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I’m disabled and my oldest son lives with me. He was my home health aide until 11/30/19. My insurance changed and they took my sons job away. He still takes care of me without pay, which is really very hard for him. I feel bad he does this and not getting paid.
Can he get his job back? please. Thank you
Maryann

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Agingcare is not an employment agency or caregiving agency so no, he can’t get a job here. Any reason why you can’t pay him?
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Check the Medicaid waiver programs for your state. Some waivers do and some waivers do not. Some states do and some states do not. The ones that do allow such workers only allow it if you do not reside in the same home. You'll also have to pass a federal and state background check, have a valid driver’s license and auto insurance, can pass a tb skin test and physical. Able to obtain a CPR license which is questionable. But I'm thinking now they should add on other credentials.

Now that I'm on the outside looking in, the ropes/laws needs to get tighten on this industry. Some shady people are going into others home, not treating the job as a real job and I'm not pleased one bit.

Sorry!
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worriedinCali Apr 2020
This is very incorrect regarding the Medicaid programs. Every state has at least 1 program. Most if not all states have no such rule disallowing members of the same household from being a paid family caregiver. You are VERY misinformed and posting harmful misinformation. POAs, legal guardians and spouses are what is excluded in a few states but in majority of states they are not excluded. And no, not all state Medicaid programs require a FAMILY caregiver to pass a federal and state background check. NONE require you to have a drivers license and insurance either.
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Answry’s reply is entirely incorrect, everyone should disregard it.
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worriedinCali, your approach is harmful. We all come here for advice and then have free will to use what we learn or not to obtain even more information.

Please do come to my rural area and correct the agencies and state social workers. I can only provide information provided to me upon entering the industry several years ago. That rule (whether you can reside in same home) was said to have changed for our state due to family members killing their elderly (because of past abuse).

So if I'm providing inaccurate information, it's because it was provided to me in regards to that rule.

Every agency I've gone through required state background checks and the last one required both. You went to police station or sheriff office and had your fingers printed. Been through this several times and every few years, we went back for whatever reason to get those fingerprints updated. I was a caregiver to my elder parents for almost seven years.

Yes worriedinCali, we also have to leave a copy of our driver’s license and auto insurance on file if our clients will require transport. If our auto insurance was set to expire, we had to bring in a copy of the renewal.

By the way, I just learned something new from you.

Have a blessed weekend.
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Katiekate Apr 2020
I think worried thinks that all states have a California style Medicaid system. They don’t.

i have pointed out to worried before that the information is VERY state dependent...and California is NOT the adopted procedure everywhere.

you are very correct that until you talk with each state office you will not know what is or isn’t required. Many states do not offer ANY financial assistance... or very minimal number of hours.
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You can pay him.
Have a Caregiver Contract drawn up.
I suggest you also pay taxes so that he has traceable work hours for Social Security and to also prove that the Federal and State Income taxes are paid properly. (I just "googled" the caregiver wage in my area and it varies but average is $975.00 a week there are some higher and some lower)
This is one way that you can spend down income so that if in the future you have to apply for Medicaid there is proof that the money you are giving him is actual legal income and not a gift.
By the way there also has to be time off, no employee can work 24/7.
You can also begin to charge him rent and for all living expenses. (take household expenses and divide by the number of people living in the house that would be his portion).
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I am confused.   In the unlikely event you are getting paid by an insurance company under a long term care policy, I doubt that would change.  If you are getting paid by Medicare or Medicare Advantage,  it is generally for a very short period, and gets terminated.  Now, in the most likely scenario, if you are getting paid by Medicaid, many states do use an insurance company to administer it.   If your insurance company has changed, and they are disallowing your son as an aid, you need to ask why, and then appeal.   Are they saying you do not need ANY aid?  You many need documentation from your primary care physician.   Are they saying your son does not qualify?  You need to ask why.  Good luck.
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