Follow
Share

He has dementia, glaucoma, and Parkinson's.

Who are you expecting to pay you?
Helpful Answer (1)
Reply to AlvaDeer
Report

suzyque1232002: With dementia at play, this may not be a good idea.
Helpful Answer (0)
Reply to Llamalover47
Report

This sounds like a bad idea.
Who are you to this elderly man? And what experience do you have with managing dementia, glaucoma, or Parkinson's?
Call APS, and let a professional take care of him. Find another place to live.
Helpful Answer (1)
Reply to CaringWifeAZ
Report

If he's on Medicare yes you can qualify for paid caregiver.
It's a program to assist dementia patients at home without the cost of LTC.
Helpful Answer (0)
Reply to BluSky1
Report
97yroldmom Jul 5, 2025
BluSky

Is this a community Medicaid, not Medicare, program for your state?
Medicare is health insurance.

I just saw Ravensdottir reference to Guide. Is that what you are referring to? That is under Medicare.

.
(2)
Report
See 1 more reply
This is not a good idea. He has dementia because of his Parkinsons and both will worsen over time. Longterm care is in his future if not already there. If you are not a family member, you have no rights. He can't assign POA because of the dementia.

Are you capable of living on your own? If so, if there are no family members willing to help this man, you need to call APS and allow the state to take over his care.
Helpful Answer (2)
Reply to JoAnn29
Report

Possibly. There is a new program through Medicare, Guiding an Improved Dementia Experience (GUIDE) Model, that's a comprehensive approach to caring for dementia patients and their caregivers. Click on the spreadsheet to find the participating organizations in your state to get all of your questions answered.
www.cms.gov/priorities/innovation/innovation-models/guide
Helpful Answer (2)
Reply to ravensdottir
Report
97yroldmom Jul 5, 2025
i have never heard of this program. Thanks for listing it.

However, it doesn’t pay a salary to home caregivers. It’s more of an opportunity for home caregivers to get respite and help with a care plan for dementia patients living at home.

The following from the internet.

The Medicare GUIDE (Guiding an Improved Dementia Experience) Model is a program that aims to improve care for people with dementia and support their caregivers. It does not directly pay a salary to home caregivers. 
Instead, the GUIDE Model provides payments to participating provider organizations through a few different avenues: 
Dementia Care Management Payment (DCMP): Participants receive a monthly payment per beneficiary to cover care management, care coordination, and caregiver education and support services. The DCMP amount can vary based on the beneficiary's needs and other factors.
Respite Services Payments: GUIDE provides up to $2,500 per year for respite services to eligible beneficiaries, allowing caregivers to take breaks.
Infrastructure Payments: New programs may be eligible for a one-time infrastructure payment to help cover start-up costs. 
Important note: While the program provides resources and support that can benefit caregivers, it does not directly pay them a salary. 
(3)
Report
If you do this, get a contract made up. And pay taxes on your wages.

This will protect both of you.
Helpful Answer (3)
Reply to notgoodenough
Report

Your client pays you. If you are looking for Medicaid reimbursement the pay is extremely low (think minimum wage per the state) This is not full time work so do not expect a living wage. He will get much worse. So I ask if you are willing to see a future of 24/7 care. You will find yourself over your head and I bet you are not documented as his POA
It is best for him to go on Medicaid to a SNF
Helpful Answer (6)
Reply to MACinCT
Report

Ask a Question
Subscribe to
Our Newsletter