He makes 31,000 a year and is on Medicaid. He wants me to take care of him. I have been doing this for sometime for free. All his cooking, house care, transportation, laundry, shopping, everything. How do I get paid for this service? I don't know where to start.
You should tell him that it's way beyond your abilities to take care of him. It is, and he's going to get sicker, and then who helps you?
I'm sorry for his situation, but at this point you need to take care of yourself. It's easy to get caught up in "I'm a kind person, and this is what a kind person should do." Then you're trapped. Please don't let that happen to you.
He should consider getting assessed as needing LTC in a facility where he will get all the medical and custodial care he needs. Medicaid plus his SS income would cover all of it if and he's already on Medicaid so he'd just need to qualify as needing LTC.
Eventually he's going to need more care than he can receive in his home or you are willing/able to provide. He should not wait for a health crisis to get things in place. If you are not his PoA and he doesn't have one, then eventually when he's very sick the county will assign him a legal guardian and they will move him into a facility for appropriate care.
Do not stay to help him on the promise of being paid later. Start thinking about your own future when you need a new place to live when (not if) he goes into a facility. Start looking now. Your roommate has other solutions, they're just not ones he prefers.
What does he get now from Medicaid? It may work better if he gets a carer paid by Medicaid - even in a nursing home if he qualifies for that level of care - and you keep a job. How ill is he? Is your future going to include him in the long term?
Does your friend have a social worker helping arrange his care? If not I think contacting your county’s Health and Human Services department to get any possible help for him might be a good first step.
Best wishes to you and your friend!
What are the details of yours and his situation? What is his prognosis?
Just because he wants you to be his caregiver doesn't mean that you have to.