Does Medicare pay for long-term home care?

Even when Medicare does pay for in-home care, it's not 24 hours a day and it's for a set amount of time. Medicare will pay for a home health aid to come out only so many days a week for 30-60 mins to help train YOU on how to care for your mother (I just went thru this with my Dad this year). Example, they will NEVER pay for someone to come and lift your mom out of bed but they will pay for the machine that does this and provide you training for x amount of weeks, not months; or for toilet training, they will bring in an occupational therapist to train your mom and you on how to help her get to and out of the toilet and after so many sessions (maybe 8), it's up to you. Sorry to say, you will have to hire an aid and it will have to be funded by your mom. :-(

MediCARE doesn't pay for long term care. Long term care is self private pay or through a MedicAID waiver if approved and that's tough to get. MediCARE though is a solid NO answer to OP question.

There was a poster who was able to get ""intermittent care" thru Medicare for her Mom and Aunt. You can learn more about it on the Medicare website.

Otherwise, what your asking is private pay.

Get a professional "needs assessment"--either from the rehab, or from a team consisting of an OT and an RN or SW.

You cannot rely on what she tells you. I've had relatives with "mild" dementia that they can perform all sorts of tasks they haven't done for years. Their reality is not our reality.

Mare sure you have a defensible exit plan, one vetted by a highly qualified eldercare attorney. Removing your mother from your home once she has been a resident there may not be as simple as it sounds. Your mother will have rights under the laws of your state.

I strongly suggest you and hubs spend at least two 12 to 18 hour days where you observe all the toileting, bathing, transfer and feeding routines in the rehab, followed by you hiring aides…with her money…that will provide additional on the job training.

No, Medicare does not pay for these services long term.

Are you not reconsidering having her live with you? The fact that you realize that you can't do the physical work yourselves, but have not made a plan for how her personal care will be managed is pretty shocking.

AND then there's the fact that she has narcissistic tendencies?

This is a recipe for disaster.

The OP's initial question:

https://www.agingcare.com/questions/any-advice-on-how-to-deal-with-a-mother-who-is-showing-early-signs-of-dementia-475350.htm?orderby=recent&page=1�

Medicare covers very little in home care outside of hospice, and even then, it is very little.

When you say immobile, do you mean that she can’t transfer to a wheelchair or commode? It will take two people to lift her perhaps with a hoyer hydraulic lift to transfer, plus knowledge of how to do a bed roll to diaper her every couple hours.