My Mom has now been admitted to an Alzheimer's unit. Prior to that I was providing care to keep her in her house and then my house as long as possible. I applied for Medicaid and there is some money I need to spend. Can I receive a reimbursement for providing care and mileage?
--------------------------------------------------------------------------
By Alice Dembner, Globe Staff | July 8, 2005
Massachusetts has begun paying family members to house and care for their frail older relatives in an effort to keep them out of nursing homes and save the state money.
The program pays $1,500 a month to caregivers to make it more feasible for family members to provide round-the-clock care to a senior who needs extensive help with everyday tasks, such as eating, bathing, dressing, and using the toilet. It has enrolled 21 seniors since beginning on a trial basis in March, and will expand this fall to as many as 80 low-income seniors or disabled people, funded by $2 million in the state budget signed into law last week.
The state's goal is to provide the housing and home care that seniors want while reducing admissions to expensive nursing homes. The state expects to spend $1.6 billion for nursing home care this year.
''It's offering people a more compassionate level of care provided by people they know they're comfortable with . . . at a cost about half that of a nursing home," said Representative Barbara L'Italien, an Andover Democrat who pressed for inclusion of the money in the budget. She and other officials expect the program will be expanded to serve many more in future years. Advocates say as many as 8,000 people could be eligible, depending on the criteria ultimately set by the state.
--------------------------------------------------------------------------
Sure wish we had this in Florida.
People who have given up their livelihoods to care for an aging relative are saving the government(s) big bucks. Anyone know how $1500 per month compares to the cost to Medicaid for a nursing home?
When you are googling this stuff you get 1000 false leads for every hit, but I remembered something about Vermont, so I just check it out.
They have a "Choices for Care" program that pays family member (or other) caregivers $10 per hour. That might work out to even more than the $1500 per month in Mass.
Some quotes:
------------------------------------------------
It costs the state of Vermont about $122 a day for Medicaid-covered senior citizens who live in nursing homes, compared with about $80 a day for those being cared for in their homes.
------------------------------------------------
Penny Walsh, 41, a former tenant of Parsons’, gets paid $10 an hour for 35 to 40 hours a week. She said she took the job because she was already doing some of Parsons’ cleaning and other chores for nothing.
------------------------------------------------
Meanwhile, Patrick Flood, commissioner of Vermont's Department of Disabilities, Aging and Independent Living, called nursing homes "an outdated model," adding, "It is a crazy situation. The service that people don't want and is more expensive" is guaranteed by the government, while "the service people prefer and is cheaper, isn't" (Lagnado, Wall Street Journal, 10/23).
------------------------------------------------
It seems like the momentum is picking up for an awareness than in-home care should be subsidized both for quality and for overall savings. Too bad we can't just wave a wand and make it national. As long as it truly saves the government money, why not?
s far as California goes, right now the budget items for medi-cal and other elder assistance programs including caregiver programs are probably going to be cancelled, including respite and caregiver respite awards. Other states might not be in as much trouble as California, but it is scarey to see programs cancelled - worse yet is watching different groups of people argue over who should be cut - kids, education, elders, caregivers, list goes on.....if anyone in california is interested check out budget item 4440 on the state website.
Carol
I checked the site for NJ. I did speak to a social worker months ago about this option. What I did find out is that no one returns my calls, and I was very persistent. I am going to try again. Thanks for the information. We all need a little extra info and a push to keep on top of things.
Linda
Best of luck with this. It shouldn't be so hard, but it is, especially when you want to go back. You may need an attorney.
Carol
Carol
Also, if anyone out there is from Illinois, I do know they have a program there as a friend of mine got paid $l,500.00 a month to care for her mother in her home in Chicago. However, I don't know the particulars and I have no way to contact my friend.
There are lots of categories on the left side. If none of this fits, you may find links to other agencies that can help you. There's a link to their main state Web site, too.
Carol
It costs $5000 per month to live in a nursing home so the government will do anything to keep people at home.
Carol
I'm glad you are making use of in-home care. Some of these agencies are wonderful. Home Instead has a good reputation, as do many others. This type of help works well for many.
It does cost money, but it is worth it for the sanity of the whole family. You remind me of some of the caregiving I did over the span of 20 years (total of seven people). I used nearly all of the help available at one time or another, though there is much more recognition of need now.
Welcome to the site. Browse topics or start your own. You've found a good place to share your wisdom and ask for support.
Carol
Welcome, we are all caregivers; you don't have to have them in your home to be a caregiver. I took care of mom and dad in their home for 3 years before dad dies and mom moved in with us.
Welcome!
MiindingOurElders (Carol), thanks for your response and the link. I went to the site, and I believe it to be a good one with lots of info. After I further review it, I will post my results.
PEACE2 (Kathy), welcome and I am also new to this message board, and it was my first post. It has been quite effective. So far I've gotten two responses very quickly and both have given me viable leads. Go for it, you deserve to get paid, as do we all. Hopefully, these leads will prove fruitful for all of us.
To everyone seeking reimbursement, GOOD LUCK!!!!! Rose
Carol