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    medicare paying for family members to provide home care?

    I just heard a rumor that I'm assuming is either a pure fabrication or some convoluted version of the truth...

    I was told that starting soon (or maybe it is effective now), Medicare will reimburse us gimps who currently pay family members to provide home care. Or perhaps it was that these family members can be paid directly. Whatever it is, it sounds very un-medicare-like.

    Has anyone heard anything along these lines or have any additional info?

    *************************************************************
    *** c4/c5 incomplete *** Injured in Summer 2003 ***
    *************************************************************

    #2
    What were you smoking when you heard this??? Not now, not anytime in the future, and certainly not with the current administration. If anything, Medicare benefits are being cut. Medicare has never paid for unskilled homecare....it is not a covered benefit.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      lol! that was about the exact answer I expected to receive. I'll have to forward this on to my phd student friend/source who fills her brain with too much information to keep it all straight. Thanks for the clarification.

      *************************************************************
      *** c4/c5 incomplete *** Injured in Summer 2003 ***
      *************************************************************

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        #4
        Oregon's medicaid (not Medicare) has a program called " Independent Choices" that allows reembursment for home health care and/or other nessesary equipiment. My husbands social worker told him about it. Maybe you heard about something like that.
        Jennifer - Married to Jeremy (C-5 inc. brown-sequard) mommy of two little drama queens

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          #5
          Many state's have attendant programs for those eligible for Medicaid (not Medicare). Many of them allow you to hire family members or friends to be your PCAs through these programs. Some states do not. It all depends on the program your state has, what they pay, how they pay, and who they will allow to be an employee of their program.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            Originally posted by princessturk
            Oregon's medicaid (not Medicare) has a program called " Independent Choices" that allows reembursment for home health care and/or other nessesary equipiment. My husbands social worker told him about it. Maybe you heard about something like that.
            speaking of oregon, have you seen this?

            SALEM -- It's 11 a.m. on a recent weekday morning, but Clay Freeman is
            still sound asleep. His chest rises and falls with perfectly timed
            pushes of air supplied by a ventilator near his nightstand.

            Twelve years ago, Freeman dived into a river and broke his neck. Now a
            quadriplegic, the 34-year-old is kept alive by 11 machines. Without
            24-hour help from qualified caregivers to monitor those machines, he
            could easily suffocate.

            Normally, Freeman rises early. But his new night-shift caregiver hasn't
            been fully trained. She doesn't know how to move him from his wheelchair
            into his bed -- an hourlong process. And because of her inexperience,
            Freeman was too anxious to fall asleep.

            For full article, go to:

            http://www.oregonlive.com/news/orego...670.xml&coll=7
            Last edited by cass; 2 Aug 2008, 1:09 AM.

            Comment


              #7
              In Virginia, they started this program about 2 years ago now that pays family members but not the owner of the home.So I manage my sons care but I the dad cannot be paid because he lives in my home, but my other children who help can be paid.Its called "EDCD or Elderly or Disabled with Consumer-Directed Waiver" and its run thru a Medicaid Home and CommunityBased waiver. If u live in Virginia u can contact Lacasa email is: lacasainc@comcast.net ph# is 8043530461

              Comment


                #8
                Originally posted by cass
                speaking of oregon, have you seen this?

                SALEM -- It's 11 a.m. on a recent weekday morning, but Clay Freeman is
                still sound asleep. His chest rises and falls with perfectly timed
                pushes of air supplied by a ventilator near his nightstand.

                Twelve years ago, Freeman dived into a river and broke his neck. Now a
                quadriplegic, the 34-year-old is kept alive by 11 machines. Without
                24-hour help from qualified caregivers to monitor those machines, he
                could easily suffocate.

                Normally, Freeman rises early. But his new night-shift caregiver hasn't
                been fully trained. She doesn't know how to move him from his wheelchair
                into his bed -- an hourlong process. And because of her inexperience,
                Freeman was too anxious to fall asleep.

                For full article, go to:

                http://www.oregonlive.com/news/orego...670.xml&coll=7
                Is there much of a difference between what it costs for a vent dependent quad with 24/7 help to live in their own home and one who lives in a nursing home?

