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Check your state`s Medicaid rules, as the rules vary from state to state. These rules are complicated and you can seek help from an older attorney to qualify for Medicaid or Medi-Cal. Family support contracts must be signed by both the reference person and the beneficiary. In some states, certification is required for it to be Medicaid compliant. If possible, record your meeting or let someone take notes. You can distribute meeting notes to other family members for future reference. Consider creating a “Personal Care Agreement” folder with the necessary documentation. A person should facilitate the meeting to keep the discussion moving or set boundaries when the discussion gets out of control. Some families choose to use an external facilitator, social worker, clergyman, caregiver or other person with no personal interest for the results of the meeting. It may be necessary to have more than one meeting. ● The support agreement should contain a detailed list of the services that will be included, as well as the services that will be excluded.
For example, if non-medical care, budget management, meal preparation, transportation to medical appointments, and basic assistance with the loved one`s activities in daily living are responsibilities contained in the contract, the caregiver should be fairly compensated for these tasks. On the other hand, if the nursing assistant provides care that goes beyond the responsibilities defined in the care contract, the nursing assistant must be fairly compensated for these activities. Full-time caregivers must have a care agreement in their possession in order to protect themselves from conflict, but it can also help ensure that the senior is Medicaid compliant, only in the event that long-term care is to be provided at one time or another by a facility. Example#2John Sr. has Parkinson`s disease and lives with his adult son John Jr. His son`s wife, Alice, is a mother who stays at home and takes care of the couple`s 3-year-old child. John Sr. has $80,000 in retirement and only $733 a month in Social Security income. He needs help with washing, bathing, transportation, meals and managing his medications, about 20 hours/week. Since Parkinson`s disease is a progressive disease, the family knows that John Sr is going to need home care at some point.
But its $80,000 savings don`t make it suitable for care in Medicaid care homes, since the wealth limit is only $2,000 $US. Family members should consider Medicaid rules and regulations when establishing a custody contract. Payments for nurses must comply with these rules, which can change the entire care plan. An emergency plan must be put in place so that there are rescue managers if the primary reference person is not available or is able to perform their normal duties. Having such a plan and writing it down can avoid future litigation. Medicaid (Medi-Cal in California) is a national and federal program that can cover long-term care costs for people with limited income and wealth. To qualify for Medicaid, a person`s expenses and assets are subject to a “retrospective” period of up to five years. This is sometimes referred to as “downward spending.” If the recipient needs to enter a facility or request other services for which Medicaid can pay, the personalized care agreement may demonstrate that the care was a legitimate expense and not an attempt to conceal assets by giving money to their family members. The recipient pays the “value” in personal care services. In addition to the hourly wage, other aspects of the remuneration must also be included in the contract. What is the caregiver`s compensation plan? Are they paid weekly on a day of the week? Do you receive payment by bank transfer, cheque or other method? Remember here too to stay in agreement with Medicaid if you set the terms of payment for a caregiver.
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