What Is Self-Directed Long-Term Home Care?

August 30, 2018

Many people approaching retirement today will need long term care at some point in the future. Long term care typically brings to mind an image of nursing homes, but one growing trend is known as self-directed long-term home care. There are many different options available and more people than ever are choosing to self-direct their own long-term care when this is a possibility. 

An elderly Indian man at the retirement house

Person-centered choices are becoming increasingly requested, especially as people wish to age in place, even when faced with physical or mental challenges that require long term care. Individual states are choosing to create self-directed programs that enable the person in need of care to pay home care providers and schedule them as they wished.

This removes some of the limitations typically associated with long term care policies, which have become very expensive in recent years or through Medicaid. Many people are choosing to direct their own care, because there is a major problem associated with using agencies where the assigned caregiver doesn’t show up.

Customized care services also appeal to those who want individualized support and in general, research has shown that these people who were able to take control of their care were more satisfied and their overall experience was just as good or had better outcomes when compared with traditional care. There are now 1 million people in more than 200 different self-directed, veteran and Medicaid programs across the country.

And since 2011, enrollment in these services has increased by more than 2011. More vetting and management is required if you choose to go the route of self-direction. If you’re interested in protecting yourself with regards to a long-term care plan, you need an experienced estate planning lawyer who understands the scope of your state’s Medicaid rules and can help you design strategies and goals for the long term.


Practice Areas:



Schedule your free Exploratory phone call

Click here to see how we
can be of assistance.

Careers/Open Positions

Explore all available job
listings and become a part of an amazing team.

Payment Portal
for Tax and Accounting invoice

This link offers a secure, quick way to complete your payment with Omni360 Advisors LLC.

Our Social Media

Connect with us on Social Media using the following buttons:

Visit our Podcasts

Listen in, Join the Conversation!

Recent Posts

Stay NJ: New Jersey’s Game Changer in Property Tax Relief for Seniors

Discover how the Stay NJ program helps New Jersey homeowners 65+ with property tax relief — eligibility, benefits, timeline, and application tips for 2025. Property taxes in New Jersey have long been a burden, especially for older homeowners on fixed incomes. In response, the state recently passed ...

<p>The post Stay NJ: New Jersey’s Game Changer in Property Tax Relief for Seniors first appeared on Integrated Tax Planning, Legal Planning & Financial Planning.</p>

Choosing the Right Charitable Vehicle: A Strategic Guide for Legacy-Minded Families & Business Owners

Explore key differences between charitable trusts, donor-advised funds, and foundations. Learn how high-net-worth individuals can align giving with tax strategies and long-term legacy planning. How to Select the Right Charitable Structure for Your Legacy Goals For business owners, families post-liquidity ...

<p>The post Choosing the Right Charitable Vehicle: A Strategic Guide for Legacy-Minded Families & Business Owners first appeared on Integrated Tax Planning, Legal Planning & Financial Planning.</p>

Turning a Windfall Into a Lasting Legacy: Long Term Planning for Generational Wealth

From estate planning to values‑based giving, learn how to transform your windfall into wealth that endures across generations—and aligns with your deepest purpose. Windfalls are rare. Generational wealth is rarer still. For business owners, legacy‑minded families, or anyone who’s recently come into a substantial ...

<p>The post Turning a Windfall Into a Lasting Legacy: Long Term Planning for Generational Wealth first appeared on Integrated Tax Planning, Legal Planning & Financial Planning.</p>