Medicaid Certification Training Online for In-Home Caregivers and Home Health Aides. Medicaid provides seniors and the disabled with care services, including in-home caregiving services as part of the community care programs in each state. As Medicaid services are for low-income Americans, an individual, including seniors, must qualify for services by meeting financial requirements. Seniors will qualify for Medicaid if they have low monthly income and few to no assets. Once a senior qualifies for Medicaid services, they may be approved for in-home care services provided by a certified home health aide, or caregiver. Medicaid home care programs usually use the terminology "home health aide", or HHA to identify a caregiver who has been trained to meet the Medicaid caregiving services skills and follow state laws for identifying and reporting abuse or neglect.