Can I Get Paid to Be a Family Caregiver?
Is there a program to pay me for taking care of a family member?
It's possible to get regular payments for providing care for a housebound family member, depending on the family member's income and assets, need for care, and the state he or she lives in. Public assistance programs in many states can provide payment directly to a low-income person who is determined to need in-home care. The person who receives this payment may use it to pay a relative, or anyone else of that person's choosing, to provide care. The care can be provided in the home of either the caregiver or the person who needs care.
This type of direct payment for in-home care comes from a program often called Cash and Counseling (though it has different names in different states). It is usually run through the state's Medicaid program. If your housebound family member has low income and few assets other than a home, he or she might qualify for Medicaid coverage of in-home care.
Normally, Medicaid would provide that kind of care through a certified home care agency. But these special programs instead directly pay the person needing care -- the payment is same amount Medicaid would pay an aide from a home care agency. The person receiving this payment may turn around and use it to pay a family member, or anyone else, to provide the in-home care. In many programs, the money may also be used to make home improvements for safety or comfort, or to buy personal care items.
To learn more about these programs -- only some states have them -- go to the page on this site called How to Get Paid for Being Your Parent's Caregiver. You can help your family member apply for this assistance program, if your state has one, at a local Medicaid office. To find the local Medicaid office near you, contact the Eldercare Locator by phone toll-free at (800) 677-1116. Or go online to any search engine and type in Medicaid and the name of your state.
SEE ALSO: Find In-Home Care Help Near You
The above expert answer is pretty good. But there is another angle here that you might not have thought of. That is veterans benefits. If you are caring for a parent that is a veteran there are even more benefits available. Check out this story for more info.
There's more than one way to be paid. In the District of Columbia, Medicaid will not put a lien on a house where a family member is living there too and providing home health care, even if they are receiving Medicaid assistance with paying home health aides.
Another way is to deed the house to the caretaking child in exchange for lifetime care. This document would need to be drafted carefully, but definitely can be done. The key to this method of compensation is to alert all hopeful beneficiaries to the transaction so there is no fighting later.
Christine Axsmith, Esq.
Another possibility exists, if either of your parents qualify. There is a program offered through the Veterans' Administration for veterans and their spouses (whether the eligible veteran is living or not) - IF the veteran qualifies. An eligible veteran may qualify for Pension if s/he served at least one day during a declared war (regardless of whether or not s/he served in combat). An additional "Aid and Attendance" benefit is available if the veteran is disabled or needs custodial care, and children can be compensated to provide bonafide care to the veteran. Consult your local VA office for more information. However, beware - many local offices do not provide much information for this benefit - be sure to dig for the facts.
My mom isn't a veteran nor was my deceased father. I really wish there was something out there that would help me help her without putting my own family's finances at risk. I can't work, due to looking out for her. She refuses in home health care from others. I would love feedback. The info listed above isn't much to go on if you aren't a veteran. Thanks.
Washington State has a program called Community Options Porgram Entry System (COPES) for info the application process and to see if you or your loved one qualifys call 18004223263. But this is only for washington state residents.
To be a paid caregiver, you can not be the spouse of the person needing care. Children and siblings of the one needing care that are over the age of 21 and in many cases, parents of children with disabilites can get paid under this program for doing what they normally do for the child/person needing care. I don't know if other states have this type of program, but Washington State does.
Okay, so what about if your loved one only has Medicare...this is where I always hit a road block...UGH!!
Jamie, Does your mother get Social Security? Your mother can help pay your rent and for food and other misc. things like gas for taking her to the doctors. That is if she is living with you. You also can write up an agreement stating she is going to pay you X amount per week or month and in return you will list what services you are providing. Example: cooking, bathing, medication, driving her to doctor appointments, taking her to social events, writing out her bills and whatever else you both agree on. This is legal when you have given up your employment to care for her. You will have to claim this on your tax return. Also, I saw above someone told you about Cash and Counseling. In Florida it is call Home Instead Senior Care. If she lives on a low income she may qualify for this program and they will send her the money to pay whoever she chooses to help with her needed care. In this case that would be you. Some of that money can also be used to redo your home to make it safer for her. Example: hand rails in the tub or other needs for the home to help her. I am not an expert but going through this myself and have made numerous contacts. You can always pay a lawyer to write up the agreement so you are sure it is legal. Because, if she ends up in a nursing home they will go back up to 5 yrs. and will want you to account for the money that was paid out. The agreement is all you need. You don't have to account for what you did with the money you were paid. Just where large amounts of her money was spent.
