Mrs. L, 65 years old, is enrolled in PASSPORT, the Medicaid waiver that enables older adults to stay in their communities. Her husband is an incredibly devoted and loving caregiver. At a very young age, Mrs. L suffered a severe stroke. She was hospitalized and transferred to a nursing home. The medical staff told Mrs. L and her husband that her needs were too extensive for her to return home. Mr. and Mrs. L were unwilling to accept permanent nursing home placement. For several years, Mr. L hired private pay help to care for his wife and continued to work. Once Mr. and Mrs. L could no longer afford to pay for care privately, Mr. L contacted his local Area Agency on Aging and Mrs. L was enrolled in PASSPORT homecare. With the adult day service available for Mrs. L, Mr. L can continue to work.