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Are there any adjustments to hourly rates for in-home care. I am doing it for 6 hours a day and have increased from 2 days to 3. Should I expect an adjustment to hourly rate if I increase days/Hours per day.

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No, the hourly rate should be the same if just increasing the days. Now, as said, your wife's care needs have changed, then the rate maybe higher.
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ty. helps
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So you are in NJ, caring for your wife and being compensated by perhaps a gov entity or long term care Insurance or VA?
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Billspirit May 4, 2024
nj yes. care is out of pocket with an agency right now. looking to lowering our costs - either as i asked or hiring a private person i presently do not medical help and just started partial day and partial week I have been caretaker full time and just started getting part time help.
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No, the hourly rate stays the same up to where OT kicks in. In my state (MN) some districts and counties have mandated OT laws, as well as sick and vacation, and the size of the employer makes no difference.

FYI please check the labor and IRS rules in your state since very often a caregiver is not considered "contract" (1099) mainly because they only have 1 client and the client dictates where, when and how often the caregiver works. This means your client is your employer and should be paying you "above the table" and doing withholding of Medicare, SS on your paychecks and any other taxes from each paycheck. Make sure you always have a written contract with any client. No exceptions. Also make them prove they have enough liability coverage (and you might want to have your own). Workers Comp would cover any on-the-job injuries, but your client/employer needs to actually have this in place. My MIL broke her back on the job. It changed her life forever. It happens so protect yourself.

Other things that affect hourly rate for aids, CNAs, etc is if they are qualified to perform certain medical functions, like administering meds, dealing with catheters and IVs, giving injections, etc.

A few years ago we hired an aid from Visiting Angels in south FL. Once the client (my Aunt with adv dementia) became a fall risk, VA had to send us a different aid because they would have specific training for this. And, she was a higher hourly rate.

Maybe check out rates on Care,com to get an idea.
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