Leading With Integrity | Givers
Why to support and pay family caregivers
Family caregivers close care gaps cost-effectively
As demand for long-term care grows, states need models that expand capacity, support home-based care, and reduce reliance on institutional settings.
Exploding need for long term care
The population over 65 years old is in the middle of doubling.
Shortage of people to provide the care
9.7M expected direct care job vacancies.
Profound toll of unpaid family caregiving
63M family caregivers provide $1T in unpaid labor per year.
Annual Taxpayer Savings
versus nursing home placement
for one participant
$60K/yr
HEALTHCARE SYSTEM BENEFITS
Achieving objectives and upholding integrity
- Lower cost than institutional care
- Expands long-term care capacity
- Reduces avoidable facility placement
- Supports Medicaid HCBS rebalancing
- Preserves member choice
- Culturally competent support
- Least restrictive setting
- Reduces pressure on facilities
Integrity is at the center of everything we do
See how Givers ensures the program, participants, and their caregivers all get what they deserve.
BEFORE SERVICE STARTS
Rigorous approval process
All participants and caregivers go through significant enrollment processes, validated by state-contracted third parties, to confirm need and fit for the program.
- Nursing-home level of care certification
State-contracted third party
Participants are evaluated through clinical level-of-care assessments to confirm the need of a nursing home - State and national caregiver background checks
Office of Inspector General
Caregivers are fingerprinted and identities are verified against local, state, federal, and CMS records - Caregiver competency training and certification
Givers
Caregivers complete training modules and certifications to confirm their competency - Regular announced and unannounced home visits
State-contracted third party
Givers
Case managers and Givers nurses regularly visit the homes of participants to provide support and oversight while on service
Meet our always-on integrity engine
SOC 2 TYPE II
HIPAA
Certified compliant
Proprietary human-in-the-loop technology built to go above and beyond to block fraud, waste, and abuse.
1M+ Hours of care monitored
100% Verification rate
Electronic visit verification
All care records are geo-stamped. Records submitted outside of a radius from the home require reasoning from the caregiver and are flagged for review.
Togetherness verifications
Facial verification of both the caregiver and participant are required on a randomized schedule as part of care record submission.
Care record review and approval
All care records are reviewed by internal software and licensed clinical staff for verification of work, on top of care need identification.
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Clinical oversight
Active supervision and support
Clinical Care Team
Givers employs domestic LCSWs, LPNs, and RNs to provide clinical oversight and support to family caregivers.
Coaching Plans
Every caregiver has a personalized coaching plan developed for them based on their loved one's needs.
Monthly Calls
Coaches and caregivers conduct monthly telephonic coaching sessions for support and oversight.
Home Visits
Givers nursing staff visits the homes of caregivers and participants regularly to verify and support care.
Raising the bar for providers and the program
Real stories, real outcomes
Structured support that reduces costs, expands capacity, and keeps care accountable
5.0
ED Visits
21% lower probability of having 1+ ED visit in a year.
Institutionalizations
39% lower risk-normalized inpatient spend.
Adverse Health Events
45% lower probability of an injurious fall.
Caregiver Burnout
Incremental care provided in community.
Caregiver Story
Caregiver Stories: Kathy and Sharon
"Givers has truly been a blessing to our family."
Caregiver Story
Caregiver Stories: Shannon and Tamika
"She and I have been best friends since childhood…I've kind of always cared for her."
Caregiver Story
Caregiver Stories: Andrew and Charles
"I would tell anybody, if you love the person you're with, this is the best thing for them."
Caregiver Story
Caregiver Stories: Sabrina and Earling
"If you're going to go with someone, go with Givers because they're someone who cares."
Caregiver Story
Caregiver Stories: Nancy and Megan
"Without Givers, my daughter would not have been able to stay at home."
Caregiver Story
Caregiver Stories: Sharon and Susan
"It's like you're out there drowning, and then they throw you a lifeline."
Caregiver Story
Caregiver Stories: Melissa and Howard
"Just to have Givers on my side has meant everything to me."
Caregiver Story
Caregiver Stories: Shelby & Sharon
"When I'm talking to Givers, it feels like I'm talking to family."
Caregiver Story
Caregiver Stories: Kaitlyn and Judy
"I always wanted to be a nurse, and Givers helped me be a caregiver for my mother-in-law."
Caregiver Story
Caregiver Stories: Tawanna and Adam
"I didn't know how I was going to do it. Givers made keeping my dad at home possible."
Caregiver Story
Caregiver Stories: Heather and Koleen
"I get to spend quality time with my mom, without the stress of how we're going to make it."
Caregiver Story
Caregiver Stories: Kristopher and Enoch
"Givers helped my family get back on our feet after a house fire. If I didn't have Givers, I don't know how I would've handled it all."
FAQs
Defining the future of high-integrity care
Everything you need to know about the Givers program integrity framework and how it works.
Who qualifies for Structured Family Caregiving?
Structured Family Caregiving is for Medicaid-eligible individuals who meet the state’s clinical and functional criteria for long-term care services. Participants must be assessed and approved before services begin.
Does Givers decide who qualifies for the program?
No. Participant eligibility is determined through the state’s Medicaid process. A third party certifies that the participant meets nursing home level of care, and Medicaid makes the final approval decision before services can be provided.
Is this just paying family members for care they were already providing?
No. Structured Family Caregiving formalizes a care relationship that already exists but adds requirements, oversight, documentation, training, and accountability. The caregiver is not simply paid because they are a family member; they are paid to provide authorized support under a Medicaid-approved care plan.
How does Givers make sure care is actually being provided?
Caregivers submit daily care notes documenting the support they provided, including ADLs, IADLs, observations, and changes in condition. Givers leverages proprietary systems and technology to verify work and links care records to billing records, and care records must be present for a service day to be billed.
Can caregivers bill for days they were not authorized to provide care?
No. Givers’ mobile application enforces authorized service days. Caregivers cannot submit notes on days that are not authorized in the participant’s person-centered service plan.
Are caregivers screened before they start?
Yes. Caregivers complete required background checks before starting services, including OIG-certified background checks, along with required training and certification.
Are caregivers trained?
Yes. Caregivers complete training and certification before starting service. Givers also provides ongoing coaching and support based on the participant’s needs, caregiver challenges, care notes, and changes in condition.
Does paying family caregivers increase fraud risk?
Any Medicaid-funded service requires safeguards. That is why Givers builds controls into eligibility, caregiver screening, documentation, authorization, billing review, location verification, incident reporting, and ongoing oversight.
What happens when something looks unusual?
Unusual records, such as out-of-radius note submissions, missing documentation, reported incidents, or changes in condition, are flagged for review. Givers’ care team follows up to understand what happened and determine the appropriate next step.
Is visit verification required by Medicaid?
Not necessarily. This is an example of Givers going beyond minimum requirements to strengthen program integrity and confirm that care is being provided as documented.
Is Givers legit?
Givers is Medicaid-licensed Structured Family Caregiving agency available across the US. We have over 50 five-star reviews on Google, 93% of caregivers are very satisfied with Givers, and our program has been proven to reduce hospitalizations and caregiver stress. As the only SOC2 compliant Structured Family Caregiving agency in the country, we are the leader in the security and privacy of your information.
How we help
For when caring for a loved one has become a full-time job.
Because we know that caring isn’t the burden. It’s all the other stuff.
Pay
We'll help you jump all of the hurdles into state programs that pay family caregivers. If qualified, you can earn up to $3,000 per month, tax-free.
Support
If enrolled you'll get a plan, coach, and training to provide the best care you can. You and your loved ones can rest easy in good hands.