One of the questions that I’m sometimes asked is whether Medicaid pays for home caregivers or assisted living care. As to homecare, let me first distinguish Medicaid from Medicare. Medicare pays for skilled care, which can include home visits by physical, occupational, speech therapists or other skilled nursing care. Medicare does not pay for custodial care. As to Medicaid, in Illinois – no, it does not pay for home care. In Missouri – it can, but only if the person is certified to have such a high level of need that they would qualify to be in a nursing home. As to Assisted Living Care, in Missouri – no Medicaid doesn’t pay for it. In Illinois, there are a limited number of assisted livings, known as supportive living facilities that are certified Medicaid providers. We can help you to find one in your area.