Tailored Services for Older Adults
The Tailored Supports for Older Adults (TSOA) and Medicaid Alternative Care (MAC) are two programs under MTPD, and both have the same goal: To provide supports to help keep individuals in their homes and out of a nursing home, assisted living facility, or long-term care facility. The eligible person needing care may live alone or live with an unpaid caregiver/helper. The TSOA and MAC programs can also provide supports to these unpaid caregiver/helpers, providing supports to help them continue to provide care, while also focusing on their own health and well-being. TSOA and MAC are free to participate in without recovery or penalty.
Note: A “caregiver” is a helper. This can be any person who provides supports, even minimally, and does not need to be a spouse or family member. Providing personal care is not required.
| Program Name | Who | Age Requirements | Financial Requirements | Functional Requirements | Benefit Level |
| TSOA | Individual with or without an unpaid caregiver | The care receiver must be 55+ in age. A caregiver must be at least 18 years old | Gross monthly income for care receiver of less than $2,313, and resources below $53,100 for an individual or $108, 647 for a married couple. | The care receiver must need help with some activities of daily living like bathing, toileting, eating, walking, medications, transfers, etc. | Up to $594 each month in services. Funds are not paid directly to clients or caregivers. |
| MAC | Individual with an unpaid caregiver | The care receiver must be 55+ in age. A caregiver must be at least 18 years old | Requires the care receiver to currently be on Apple Health (Medicaid). | The care receiver must need help with some activities of daily living like bathing, toileting, eating, walking, medications, transfers, etc. | Up to $594 each month in services. Funds are not paid directly to clients or caregivers. |