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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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Please explain what you mean. What is happening to the Medicare money – is it going to a carer and he would like to substitute you for the carer? Or what?
Medicare is the US federal health insurance that citizens get after age 65. I think you mean Medicaid, which is the financial assistance program.
Your county's elder services may have waiver programs that will allow family members to be paid for caregiving, and this is usually in tandem with qualifying for Medicaid. So, you should contact your county's social services and ask them.
However, in most cases the pay will only be around minimum wage and not for full time care. You may need to go through a training or vetting program as well.
Like said, it is Medicaid who may pay a family member to care for a LO. And the recipient has to fit income requirements. They can have no assets over the cap allowed. They stay in their home.
You need to call Social Services in ur area. Ask to make an appt with a Medicaid caseworker. Take all financial and legal documents with you. Birth Certificate, SS card, License, Mortgage papers or rental papers. Maybe even monthly bills.
By the way. If he is receiving Medicaid as a health insurance, you being his caregiver is another program with different criteria that has to be met. Because you have one, does not mean you qualify forvthe other.
Medicare doesn't compensate home caregivers that I am aware of but Medicaid may dependent on your state's rules and qualifications Dad may have for program. I would google "how to be compensated as caregiver in state of ___________" on your search engines. You can also call regarding Medicare programs at 1-800-Medicare and you can also access the Medicare Website. The Medicare program sends out a yearly handbook. Ask that it be mailed to your Dad. Also check with your Dad's supplemental Insurance program for information.
If your Father is living with you and gets social security you can see an elder law attorney to make out a "shared living costs" contract. If you charged rental that is taxable for you, but "shared living costs" aren't and would include rental, utilities and etc. You can also be compensated according to document stipulations to serve as POA.
In all truth, whatever compensation you find isn't enough in any way to make up for the loss of a real job and job history. It may present a bit of help for you but in no way will cover 24/7 care. I wish you lots of luck.
Look into placing your dad in assisted living. Sell his house and that should help. He realizes you are helping him and doesn't want to be a burden. It is so difficult taking care of parents because their health does deteriorate. You will both have a better quality of life.
I have no regrets getting help from an Elder Care Attorney.
Just thinking out loud here. If you are caring for him 24/7 then you live together. If it is his house and he pays the bills, is that not an indirect form of compensation. Maybe explaining it that way to him will ease his conscience. On the other hand if he lives with you then have him pay the utility bills.
Medicare doesn’t cover caregivers. Only Medicaid. If he hasn’t spent down yet, here’s how he should do it.
Any living expenses should be itemized as room and board traditionally given to caregivers. In addition, there should be a written agreement saying what you’re getting paid for as his live in.
My in-laws live in, for example, isn’t even 24/7. She comes in the evening with a relatives minor child, cooks what they buy to feed not just them but her and this child, gets them to bed and deals with one or two overnight diaper cleanups from fil. For this, she is paid close to 122000 a year.
So, just because you’re family doesn’t mean you can’t negotiate a deal like this.
Medicaid can pay for a family member to care for a relative, but it depends on the state and the specific Medicaid program. Many states have Medicaid programs that allow for a family member, often excluding spouses, to be paid as a caregiver through various programs such as: 1. Medicaid waivers (Home and Community Based Services - HCBS Waivers.) These waivers allow states to offer services, like personal care assistance, to help individuals stay at home rather than move to a nursing facility. Some waivers allow for consumer direction or self directed care, where the individual can choose their caregiver, which could include a family member. 2. Personal Care Services (PCS). Some states offer PCS under Medicaid, which provides assistance with activities of daily living (ADLs). Family members, excluding spouses in most cases, can sometimes be hired and paid as caregivers. 3. Cash and Counseling Programs. This option provides a flexible monthly allowance to the care recipient to hire a caregiver of their choice, including a family member.
The specific rules and programs vary by state, so it’s important to check with the local Medicaid office to see what options are available.
Some comments here refer to Medicaid but you say dad is on Medicare. Different rules.
You need to get an elder attorney or maybe a CPA to set up legal employer/employee contract and payment instructions. You will be considered an employee and will have to report the income when filing taxes. This will keep all his income and payments legit should he run out of money and require nursing home Medicaid.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Your county's elder services may have waiver programs that will allow family members to be paid for caregiving, and this is usually in tandem with qualifying for Medicaid. So, you should contact your county's social services and ask them.
However, in most cases the pay will only be around minimum wage and not for full time care. You may need to go through a training or vetting program as well.
You need to call Social Services in ur area. Ask to make an appt with a Medicaid caseworker. Take all financial and legal documents with you. Birth Certificate, SS card, License, Mortgage papers or rental papers. Maybe even monthly bills.
If your Father is living with you and gets social security you can see an elder law attorney to make out a "shared living costs" contract. If you charged rental that is taxable for you, but "shared living costs" aren't and would include rental, utilities and etc. You can also be compensated according to document stipulations to serve as POA.
In all truth, whatever compensation you find isn't enough in any way to make up for the loss of a real job and job history. It may present a bit of help for you but in no way will cover 24/7 care. I wish you lots of luck.
I have no regrets getting help from an Elder Care Attorney.
Any living expenses should be itemized as room and board traditionally given to caregivers. In addition, there should be a written agreement saying what you’re getting paid for as his live in.
My in-laws live in, for example, isn’t even 24/7. She comes in the evening with a relatives minor child, cooks what they buy to feed not just them but her and this child, gets them to bed and deals with one or two overnight diaper cleanups from fil. For this, she is paid close to 122000 a year.
So, just because you’re family doesn’t mean you can’t negotiate a deal like this.
1. Medicaid waivers (Home and Community Based Services - HCBS Waivers.) These waivers allow states to offer services, like personal care assistance, to help individuals stay at home rather than move to a nursing facility. Some waivers allow for consumer direction or self directed care, where the individual can choose their caregiver, which could include a family member.
2. Personal Care Services (PCS). Some states offer PCS under Medicaid, which provides assistance with activities of daily living (ADLs). Family members, excluding spouses in most cases, can sometimes be hired and paid as caregivers.
3. Cash and Counseling Programs. This option provides a flexible monthly allowance to the care recipient to hire a caregiver of their choice, including a family member.
The specific rules and programs vary by state, so it’s important to check with the local Medicaid office to see what options are available.
You need to get an elder attorney or maybe a CPA to set up legal employer/employee contract and payment instructions. You will be considered an employee and will have to report the income when filing taxes.
This will keep all his income and payments legit should he run out of money and require nursing home Medicaid.