Idaho Vouchered Respite Care (BPA Health)
Administered by BPA Health on behalf of the Idaho Department of Health and Welfare. Designed for families of children with a Serious Emotional Disturbance (SED) diagnosis.
Caregivers must be from the family's natural support system — friends, neighbors, extended family. The voucher reimburses the caregiver, not an agency.
Application is through BPA Health. There is documentation involved (eligibility letter, caregiver enrollment, time logs). For families who fit the program, it works.
Idaho DD Waiver — "My Voice, My Choice" self-directed services
A self-directed Medicaid program for individuals 18+ with a qualifying intellectual or developmental disability. The family (or the individual) hires direct-care staff with the help of a support broker.
Hourly rates are set by the program. Staff hired this way are W-2 employees of a fiscal agent, not contractors of the family.
The system is robust if you're in it, and limited if you're not — children under 18 don't qualify for this specific program (different waivers apply).
What both programs do not cover well
Last-minute. Both programs require enrolled caregivers who've already cleared paperwork — same-day or same-week bookings are not their strength.
Wedding-length evenings. Vouchered Respite hours are capped per quarter and most families spend them on regular weekly relief, not occasional 8-hour evenings.
Specific credentials. The natural-support-system framing is a feature for many families and a constraint for others. If you specifically want an RBT or SpEd teacher who already understands your kid's profile, you may find the public programs don't surface them.
Where we fit
We don't replace the public programs. For families who qualify, those should be your first stop — they're cheaper and well-designed for routine weekly relief.
We're built for the gaps: the wedding, the date night, the occasional Tuesday afternoon when an appointment lands on top of you. Off-duty credentialed sitters, $25/hour to them, $35-45/hour to you, no insurance billing, no waiting list.
Many families use both — public hours for the routine, private pay for the occasional. Honest answer: that's how most of our active families do it.