                And does anyone know what the overall health status is (less illness, less doctor care, fewer infections, fewer drugs, fewer pressure sores, fewer surgeries, etc.) between those who live in their own home versus those who live in a nursing home? Not to mention QOL issues.

                Bob.
                "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

                Comment


                  #9
                  well, the oregon state wage is $9.90/hr. heck i pay my helpers more than that and don't even require daily help. and still have trouble finding just one new person. someone answering my craigslist ad said she charges $30/hr, 3 hr/day min! WHO pays her that i'd like to know.

                  my dad ended up in a nursing home the last 3 yrs of his life. he walked in, was beaten, in ER a few times due to their negligence (once i was told he wouldn't make it -- this after they inserted a foley which he didn't need and he went septic, hospital doc wanted me to sue he was so mad), had simple wedding ring stolen, etc. all for a mere $3000/month. this was in the 90's. btw, the foley/septic incident took place in less than a week when nh knew i was on vacation.

                  some nursing homes won't even take a vent dep. quad. somewhere i have read it is cost efficient in the long run to pay for home care, maybe from ADAPT? don't have the numbers in front of me.

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                    #10
                    Nebraska medicade will pay for anyone to care for Sally except me "because the husband is supposed to take care of the wife." The hhs social worker said we could always get divorced.

                    Comment


                      #11
                      Spike, in CA, if the person lives with a family member, they are expected to provide up to 8 hours daily care.

                      Getting divorced would not help. In CA, Medicaid does spot checks. If you get divorced "on paper" only and still live together, they consider this Medicaid fraud and can both fine and prosecute you for this.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                      Comment


                        #12
                        I wouldn't recommend filing for a divorce if you live in CA. They are pretty strict with their standards. I do know of one person that filed for divorce and moved their address to another residence, moved all their stuff to a relative's house. They got away with it, but I would advise against it. Too risky.
                        “You need to take care of yourself first. If you don't care for yourself, you can't take care of someone else.”

                        Comment


                          #13
                          Greetings from another NOVA-ite stuck in traffic with you.

                          Originally posted by joseph
                          In Virginia, they started this program about 2 years ago now that pays family members but not the owner of the home.So I manage my sons care but I the dad cannot be paid because he lives in my home, but my other children who help can be paid.Its called "EDCD or Elderly or Disabled with Consumer-Directed Waiver" and its run thru a Medicaid Home and CommunityBased waiver. If u live in Virginia u can contact Lacasa email is: lacasainc@comcast.net ph# is 8043530461

                          Dear Joseph-

                          Have you and your son been to Virginia DRS?

                          Comment


                            #14
                            Medicare paying family caregivers

                            DaveHo,
                            Yes, they currently have a CBA Program in Texas that pays family members, that are caregivers for disabled family members. Your doctor must write you a script determining you're definitely disabled and will need help with taking care of yourself. Such as, making meals, dressing, shower, etc. In Texas they call it Evercare/United Health Plan. Basically, it's a Medicaid guided program. I'm currently waiting to be interviewed as a caregiver for our daughter, 22yrs old. I'm not sure, but what I read on Medicaid site most states provide this type of plan. I know that they do in West Virginia and Maryland. Google for a Community Based Assistance program or Integrated Care Management, or Health and Human Services (Medicaid) online in your state.
                            Aggie Mom 2007

                            Comment


                              #15
                              Originally posted by SCI-Nurse
                              Spike, in CA, if the person lives with a family member, they are expected to provide up to 8 hours daily care.

                              Getting divorced would not help. In CA, Medicaid does spot checks. If you get divorced "on paper" only and still live together, they consider this Medicaid fraud and can both fine and prosecute you for this.

                              (KLD)
                              IS THIS WHAT WE CALL FREEDOM. I'M SO PISSED OFF READING THIS I'D LIKE TO PUNCH A FREEDOM FIGHTER REBUBLICAN IN THE FACE.
                              Wish I didn't know now what I didn't know then.
                              Bob Seger

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