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myfinz72 Asked September 2016

How much would I get paid taken care of my elderly mom 24 hours with dementia.

is the pay all the same

freqflyer Sep 2016
myfinz72, please note that cost per hour vary from area to area. Where I live, my Dad's professional caregiver Agency charges $30/hour, and more for weekends, plus overtime for holidays and if the caregiver worked more than 8 hours that day.

Another thing one needs to know, if you are a paid caregiver in a home, and are not from a caregiver Agency that is licensed, bonded, insured, etc. then your Mom might have to have "workman's comp" rider added to her homeowner's insurance in case you get hurt on the job [back injury is common]. Best to check with your Mom's insurance carrier.

Vicksky Sep 2016
I just discovered there is no way to edit a response once youve pressed Go! Oh my!

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Vicksky Sep 2016
...them (he referred to them as ) "strangers"....

Vicksky Sep 2016
The IRS has some information about minimum wages, (I had to research a bit for my job), and there is some mention made about overnight wages where the caregiver can snooze, (eg on call in the home) versus needing to stay awake. I only bring this into discussion since many CG's at home are able to get sleep overnight and these hours (if uninterrupted!) do not get regular rate of pay. So, yes, its complicated. My dad with CHF lives with us and we do do many things for him, and have bought him special bed, chair, his favorite food etc. We discussed with my sister who lives 3 states away, and dad wanted to just set aside a lump sum per year for each year he lives here. Sister runs thr books and has it set up (she's a CPA). So we are going a "flat rate" with the understanding if our duties become wildly burdensome (which they could) we will revisit the flat rate. By the way, prior to living with us, dad had a series of inhome carers, they had 3 or 4 hour minimums at $27 to $30/hour. The agencies got more than the carer! And dad did not like them "strangers" plus the substitutes, and issues with how they drove his car, and wanting to take him places he had never been....it was better in our case to have him live with us. We appreciate his presence!

hannahhonee73 Sep 2016
New York will approve 24 hour care but if you're the only caregiver, you are capped at 13 hours a day and the fiscal intermediary (the health agency who does nothing but process your check and annual ppd test) may not let you work OT, mine does but they are the only agency in my options who allow it. If you're private pay, my agency pays their actual employees $145/day.

jeannegibbs Sep 2016
I'd like to clarify that no states have laws that a child can't be paid for caring for a parent. The parent can pay, another relative can pay, a charity organization can pay, etc. It is Medicaid that has rules about how Medicaid money can be used, and those rules vary by state.

CarlaCB Sep 2016
myfinz72 - Generally, family members are not paid to take care of elderly loved ones. If they do receive pay, it's usually from the assets of the elderly person. As people have said above, state rules vary as to whether a family caregiver can get paid and how the compensation works. For Medicaid to pay, your parent must have been approved for Medicaid first. This is based on both your mother's level of impairment and her income and assets. So there's a lot of legwork that goes into answering whether you can get paid at all and if so, how much. That's why you haven't received any definitive answers.

gladimhere Sep 2016
You should see an elder law attorney. You will need to have a caregiver agreement. If mom pays you without an agreement in place, she will be penalized shoyld she ever need Medicaid an amount equal to what she has paid you and sis. Without an agreement money to you and sis from mom would be considered a gift. In my area aides start at about $10.00/hour, if they are through an agency the billed amount is $20.00/hour.

staceyb Sep 2016
Yes, about 12 dollars an hour, and each state had different rulings on how many hours, they wiil pay, and this is After the caregiver goes through Basic Caregiving Courses, put on by Medicaid, including CPR, Choking, nutrition, medications, lifting, positioning, bathing, housekeeping, and on and on... it is about a 3 month course! My sister took this course, so that she could be the one who was being paid Caregiving for my Father at the end of his life, by Medicaid. It was a program called PACE. It did not pay her well, by any means, and only paid her 4 hours a day, 5 days a week, so nothing to quit your job over, or they would send in another paid worker/aide. At the time, my parents lived in my sisters MIL apartment attached to her home, and my Mom was really uncomfortable having a stranger in her home, caring for my Dad, and this is why my sister agreed to take the classes to care for him. Its seems silly, to take classes to care for your own parent whom you've been caring for a very long time, but those are Medicaids rules and regulations, and yes, all for basically minimum wage. Plus, she ended up caring for him, a lot more than 4 hours a day!

Countrymouse Sep 2016
Jeanne, don't the regulations vary from state to state about whether or not family members can charge for caregiving, too?

Myfinz72, the reason no one gave you a direct question to your answer is that the question isn't that simple! Can you and your sister not agree an hourly rate between you?

Some people have a contractual agreement with their parent to be paid a set amount.
Some people do it free.
And, as Jeanne has explained, in some circumstances Medicaid might pay for care for your mother; and it might be that you might be approved as one of her caregivers. Jeanne's suggestion that you call around a few agencies and ask what they charge also seems helpful, is it not?

jeannegibbs Sep 2016
You could search for this information on Google. Type in the search box something like

Home healthcare aid salary Bosto

and see averages in your location.

jeannegibbs Sep 2016
It depends on exactly what tasks are included and it varies considerably by geographic area, but in general unlicensed assistive personnel earn about $12 an hour.

myfinz72 Sep 2016
No one has answered the question. The question was how much do u get paid taken care of my mom living with dementia and yes my sister lives with her but i take over when she goes to work.

jeannegibbs Sep 2016
First of all, who is paying you? If it is coming out of your mom's funds then you work out an amount with her and/or her financial POA. You might check what agencies charge for 24-hour care in your area and make adjustments based on your mom's circumstances.

If you are asking what you might expect from Medicaid, the first consideration is whether Mom would qualify for Medicaid. (If she is already on Medicaid, ask her caseworker.) Then Medicaid would need to evaluate how many hours per week they would pay for care for your mom. I was surprised to learn recently that NY Medicaid may cover 24 hour care, but in most states that is not the case. Medicaid will not pay for in-home care that exceeds the cost of facility, and in most states that definitely does not include 24 hour at-home care.

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