAQs - Medicaid Programs

Program eligibility and Medicaid requirements

Yes. FreedomCare services are only available to people who are enrolled in Medicaid. If you qualify for Medicaid home care benefits, FreedomCare allows you to receive care from a trusted friend or family member who can get paid for providing care at home.

Medicare alone does not qualify for FreedomCare. If you think you may qualify for Medicaid but are not currently enrolled, call 866-619-5914 to speak with a partner vendor who can help you get Medicaid.

Yes. Most state Medicaid programs include a self-directed care option that allows eligible recipients to choose their own caregiver, including a family member or close friend. This means your son, daughter, sibling, or another trusted person in your life can be paid to care for you at home. 

FreedomCare operates within this Medicaid benefit across all 15 states where we work. The rules around who can serve as a caregiver, including whether a spouse qualifies, vary by state. 

Please select your state above for eligibility rules and program details specific to where you live.

No. Medicare alone does not qualify you for FreedomCare services. FreedomCare works with Medicaid home care programs, so you must have an active Medicaid plan to participate.

If you have both Medicare and Medicaid, you may still qualify because your Medicaid coverage makes you eligible for FreedomCare services.

If you only have Medicare and are unsure whether you might qualify for Medicaid, call at 866-619-5914 to connect with a partner vendor who can help check your eligibility for free.

Medicaid and Medicare are both government health programs, but they serve different purposes. Medicare is primarily for people age 65 and older or those with certain disabilities, and it mainly covers hospital and medical care. Medicaid is based on income and care needs and can cover long-term in-home personal care, including the option to have a trusted friend or family member serve as a paid caregiver.

Please select your state above for eligibility rules and program details specific to where you live.

If you think you may qualify for Medicaid, the first step is to confirm your eligibility. Medicaid eligibility depends on factors such as income, household size, age, and care needs, and the rules vary by state.

FreedomCare can connect you with a trusted resource who can help check your eligibility and guide you through the Medicaid application process at no cost to you. Call 866-619-5914 to learn more.

No. While Medicaid is federally funded, each state runs its own version of the program with its own eligibility rules, approved services, caregiver requirements, and pay rates. This means the enrollment process, the number of care hours approved, and who can serve as your paid caregiver can all differ depending on where you live. 

FreedomCare has experts in every state where we operate who know the local program inside and out. Please select your state above for eligibility rules and program details specific to where you live.

Yes. If you meet your Medicaid spend-down each month, you are still eligible for FreedomCare. Spend-down works like a deductible, which means, once you meet your monthly amount, your Medicaid coverage becomes active for that period, and you can participate in the program during that time. If you are unsure how your spend-down affects your enrollment or have questions about timing, call us and we will walk you through it step by step.

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