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Simplest would be the family member or their POA does a detailed personal care agreement to pay you whatever the standard rates are for a caregiver in your area. Paid from their own assets and income. All done legit, drawn up by an attorney if need be; they pay FICA, do tax filings etc. If in your area avg hourly for caregiving is $22 hr, thats what you can be paid. Fair Market Rate. It a legit spend down of their assets to do this.

If you want the State to be paying for you to caregive, then the elder seeking InHomeHealthcare would have to be determined to be eligible for a Home & Community Based Services / HCBS waiver program done by Texas Medicaid. It’s an “at need” program for eligibility and TX looks at both the elders medical and financial situation to determine eligibility. HCBS does NOT have the strict max of $2,000 in nonexempt assets and income max of $2901 a month that Long Term Care / LTC Medicaid does but it does have an income max. The max varies as it’s dependent on which waiver is being sought and what the household is like.

Every County in Texas is in a Council of Governments region. Each of those Councils have their own Area on Aging which has staff that a pretty knowledgeable as to which waivers are available in your region. That is where I’d suggest that your elder or their POA goes to start getting info on all this if they or you are expecting the State to pay,

One thing you have to be aware of is….. for any State Medicaid HCBS or LTC program the elder will have an assessment done by an outside agency to determine the type of and level of care needed. That assessment will determine the # of hours per week and the type of care that the person is “at need” for. For in home it tends to be 18-22/24 hrs per week average. But it could be less, like 12 hrs a week. Last I looked TX paid $10.60 hr but slightly higher by dollar or two in the big 6. It is not viewed as a substitute for income from a full time job but more as supplemental income resource to a family member who lives in the house rent free and does not have a full time job. It can be viewed as taxable income but seems to be you can file an IRS exemption form when you do your federal taxes.

You do have to be mindful on that assessment. If the elder needs more skilled care type of services- like they are doing inhome dialysis, have a tube feeding, they are bedfast etc - their health history is reviewed more in depth to see if inhome is appropriate or if instead they should be in a skilled nursing facility or enrolled in PACE.
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Reply to igloo572
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i live with my grandma full time and I haven’t worked in over a year because of her health. My father is on disability and can not dot it on his own.
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Reply to BrandyClemes
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i do
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Reply to BrandyClemes
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This is a question thatvis asked often. The only program that may do this is Medicaid and your LO must fit their criteria income wise. You may not be able to get 40hrs a week and it will be minimum wage. You can call your Office of Aging to see what resources your State provides.
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Reply to JoAnn29
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