Boise Idaho In Home Care Services
Idaho Non-Medical In-Home Care Agencies
The State of Idaho generally refers to non-medical in-home care
agencies as "Personal Assistance Services". In this segment we will
sometimes use the term: "non-medical in-home care service".
Non-medical in-home care services are not required to be licensed
in the State of Idaho. However, Idaho has established standards
for non-medical in-home care agencies and the services they
provide for state Medicaid participants; these standards are cited
in Idaho State Statutes, Title 39, Chapter 56. Idaho State Statutes
defines a Personal Assistance Agency as the entity that hires,
fires, trains, supervises, schedules, and takes overall responsibility
for the personal assistance services they dispense.
The statute goes on to further define personal assistance services
to include "personal assistance and medical tasks that can be
done by unlicensed persons ...."
The assistance and tasks are generally under the heading of
"Instrumental Activities of Daily Living" (IADL) and include the
the support of a client's activities of daily living by managing money, preparing meals, shopping,
light housekeeping, assistance with medications, transfer assistance, help with basic exercise
and walking, using the telephone, or getting around the community.
The Idaho State Medicaid program for providing personal care services to its eligible participants
has provisions for case manager supervision; criminal background check requirements for
personal assistants; and health standards for providers such as the physical ability to perform
the tasks, TB screening and negative drug test results.
Currently, the State of Idaho has not established any training protocols for personal assistant
attendants, but has made provision for requiring training to be submitted to once a training
program(s) has been established.
The state also requires personal assistance service agencies contracted by the state Medicaid
program to maintain adequate liability insurance and conduct (at least) annual participant
satisfaction surveys.
Once again, a non-medical in-home care agency providing in-home care for private pay clients
or clients who use other means of payment like commercial long term insurance coverage
benefits are not required to be licensed through the Idaho State Department of Health and
Welfare. If you are evaluating a non-medical in-home care service you should ask them to
compare their level of organization, services and employee prerequisites to those services
dispensing care as state Medicaid providers.
Better Business Bureau

In the absence of a requirement for state licensing of non-medical in-home care agencies, one
of the best resources for checking the credentials and quality of a service you're evaluating is
through the Better Business Bureau.
The Better Business Bureau categorizes home health care two ways: "Home Health Care",
generally indicating a non-medical service;  and "Home Health Care-Skilled", generally indicating
a service providing skilled in-home services such as licensed nursing care and various therapy
services. (Although many skilled home health services also include non-medical care as one of
their available services.)
You can check an agency's BBB rating and view a detailed business profile on the Better
Business Bureau's website. For Idaho, go to:
www.boise.bbb.org   |   (208) 342-4649
Idaho Home Health Agencies

The State of Idaho defines "Home Health Agencies" as a service "that primarily provides skilled
nursing services by licensed nurses and at least one other health care service to a patient in the
patient's place of residence. Idaho Home Health Agencies are licensed by the Idaho State
Department of Health and Welfare, although the state often grants licenses to home health
agencies without conducting a licensure survey if the agency is a medicare-certified agency.

Home Health Agency Authorized Services

The services Idaho Home Health Agencies are permitted to provide are:
  • Skilled Nursing
  • Homemaker/Home Health Aide
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Nutritional Services
  • Respiratory Therapy
  • Medical / Social Services
  • Other related services as may be
    authorized by the Department of
    Health and Welfare
For more information: Idaho Department of Health and Welfare
(208) 334-5500   |   www.healthandwelfare.idaho.gov





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