I'm my mom's primary caregiver. She is on Medicaid Waiver, but since I'm living in her house she can only be approved for 31 hours per week. I have to share those hours with an agency that comes in for a few hours per week.
My mom is bad enough I have to stay in her house 24/7/365 or at least able to be able to hear her and come running when she needs help. What that means is that I have to be around all the time, but I can only bill Medicaid for 20 or 24 hours per week, whatever the agency doesn't work. I get called on it if I overbill, so I have to be careful not to bill for hours the agency worked.
As of the 1st of the year, they switched to an EVV billing system (Electronic Visit Verification) I'm considered an independent caregiver so I have to schedule my visits on my pc then check in and out using a smartphone or tablet with GPS. The GPS verifies that I was at my mom's house at the time I claim to have provided the services, so if I'm at a different location, they will know and I have to explain why. I have to use Tellus 4tellus.net. It works okay because I submit my claim on Saturday night AFTER I've completed my hours for the week and my pay is in my checking account by Friday.
I don't know if I'm right or not, but I've been scheduling myself for several hours every day especially when the agency isn't here. Keeping in mind that I'm always here but I can only bill for maybe 24 hours per week, is it better to stretch my time over the entire week and only schedule myself for 3 or 4 hours per day or would it matter if I did 8 hours 3 days a week? My Cousin said I should just put my hours in Sunday, Monday and Wednesday if I'm only allowed 24 hours so I'm done for the week. His thinking, if my mom would have to go to the hospital on Thursday, I don't get paid for the days she isn't here so I would already have my hours completed for the week as opposed to only being paid for 16 hours because that's all that was completed.
I'll still be here doing the same thing I've been doing before for the remaining days even if I run out of billable time, I don't leave. My only reason for billing a few hours per day is to show that I was here every day, if I schedule myself to be off Friday, I'm still here, taking her to appointments, doing her laundry, doing her cooking, just no proof that I was here. If I schedule myself from 11am to 4pm I still have to get her breakfast at 8am, supper at 5pm, take her to the bathroom, come running at 2am etc.
When I asked the Medicaid office, they have no clue.