Family Caregiver Reimbursement Program

Apply for reimbursement for home modifications and assistive technology.

Overview

Starting January 1, 2020, family caregivers can be reimbursed 50% for home modifications and assistive care technology up to $1,000 for one (1) or more care recipients. The qualified family member must be 18 years or older and requires help with one (1) or more activities of daily living. Funding is limited and is distributed as first come first served.

 

Note: This program is not a financial assistance program.

Goal

The Family Caregiver Reimbursement Program assists family caregivers with a partial reimbursement for home modifications and assistive care technology to enable their qualified family member to be mobile, safe, and independent to avoid institutional care.

Process to qualify and apply

  1. Complete the pre-screening form above, or contact the Caregiver Resource Line at (888) 737-7494 to complete the pre-screening questions with a Caregiver Resource Specialist.
  2. If the caregiver passes the pre-screening, the Caregiver Resource Specialist will mail or email a copy of the application, Medical Need Verification Form and W-9 (to receive a reimbursement check, if approved).
  3. The family caregiver will need to complete and submit the application and required documents below.
  4. Once all documents are submitted to the Caregiver Coalition, they will be reviewed, and the family caregiver will be contacted on next steps within 90 days.

Important

Qualifying Expenses

  • Improving or altering the family caregivers’ residence whether it be owned or rented.
  • Purchasing/leasing equipment or assistive care technology for the family member to enable/assist/carry out one or more activities of daily living such as toileting, bathing, dressing, grooming, eating, mobility, or transferring.

Examples of qualifying expenses are not limited to this list and include:

Home Modification Costs 

  • Widening of doorways
  • Ramps/low inclined walkways
  • Adaptive switches
  • One bathroom environment
  • (roll-in/curb-less) accessible shower
  • roll-under sink
  • high rise toilet with handrails
  • handrails and grab bars in accessible shower

 

Assistive Care Technology

  • Hearing aids
  • Eating: adaptive utensils, dentures
  • Transferring: Hoyer lift, gait belt
  • Toileting; bedside commode
  • Bathing: shower chair/bench, handheld shower head
  • Vehicle wheelchair lift
  • Dressing assistance; buttoning aid hook, long reach comfort wipe
  • Medical alert devices
  • Mobility: Bed handles, wheelchairs, scooters, walkers, canes
  • Communication devices; voice recognition programs, screen readers, screen enlargement applications
  • Monitoring systems: medial alert devices
  • Computer software and hardware: voice recognition programs, screen readers, and screen enlargement applications

Expenses NOT Allowable

  • Regular food, clothing, transportation expenses or gifts provided to family member.
  • Ordinary household maintenance or repair that is not directly related to and necessary for the care of the family member.
  • Any amount that is paid for or reimbursed by the federal government or state of Arizona.
  • Reimbursement does not include covered expenses from the family member’s insurance policy.

Go to:  Frequently Asked Questions (FAQ) 

 

Documents Needed to Apply      

(click for printer-friendly PDF)

 

Family
Caregiver
Required Copy of one (1)
Proof of gross income for family caregiver and qualified family member’s income combined

Earn $75,000/year or less in gross income

(Caregiver + Qualified Family Member = gross income)

or

As a couple, earn less than $150,000/year in gross income (caregiver + spouse + qualified family member = gross income)

Pay stub
Income taxes
Veteran Award Letter
Social Security Income (SSI) award
Any public benefit award letter (TANF, SNAP, etc.)
Proof of Age
18 years or older
Arizona driver’s license
ID card (with birthdate)
Birth certificate
Proof of Arizona Residency  

Arizona driver’s license
Arizona Voter Registration Card

Utility bill

W-9 (provided)  

W-9 (completed)

 

Proof of construction costs/
purchase or lease of assistive care technology
Receipt (s)
Qualified
Family Member
Required Signed copy
Proof of Gross Income for Family Caregiver and Qualified Family Member’s Income Combined
Earn $75,000/year or less in gross income
(Caregiver + Qualified Family Member = gross income)
or
As a couple, earn less than $150,000/year in gross income (caregiver + spouse + qualified family member = gross income)
Pay stub
Income taxes
Veteran Award Letter
Social Security Income (SSI) award
Any public benefit award letter (TANF, SNAP, etc.)
Proof of Medical Need
Assistance from the family caregiver with one or more activities of daily living, (ADL)
(toileting, bathing, dressing, grooming, eating, mobility, or transferring)
Medical Need Verification Form (provided, click on form to download)
Proof of Age
18 years or older
Arizona driver’s license
ID card (with birthdate)
Birth certificate

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