The Florida Medicaid long-term care program provides much needed services
to its participants. However, even with Medicaid in place, there are still
services that family members continue to provide to their loved one.
These family member provided services can include coordinating their loved
one's care with medical providers, overseeing and advocating for their
care in the assisted living or skilled nursing community and handling
their financial obligations.
Some family members may provide this assistance due to a sense of duty,
but most provide these services because they want the best for their loved
one. However, the practical reality is that in many cases the time involved
in providing these services can interfere with the family member's
ability to also hold a job and earn the money they need for their own
Much to the relief of many family members, Florida Medicaid allows family
members to be paid for providing these services to their loved ones. The
payment plan must be structured in strict accordance with the Medicaid
regulations in order to avoid any Medicaid penalties. In addition, the
money received by the family member may be considered income that has
to be reported on their income tax return. These payment plans are often
referred to as personal services agreements or personal services contracts.
Personal services agreements can be an effective and fair way to allow
the family member to continue to spend the time necessary to take care
of their loved one's needs.