Is it hopeless? Home health aid covered by insurance?

My sister has LGMD and requires round the clock care. She lives with her boyfriend who can care for her most of the time but there are times when he is not available. I can only do so much as I am unable to lift her full body weight. We spoke to the MDA clinic in DC where we live and they said that there is no way to get any home health aid covered- even partially - by insurance.

Is this true? Has this been your experience? Is there any way to find support for this need?

Thank you for any insight you may be able to provide!