Area Agencies on Aging (AAAs) plan programs and services to meet the unique needs of the older adults living in the service area. Each AAA is unique and provides a variety of programs and services. Young at Heart Resources provides the following:

In-Home Services

Young at Heart Resources contracts with providers for in-home services for Missourian aged 60 or better. These services are intended to assist in the activities of daily living which help older adults stay safe, healthy and independent in their homes. In-Home services include:

  • Personal care: Assistance (personal assistance, stand-by assistance, supervision or cues) with activities of daily living and/or health-related tasks provided in a person’s home. Activities of daily living are more basic tasks that are essential to independent living. These tasks include eating, bathing or showering, grooming, walking, dressing and undressing, transfers and assistance with toileting.
  • Homemaker: Performance of light housekeeping tasks provided in a person’s home. Tasks may include preparing meals and light housework.
  • Respite: A respite service provided in the home allows the caregiver time away to do other activities. During such respite, other activities can occur which may offer additional support to either the caregiver or care receiver, including personal care services and/or homemaker services.

If you have Medicaid, contact 866-835-3505 or visit the Missouri Department of Health & Senior Services website to complete an Online HCBS Referral Form.

A referral of Home and Community Based Services (HCBS) is required in order to initiate an assessment to determine if eligible participants meet Skilled Nursing Facility Level-of-Care for State Plan Services, Aged & Disable Waivered Services, the Adult Day Care Waiver or the Independent Living Waiver administered by the Division of Senior and Disability Services.

Family Caregiver Support & Respite Services

The Family Caregiver Support Program and Respite Program assists families and informal (unpaid) caregivers to care for their loved ones at home for as long as possible. Young at Heart Resources’ Family Caregiver Support Program provides services such as information to caregivers about available services and assistance to caregivers in gaining access to the services. Through contracts with providers, in-home services, personal care services on a limited basis and some supplemental services , such as incontinence supplies, etc. are provided. The Respite Services Program is a service which allows the caregiver time away to do other activities.

Eligible Missourians include:

  • Adult family members or other informal (unpaid) caregivers aged 18 or older providing care to individuals aged 60 or better.
  • Adult family members or other informal (unpaid) caregivers aged 18 or older providing care to individuals of any age with Alzheimer’s disease and related disorders.
  • Older relatives (not parents) aged 55 or better providing care to children under the age of 18.
  • Older relatives, including parents, aged 55 or better providing care to adults aged 18-59 with disabilities.

Case Management

Case Management is a service provided to an older individual. Case Management is provided by an individual who is trained or experienced in the case management skills that are required to deliver the services and coordination. They assess the needs and arrange/coordinate/monitor services to meet the needs of the older individual. This includes:

  • Comprehensive assessment of the older individual (including the physical, psychological and social needs of the individual.)
  • Development and implementation of a service plan with the older individual to mobilize the formal and informal resources and services identified in the assessment to meet the needs of the older individual with the information and assistance services provided under the Older Americans Act 1973.
  • Periodic reassessment and revision of the status of the older individual, with the older individual and/or if necessary, a primary family caregiver, in accordance with the wishes of the older individual.
  • Advocacy on behalf of the older individual for needed services or resources.


What Are Home and Community Based Services (HCBS)?

Home and Community Based Services (HCBS) are designed to assist in meeting the unmet needs of the participant and provide the necessary assistance to remain in the least restrictive environment. Services shall be authorized which appropriately relate to the unmet needs of the participant, in accordance with provider availability and program eligibility. Individuals are not eligible to receive HCBS while residing in hospitals, Intermediate Care Facilities (ICF), or Skilled Nursing Facilities (SNF). HCVS are authorized for reimbursement through Medicaid for participants who meet specific program eligibility requirements. Medicaid funded HCBS are available through either State Plan services or a Home and Community Based Waiver. Services available are:

  • Help with activities of daily living such as grooming, bathing, dressing and eating.
  • Help with complex physical needs.
  • A companion to relieve family caregivers-giving them time to run errands or attend to personal needs.
  • Help with housekeeping, laundry, meal preparation and other services.
  • Nursing care.
  • Supervised adult day care programs.

Can I Become a Paid Family Member Caregiver?

Young at Heart Resources does not have a program that pays a family to be a caregiver. Some government programs pay family or friends of people with disabilities to help with daily activities including personal care, giving medicine, cooking, cooking and more.

  • State Medicaid programs
    • If someone with a disability already receives Medicaid, the State of Missouri may allow a family member or friend to become a paid caregiver.
    • MO HealthNet (Missouri Medicaid) Structured Family Caregiving Waiver (SFCW)
      • The Missouri Structured Family Caregiving Waiver (SFCW) provides assistance for physically or cognitively impaired adults with Alzheimer’s disease or related dementias who are at risk of institutionalism (nursing home care), but can live at home with long-term care services. Via SFCW, informal (unpaid) relative and non-relative live-in caregivers can receive financial support to provide supervision and assistance with activities of daily living.
  • Missouri Department of Social Services
  • Long-term care insurance
    • Some long-term care insurance policies allow family members to get paid as caregivers. Contact your insurance agent and ask for a written confirmation of benefits.