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Structured Family Caregiving in Ohio

Get Paid to Care for Family

Ohio’s Structured Family Caregiving program pays family members to care for aging or disabled loved ones at home

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What is the Structured Family Caregiving Program?

Structured Family Caregiving (SFC) is an Ohio Medicaid program that pays family members for providing care for aging or disabled loved ones at home. If you’re caring for a parent, grandparent, or other relative, SFC allows you to receive a stipend for the work you’re already providing. 

Momba Home Care is a licensed SFC provider agency serving 33 Ohio counties and growing. They help families navigate the enrollment process, handle the paperwork, and provide ongoing support so they can focus on caregiving. 

Get The Support You Need

Caregiver pay through SFC can be more than $420 per week

Start Your Application Today

The application process varies, and can range from as little as 6 weeks to over 6 months in certain circumstances.

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Home care agencies like Momba Home Care help Ohio families access this program, handling the paperwork, guiding you through eligibility, and making sure you get paid consistently and on time.  

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How does Structured Family Caregiving Work?

Under Structured Family Caregiving, the patient and family caregiver choose a licensed provider agency like Momba Home Care, which delivers the oversight, training, and care coordination the program requires. The caregiver receives a daily stipend, often referred to as an SFC stipend, for caring for their loved one at home.

 

These stipends may qualify as “difficulty-of-care” payments under IRS Notice 2014-7, which can be excluded from federal income tax when the caregiver lives in the same home as the care recipient. This should not be considered tax advice, and a qualified tax professional should be consulted to understand how these rules apply to your specific situation.

In this role, you provide care for your relative so they can stay out of a nursing home. Your loved one receives the care they need from someone they know and trust, while the state covers the cost through Medicaid. 

Unlike hourly home care programs such as Homemaker or Personal Care, SFC pays a daily rate with more flexible rules around clocking in for shifts. This difference acknowledges the realities of family caregivers who live with a patient and are often on call around the clock, not during set times of day. 

The program also includes support services: a dedicated health coach, nurse oversight, training, and a 24/7 support line. 

Medicaid Waivers That Fund SFC

Medicaid funds long-term care through “waiver” programs. They are named as such because they waive certain federal rules to let people receive care at home or in their community instead of in an institution. There are several categories of waivers. Some are designed for people with intellectual and developmental disabilities; the ones relevant here are Home- and Community-Based Services (HCBS) waivers, which support aging adults and people with physical disabilities who need a nursing-home level of care. 

Ohio has three HCBS waivers. Momba Home Care services two of them, both of which offer Structured Family Caregiving: PASSPORT and MyCare Ohio. (The third, the Ohio Home Care Waiver, primarily serves individuals under age 60, and Momba Home Care does not currently service it.) 

It’s important to understand that you don’t choose which waiver you’re on. Which one applies to you depends on your circumstances: 

MyCare Ohio

For people who have both Medicare and Medicaid—or are eligible for both—and live in one of the counties where the program operates. Currently that’s 29 counties, with expansion expected this year. Under MyCare, your Medicare and Medicaid benefits are managed together under a single insurance plan through a managed care organization (MCO). 

PASSPORT

PASSPORT serves eligible Ohioans through the more traditional waiver structure, without the combined managed-care model. 

Learn More

Who Can Receive Care?

Your loved one may qualify for Structured Family Caregiving if they: 

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How Momba Home Care Helps You Get Started

We make the enrollment process simple and stress-free.

1

Call or apply online

We gather information about your situation 

2

Eligibility Assessment

We advise on which waivers you might be eligible for, and help you get the application process started.

3

Application Support

We help prepare and guide you through each step of the application process

4

Approval and onboarding

Background check, training, paperwork for the caregiver 

5

Start getting paid

Provide care and receive compensation 

Average time to approval: Timelines vary based on Medicaid eligibility, assessments, and waiver availability. The process typically takes about 2 to 3 months

Who Can Be a Caregiver?

Based on Ohio Administrative Code, you may qualify as caregiver if you: 

  • Adult children of patients 
  • Siblings 
  • Spouses (a unique feature of SFC, not present in other programs) *
  • Parents (for adult children) 
  • Friends 

NOTE: Ohio allows spouses to be paid caregivers if no other willing and able caregiver is available. The arrangement must be approved by the state (see Ohio Administrative Code rule 5160-44-32). The state prefers that care be provided by someone other than a spouse when possible.  

Who cannot be an SFC caregiver:

  • Legal guardians 
  • Relatives or friends living at different addresses 
  • Relatives with disqualifying criminal histories 
Caregiver eligibility details

How Much Can You Earn ?

Ohio’s Structured Family Caregiving (SFC) program pays caregivers based on the level of care the individual needs. 

In Ohio, SFC caregivers are paid a daily stipend, not an hourly wage. In many cases, these stipends may be considered tax-free under IRS guidelines, which can help caregivers keep more of what they earn. 

It’s important to note that the care level is not determined by Momba Home Care. It is assigned through the state’s official assessment process, based on the care recipient’s medical needs and the level of daily support required. This should not be considered financial or tax advice, and a qualified tax professional should be consulted to understand how the rules apply to your circumstances.

Not Sure If You Qualify?

Don’t worry! Most families are surprised to learn they’re eligible. Our team will review your situation for free—no obligation, no pressure.

Get Your Free Eligibility Review

Takes 5 minutes  •  Results in 24 hours  •  100% confidential

Why Choose Momba Home Care?

Ohio Medicaid does not pay family caregivers directly. Instead, the state contracts with licensed provider agencies to administer the program. These agencies (like Momba) serve as the employer of record for caregivers, handle compliance, and provide the oversight and training that Medicaid requires. 

Agencies are not “middlemen” taking a cut. They are integral to how the program is designed to work. The agency structure ensures caregivers receive proper training; families have professional support, and the state can verify that care is being delivered appropriately. Without an agency, you cannot participate in SFC. 

When you enroll through Momba Home Care, you receive: 

Application Assistance

We guide you through waiver enrollment and handle the paperwork 

A dedicated health coach

Someone who knows your family and is available when you need guidance 

Payroll and administration

Direct deposit payments, tax documentation, compliance handled 

Nurse oversight

Regular assessments to ensure care needs are being met 

Training

Initial and ongoing education tailored to your loved one’s condition

24/7 support line

Help when you need it, day or night 

"I was made to feel welcome from the very first time I stepped into their office. Yes, I would recommend Momba as a home health care agency, for your loved ones and friends."

— Dotty Duskin

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Where are you located?

Ohio
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