Do they have the caregiver pay in North Carolina through Medicaid?

First you would need a doctor's order for bathing, dressing, feeding, toileting and whatever other ADL's (activities of daily living) she needs help with. Then you arrange the care through her Medicaid Social Worker.
If she needs 24/7 care, it is more cost effective for Medicaid to pay for a nursing home. Talk it over with her caseworker.

Medicaid will pay for your mother's care in a nursing home which with her having Alzheimer's she need to go for her care will soon become far too much for you as one person to do 24/7 on your own. She may be at that point already. You need your own life, your own income and your own provisions for your own retirement. So find a nursing home that will accept medicaid and move her there with the doctor's orders.

Nursing homes are not an option. I will not put her in one of those.

Babygirl, curious why wouldn't you place your Mom in a professional round the clock caregiving setting such as a nursing home?

Nursing homes are not an option. I will not put her in one of those.

Please change your mind.

There are many stories here on this site about people who have refused to place their loved ones with Alzheimer's in a nursing home to the destruction of their own mental, physical and financial health.

One third of caregivers who try to do this end up dying before the person they are caring for does. What good will you be to your mother if you self-destruct or die while taking care of her? If that happens and the odds are very much against you in dealing with this disease, then your mother would end up in a nursing home anyway, paid for by medicaid.

Do you think that in her right mind that your mother would want you to destroy your own mental and physical health as well as your present and future financial well being? No, no loving mom would want their daughter or son to do this to themselves.

Did you make some promise to your mother years ago about not sending her to a nursing home? If you did, things have changed drastically in terms of what is realistic about that promise. Believe me, you are not in a position to keep that promise if that is what you did.

I wonder what level of care your mom needs. It may be that she is able to function in a Memory Care facility. This is assisted living, not a nursing home.

Are you asking if Medicaid would pay for her care in a facility or if they will pay you directly? If you want to keep her in your home, I would contact the program called NC PACE. They have a website about their programs that pays for people to stay in their homes. It sounds impressive, but they do not provide around the clock care in the home, which may be something you are going to need with a dementia patient.

The state of NC pays assisted living, including Memory Care, through what they call Special Assistance, much like Medicaid. I would speak to the medicaid case worker and her doctor about completing an FL-2 form. This form will outline how much assistance the patient needs and where she should be placed.