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You'd have to check with your state about that, as certifications differ. Medicare and most health insurance policies rarely pay for care services other than medical, but many long-term care policies do. If she has a LTC poliicy, you could check with their requirements.You may need to become a certified nursing assistant (CNA), but not necessarily. You may want to call a local in-home care agency and ask how they certify their caregivers. Then you'd have a better idea.
Good luck! I hope you can figure out a way to get paid. It isn't always easy, unfortunately.
Carol
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