If I'm not writing this so you can understand it go to search on the internet and type in "Getting paid to be the caregiver for a Parent." Good luck!
Thanks, Zosh. It's been 2 years now, she's still here with us and doing well, considering. I still haven't found a way to supplement my financial loss, but we are making it work. Yes, she does get social security, but it's not a lot. Mainly, it pays for her meds and a few bills she still has to pay from when she was living on her own. We do what we can and that's all we can do at this time. She is getting somewhat worse in her condition and I have a battle on my hands as family members want to have her put in a nursing home. I will NOT allow that unless I simply cannot physically take care of her anymore. I am 32, with a husband and 4 children ages 11 to 4. I know with her condition that this won't be a permanent arrangement, but for her I hope to make whatever time she has left as comfortable and familiar as I can.
i am very interested in finding out how to get paid for caring for my girlfriend who has been bed riddeen for the last five years. i made a promise that i would not put her in a nursing home and that i would take care of her at home. i have experience as a cna and know most of the things to keep her safe and healthy. (range of motion, bed sores, walking with a gait belt, medicine promptness, healthy eating etc...) but that leaves me with no income at all and i've gone deeper in debt with no future of any certainty. i've been with my girl for sixteen years and at my age (61) i won't even have a place to live when time comes. so yes i need help with learning how to get some kind of cash flow.
If you live in the state of Pennsylvania-there is a program under Medical Assistance for different ages from 18-59 and 60+ depending on medical necessity and financial assests. If your doctor determines that you are Nursing Home Eligible, but your loved one decides to remain in the home. The program in PA is called Personal Assistance Services or "PAS program. In this case, a family member, friend or neighbor that the consumer wishes to hire as their attendant, they can be paid through a Fiscal Employee Agent Company. At the required taxes and Worker's Compensation Insurance is taken out and paychecks are administered through the Fiscal Employee Agent company. The programs are administered throught either the Area Agency on Aging in the county that the patient resides for people 60 years or older or for patients 18-59 years old through contacting Pennsylvania's Independent Enrollment Broker Maximus at 877-550-4227. The only exception to caregivers being paid are the patient's spouse or Power of Attorney(POA). These numbers are also used if you want to make a referral for home care services for a loved one and you want to have a skilled home care provider assist you with home care needs
Can i keep my nurses license current as long as i am caring for my husband in our home, how do i do it?
If you live in calif and get midi-cal, they have program called IHSS (in home supportive services) You can choose your own homecare worker or they will provide one for you if you don't have anyone. My grand-daughter is my homecare worker. Its usually around 40 hours they pay for a month at about $9 or $10 an hour. They are paid to clean house,shop, prepare meals, help with personal care among other things.
My mother-in-law passed away last month. She had no money for in-home health care and she did not want to go to a nursing home. She only had social security income. Nothing else. Her care at home cost us $5,000.00 per month. We used our retirement to help pay her at home cost. My husband and I work full time, we both took on part-time jobs. She took an equity line on her home. Why should I pay for your relative when they can tap into their home? Why should I subsidize your inheritance? TAKE RESPONSIBILITY. I pay and pay and pay and pay taxes to pay for you to take care of a family member? I read a letter on this website from a woman who wanted to be paid to take care of her mother-in-law. Her mother-in-law was already paying her rent. Hey, people..........SACRIFICE. I sacrifice everyday when I pay over 50% of my income to taxes..........36% federal,10% state,8% Social Security,2% medicare, and state sales tax. People who can not get it together enough to work sure figure out how to game the system. 47% of taxpayers PAY NO FEDERAL TAXES. If you need the govt. to pay you for taking care of your mother, you probably don't pay any tax either. STEP UP, GROW UP AND TAKE RESPONSIBILITY FOR YOURSELVES AND HELP PAY FOR your LOVED ONES HEALTH NEEDS. Collect cans. Do something. Stop being a burden. BE AN EXAMPLE TO THE YOUNGER GENERATION. THE GOVERNMENT CAN NOT SUSTAIN THIS ANY LONGER. I DON'T KNOW IF I CAN SUSTAIN THIS ANY LONGER. I PAY MORE IN TAX THAN I TAKE HOME IN PAY.
