How to apply for Long-Term Personal Care Services (LT-PCS) — Medicaid help with daily care at home

Louisiana Department of Health, Office of Aging and Adult Services (OAAS)

Who it's for

Long-Term Personal Care Services (LT-PCS) pays for a worker to help Medicaid members at home with daily activities such as eating, bathing, dressing, grooming, using the toilet, walking, and moving in and out of bed. It may also help with light housekeeping, cooking, grocery shopping, laundry, medicine reminders, and setting up medical visits and rides. It does not cover nursing care, therapy, companionship, or sitter services, and it does not provide help 24 hours a day. You must get Medicaid, be 21 or older, qualify for nursing home care, and need at least limited help with one daily activity. You must also be in a nursing home and able to go home with services, be likely to need a nursing home within 120 days, or have a main caregiver who has a disability or is at least 70. Call Louisiana Options in Long Term Care at 1-877-456-1146.

Only for people who already have Medicaid and meet nursing home level of care. The number of service hours depends on an assessment. LDH makes the final decision.

People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.

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What you'll need

  • Louisiana Medicaid coverage
  • Nursing home level-of-care assessment

Where to apply

Apply online: official application

By phone: 1-877-456-1146

What to say when you call

"Hello, I'm calling to ask about Long-Term Personal Care Services (LT-PCS) — Medicaid help with daily care at home. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need louisiana Medicaid coverage, nursing home level-of-care assessment — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual reassessment

Official source →Last verified · September 28, 2026

Not sure if you qualify? Run a free check first.

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Not legal or financial advice. The agency makes the final eligibility decision.