Does anyone give aides extra money who come 24/7 and Medicaid pays them also? And if so how much a month?

They should not except money from you. They are being paid by Medicaid and probably cannot except money from clients.

You might want to read this thread

https://www.agingcare.com/questions/i-had-a-cna-come-to-help-me-give-my-mom-a-bed-bath-is-it-customary-to-tip-449655.htm

Bumping you up.