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Can I Get Paid as the Caregiver of a Loved One?

Posted on: May 29th, 2017 by AtHomeYourWay
caregiver assisting medicaid patient
caregiver helping elderly woman with Alzheimer's
disabled child in wheelchair with caregiver

Can I Get Paid as the Caregiver of a Loved One?

If you are missing work, worried about medical bills piling up, and concerned about how you’ll make ends meet because you are the caregiver responsible for taking care of a loved one, you may be wondering if it’s possible to get paid for what you are already doing.

We get this question often.

If you’ve been caring for a family member, providing unpaid care without any support, you are probably well aware of the struggle more than 70 million people face each day concerning the time, energy and financial problems surrounding unpaid care. At Home Your Way is passionate about helping and developing systems that will improve your family’s quality of life. So, we are here to tell you…

Yes, depending on your circumstances, it is possible to become a paid caregiver for a member of your family.

You can not get paid to care for a person receiving consumer directed personal care if you are parents of minors, the spouse of individual, or the employer of record.

At Home Your Way can help you determine whether ESPDT or the VA Medicaid Waiver Program is the best route for your situation.

Whether it’s a Virginia Medicaid Waiver or the EPSDT program, we walk applicants through the application processes, advocate when needed, and offer guidance through appeals.

Additionally, we offer outside resources via our online newsletter, searchable resource list, and our employee’s community connections.

Once VA Medicaid has been established and your loved one has been enrolled into a Waiver or qualified for EPSDT, the process for getting you paid as a caregiver is very simple and At Home Your Way can help! We can be your Service Facilitation provider! We are available from 9 to 5 to answer your questions.

Call one of our Family Resources Specialists at (844) 828-5591 to help guide you through the process.

 


 

General Requirements

VIRGINIA MEDICAID

For adults and children (only those pursuing EPSDT personal care), Virginia Medicaid income requirements vary based on the individual’s circumstances such as family members residing in the home, income, assets, etc.

If the individual is a child and pursuing a Virginia Medicaid Waiver such as EDCD, FIS or CL (EPSDT is not included), their income, assets, etc. are assumed to be zero and will automatically meet Virginia Medicaid requirements.

WAIVER PROGRAMS

Waivers are Medicaid programs for the Elderly and people with disabilities who have a need for health-related services to improve or maintain their quality of life.

We are often asked if we can help people with the Medicaid application process. Our Family Resource Specialists will walk you through the entire process. We typically direct you to Social Services, but are happy to answer questions about the application itself. To set up waiver services for a loved one, there are a few steps you must take.

A simple overview of the Waiver requirements:

  1. Have Medicaid.
    Apply online (https://commonhelp.virginia.gov/access/) or at your local DSS (Bring a completed Financial Application for Adult Medicaid and Appendix D to your local Department of Social Services (DSS) and request a screening for Long Term Care.)
  2. Meet Waiver Screening Criteria.
    1. Functional – Does the person need help with activities and Instrumental Activities of Daily Living such as supervision or prompting with bathing, dressing, toileting; help using the phone, cooking, cleaning, shopping, etc.
    2. Medical – Multiple complex interrelated conditions, unable to self-assess or monitor, respiratory therapy, etc.
    3. Risk for nursing home placement
      1. Evidence that deterioration in individual’s condition or change in support prevents needs from being met.
        • Behaviors increasing
        • Medical condition worsening
        • Change in family situation (new child, deployment, new demands from other family members)
      2. No change in condition or support, but evidence that functional, medical or nursing needs are not being met.
        • Not able to potty train
        • Unable to manage all therapies

EPSDT

To qualify for EPSDT the individual receiving care must already have Medicaid, meet the Virginia Medicaid income requirements and be under the age of 21. We will help applicants with the EPSDT application by getting them the DMAS-7 (EPSDT screening form) to be filled out during a meeting with their doctor (this is quick and easy), and then set up the intake assessment to get them started.

   For personal care services individuals must also meet the following:

  1. Have medical need for services
  2. Have functional delays in three or more ADL’s (Activities of Daily Living)
  3. Have a doctor willing to verify that assistance is needed as a result of a medical necessity and not age.