My mother is in a long term care facility, she is in a double room. Medicaid covers most of the high cost. Will they pay for home care?

You need to contact her Medicaid eligibility worker because Michigan is not like other states. If you lived anywhere else, the answer would be pretty much no, Medicaid will pay for home care but not 24/7 home care. They’d pay for 4-40 hours a week. But like I said, Michigan is way different and much more generous.

It is my understanding that Medicaid may pay for some in-home care but not full-time. Please remember that your mom's care needs will only increase and what seems "do-able" right now may be a dumpster fire for you 6 months from now. You will eventually need to be there full-time, so will you quit your job to provide her care? And your father...who will be caring for him once he starts to decline in earnest? I think you need to stop romanticizing what you think it will be like if you bring her into your home. Please read just a few of the thousands of posts on this forum under Caregiver Burnout written by loving, well-meaning offspring who didn't research in-home caregiving enough and are now desperately exhausted physically, emotionally and financially. I wish you peace in your heart as you work out what is best for all involved.

Medicaid in MI will not pay for 24-7 caregivers. If she leaves facility, are you and family willing to take it all on? They might pay 30-40 hours per week, but rest is on you. Do you plan to work and then be on call all night? And if she declines further, there may not be an open bed in the facility to go back to. Since budgets for public assistance are so tight, you are not going to have a private room on Medicaid. MI is talking about cutbacks in programs and furloughs. Talk to social worker that handles your mom case, but don’t count on it. My mother in law hates sharing a room, too, but it was killing my father in law to provide care.

You'd have to check and see if LTC Medicaid in your state will pay for that. Contact state social services to find out. I'm sorry, but my guess is no they won't, but I do not know for sure, so contact your Medicaid office to find out.