07/23/2025
The End of the FPCS Program in Idaho:
The Family Personal Care Services (FPCS) program, utilized during the COVID-19 pandemic, allowed parents and spouses to be paid caregivers for their loved ones with disabilities. This temporary flexibility was a lifeline for many Idaho families navigating service gaps and workforce shortages. However, as you may have heard, the Department of Health and Welfare (DHW) announced that this program officially ended on July 15, 2025. With its conclusion, Idaho has reverted to its pre-pandemic policy that does not allow legally responsible family members, such as parents of minor children or spouses, to be reimbursed for providing care under Medicaid.
State’s Rationale and Governor’s Response:
According to DHW, the decision was based on concerns about the program’s increasing costs and reported instances of suspected fraud, waste, and abuse. Governor Brad Little supported the department’s position, stating that the program was always meant to be temporary and that DHW lacks the legal authority to extend it further without action from the Idaho Legislature. In his response to family advocates, Governor Little encouraged families to contact their legislators to advocate for changes to Idaho law if they want this type of support to continue. Meanwhile, families are being directed to explore alternative caregiving options, such as hiring other family members (not parents or spouses), friends, or community members as direct care workers through existing Medicaid provider agencies. However, Idaho is also experiencing a direct care workforce shortage.
Next Steps for Families:
Families impacted by the FPCS program ending are encouraged to connect with the DHW’s Bureau of Long-Term Care for updated provider directories and to explore available agencies that may offer caregiver services. While FPCS has ended, personal care services have not, but the loss of this support has left many families in a bind and scrambling to replace essential care roles previously filled by parents or spouses. Those who wish to advocate for program changes or a permanent solution can reach out to their Idaho legislators using tools provided by the state: Who’s My Legislator. https://legislature.idaho.gov/legislators/whosmylegislator/ While the state encourages families to “go back to what they were doing before the pandemic,” many families state that simply isn’t possible.
If you want more information on this issue as well as other Medicaid systems and services, or if you would like to talk to one of our program staff who are also navigating these systems, reach out to us at IPUL. You can find us on our website at ipulidaho.org, or by calling us at 208-342-5884.
Further Reading:
Bureau of Long Term Care: https://shorturl.at/gFCny
KTVB article by Abby Davis: https://shorturl.at/R1XZV
CBS2 News by CBS2 News staff: https://shorturl.at/Mvfj8
Facebook Group - Idaho Keep Parents & Spouses As Paid Caregivers For Those With Disabilities: https://shorturl.at/WMIe1
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