What Is the Structured Family Caregiving Waiver?
The Structured Family Caregiving Waiver (SFCW) is a Missouri Medicaid program for adults age 21 and older living with Alzheimer’s disease or a related dementia who would otherwise qualify for care in a nursing facility. It allows them to remain at home with a live-in primary caregiver who provides daily care and supervision.
Who Can Be the Caregiver
- An eligible family member, non-family member, or legal guardian
- Must live full-time in the same home as the participant
- A backup (substitute) caregiver must be identified
- The caregiver may hold another job if it doesn’t interfere with care
Why Families Choose This Path
For someone living with dementia, familiar faces and surroundings matter. Staying home with a trusted family caregiver can bring comfort, reduce confusion, and keep your loved one close to the people and places they know.
Who May Qualify
The participant generally must be 21 or older, have Alzheimer’s disease or a related dementia, meet nursing facility level of care, and have qualifying MO HealthNet coverage. Program rules can change, so call us to review your situation.