This is to anonymous who thinks that the 47% of taxpayers pay no taxes...you need to do a little more research into that 47% and you also need to not be deceptive yourself.
Many of those people are seniors who are unable to work. Many of those seniors are people who got caught in between the transitions from pensions to 401k plans, who did not have enough in their pensions to build a 401k fast enough. They had no retirement left to them but Soc. Sec.
Maybe you can convince my father's son who is so tight of a conservative that he thought our permanently disabled dad who could barely walk at that time should just up and get a job and that will fix him. Now dad has terminal illness in addition to other disabilities. Yep, he's(the son) also one of those who have convinced themselves that the bad math(the 47% claim) that was on display during the election was accurate without fact checking.
Maybe you can convince all those "child of ill parent tightwads" out there that their ill parents are much more important than their kids college funds, their marriages, their vacations, after school activities, etc. You'd have thought that I asked my brother to sacrifice one of his children with all the excuses he came up with to not help me get to our dad to help him. I'm on disability too but before I get accused of being a leech, I worked so many hours for so long and paid in so much in Soc Sec taxes etc that I get more than my dad does and I worked half of what he did. Unfortunately I worked myself right into being disabled. Anyway, I carefully used that money to move 3000 miles to help my dad because it's not something my brother can do. However, when I asked for some financial help from my brother to get to dad/help him out he told me he'd have to think about it because he didn't want to enable me. >.<
I am curious how you could be paying more in taxes than you take home in pay when earlier in your post you claim less than that. You would also not be able to maintain a home, feed anyone or have money for utilities let alone take care of your ill family member. You can start by STEPPING UP AND NOT BEING SO DRAMATIC AND DO YOUR HOMEWORK BEFORE BELIEVING THE CLAIMS OF POLITICIANS DURING AN ELECTION YEAR. BE AN EXAMPLE TO THE YOUNGER GENERATION BY NOT POSTING IN AN OVER DRAMATIC FASHION, POST FACTUAL INFORMATION AND NOT MAKE FALSE CLAIMS ABOUT YOURSELF. IGNORANCE AND DECEIT ARE BIGGER BURDENS TO SOCIETY.
I'm sorry to anyone I may offend by my post but I'm really getting tired of people who blindly believe the wild math that runs amuck during election years. These kinds people/sheep/sheeple are quick to finger point and spend/waste their time using these "facts" to blame/beat up others while casting themselves in an undeserved superior light. Phooey!
People who are live-in caregivers need to gain some income somehow. They are unable to work outside of the home because if they did that they would not be there for the person who needs them. Someone somewhere realized that it was less expensive to provide a stipend for live in care than to pay for a live in care facility. It was also cheaper than paying for shelters to house all the seniors that would have been put out on the street. Collecting cans will not give live in care givers enough of an income to take care of themselves let alone care for someone else. I get about $20 a month average for the cans I collect(aside from the fact that I have an income but this is about those that do not have one) so again I say...PHOOEY!
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Hello. My mom has ALS, which has almost completely paralyzed her. My aunt volunteered to take her in because of how terrible my dad was treating her. He is abusive and an alcoholic. She expected her to live just a few months, but since my mom has lived longer than expected, she no longer wants to take care of her. Her excuse is that she doesn't want to lose her nursing license and she has to have a certain amount of hours of work in order to keep it. She lives in Idaho. I would think that taking care of my mom would count for those hours. But I believe she's just using that as an excuse because she thinks of my mom as a burden. I've talked it over with my husband and he said he's willing to quit his job to help take care of her, if we had the room. We hardly have room for our four kids at home. We have been planning on adding on a garage with a room above it, but have never had enough money to get it done. If we could do that, we would have enough room for my mom. If anyone knows of an organization or some way to get the funds to put the addition on our home, please let me know. My mom cried and cried when my aunt offered to put her in a nursing home. And I certainly do not want my mom going back to my dad. He's already started drinking heavily again when he found out she was coming back. I think we have until March before my aunt goes back to work. We live in Oregon.
when it comes to family, the world is different! What you think on a professional level is different from a family or friend level.
