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Please keep in mind that if your State has chosen to do family as paid by the State programs, these programs will have 1. the number of hours of “care” dependent on an independent evaluation of your elders medical and ADL status AND 2. the pay rate will be interdependent on what your State has as it’s minimum wage (& if any increase for HCOL cities). Programs like this tend to be called IHHS / in home healthcare services.

By & large in home healthcare provided by family tends to be in the 20-28 hrs a week range. Maybe just maybe 30-32 hrs. The reasoning behind this is, if the elder shows they need 40 hrs of care or close to 40 hrs, that’s Full Time Care & Oversight needed as there are administrative time + costs involved. Once you get to it being 40 hrs, that’s full time and seen as best done in a facility with staff and support services OR the elder is in a PACE program as a substitute for being in a facility.

On the pay…… If your State is a $ 7.25 hr minimum wage State, this will mean $9.00 hr - $11.00 hr range for caregivers as it’s viewed as minimally skilled labor. For agencies who are on State IHHS contracts, it’s a real issue to find workers as the wages are so low. Potential workers can go to Target, which pays on the avg $18.50 hr.
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Reply to igloo572
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For NYS reach out to Department of Medicaid or Social Services in your county. NYS does not allow the spouse to be paid caregiver.
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Reply to AMZebbC
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Start with your state and Google your question including your state name. Each state is different

Also find your Area Agency on Aging office. Each county w/n the state is assigned to one.

They too are not created equal but some have info on their websites regarding services they provide for the seniors and/or caregivers in their counties. Here are some national links that might help get you started.


https://www.usa.gov/disability-caregiver

https://www.fcc.gov/consumers/guides/dial-211-essential-community-services

https://acl.gov/programs/aging-and-disability-networks/area-agencies-aging
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Reply to 97yroldmom
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I’d call your county area on aging or 211 to see what exactly your state requirements are.
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Reply to PeggySue2020
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If the elderly parents qualify for Medicaid Waivered Services, also known as Home and Community Based Services (HCBS), a family member (or other) can be paid to provide certain cares. Every state has it's own requirements, in some states, such as Arizona, where I am, the paid care provider needs to have training and work for a Home Care company. You can start by doing an online search to educate yourself on how the program is administered in your state, then contact the county office of Health and Human Services to get started on the Medicaid application.

To be eligible, the recipients must have very limited income and resources, and have a disability which requires help with activities of daily living and/or with personal cares.
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Reply to CaringWifeAZ
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