My husband had his second spinal fusion in 2 years 3 weeks ago, and has had every complication you could think of since, including an ongoing battle with a mrsa infection in the wound which as included an emergency surgery and week long hospital stay, an additional er trip today for a clotted and blocked picc line placed to receive antibiotics to fight the surgical wound infection, which I have to administer every 12 hours, as well as orthopedic doctors appointments, now hematology appointmetns since during the two surgeries he lost a combined 4-5 liters of blood and is now having hemoglobin issues. I have to keep calling out, leaving early and trying to reschedule work to accomodate taking care of him, and that is with the assistance of a home wound care nurse, infusion nurses, and home physical therapy. I am a home health aide, and quite literally i am working at work ,then I come home and I work until I am too exhausted to do a thing more. My work is suffering, my care for my husband is suffering, and we are finding ourselves wondering if it would be better for me to leave to care for him, since as long as he is the way he is, I am too unreliable to be comfortable as others' caregivers, especially 40 miles away from my home in case of emergency. I worry though, since the insurance paying for his injury (workmen's comp) has a massive tendency to never answer their phone to authorize things he needs, like wound care supplies, medications, etc, and often we have to pay out of our own pocket (with the promise that they will repay us with a receipt, 95% of which they have said they have paid, although not once in 5 years have we gotten a check). I don't know where to turn at this point.
Phillycomp, I don't know if you have tried or even know about this program but you may want to try and get some help from the Brain and Spinal Cord Program. They have a lot of information, referrals,etc. for people with SPI. So I don't know if you have heard of or registered with them. I don't know what state you are in but they are statewide. So look up "Brain and Spinal Cord Injury Program" in or near you they have different regions. Good luck to you and hope they can help you out
I live in MN and and have brittle bone disease Osteogenesis Imperfecta and it is rare and from birth. I am 54 and I ONLY trust my ex husband to care for me and what he did was worked 90 hours a week with 2 1/2 jobs and now quit 1 of the jobs and is mostly caring for me. M disease is not calcium related but collagen and also involves loose joints that dislocate.
I think it is so sad that spouses cannot care for their spouse and many are getting divorced after MANY years of marriage....so sad~~ Our divorce was 10 years before my being in a wheelchair and breaking as I walked and just hugged a grandchild. My ex and I continued and still do live together but cannot get remarried, so sad. I have been abused so badly as a child and first husband who killed himself when I got the guts to take our kids and leave after 18 years of marriage. My ex and I have been together for 20 years now and I want to marry this loving and caring man whom I wish I had not divorced but then he will have given up his job with ins and pension and all for nothing if he cannot take care of me with help. He pays for many things, many meds, my wheelchair and is getting ready to pay for a stair lift so I can get downstairs and do some crafts as I love sewing and gardening and he bought me an expensive embroidery machine and other crafts which is so great for me or I get depressed and even suicidal. Another sad part is when I die human services said they are taking OUR home which will be the only thing left to leave to our sons whom he adopted my boys and is a wonderful man and now the boys are grown and I wish I could leave something to them. An normal person can and I so wish I could WORK~~ Is there a way to stop the county from taking my home? My ex is paying a lot and I pay 400 a month of my ss to human services too and yet the only thing we will have left after my care is our home we raised our sons in. This personal care assistant is going to grow as it saves the gov a LOT of money but they will need to pay caregivers more money, a living wage for total disabled and not exclude the spouse whom many have married for over 30-40 years. Our home is paid for also which my ex made sure to do so he can live on the lower income and help me more.
I want to move South, doc says would be so much better on my bones...he gets paid now 11.21 an hour at 54 hours a week...please understand that they do not pay overtime but just lower his wages because sadly the state only gives the agency we go through 17 an hour per person. Places need more money, so many people need this help and do not want to live in a nursing home and it saves the government money~~ They need to give the disabled a chance and not take their home
! Does anyone know the pay in other states? Prefer Southern...not Cal....and any way for them not to take our home after I die. We need more compassion for the disabled in this country and sadly I have seen too many laugh and tell me the way they got on ss was to keep saying back troubles and they cannot be proven wrong so they get it ugh.
Check these people out! Oh and BTW our home is in both of our names as I put the money I got from my first husb death ins into this home but I trust my ex if I need to put in his name only. Help and please do not be mad or yell at me, it makes me so sad.....
If you are in tn and is wanting to get paid to care for a loved one with a disability we can help you. call what about us family in home health care at 901-644-7549
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