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my mom is 82, can my son be paid as aid in her care

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susansims, I see from your profile that your Mom has Alzheimer's/Dementia, what stage does she have? What will your son need to do? Does your Mom need bathing care or toileting/Depends? That no, you'll be surprised how quickly that will come into play.

I am never a fan of a grandchild taking care of a grandparent, as it will take away the child's social life, take away any career future, and take away any relationships. While his friends are enjoying life, having new adventures, looking for a mate, your son will be missing out on that and could become resentful.

Your Mom is only 82 years old and could live another 10 years. Here are some things to think about if your son doesn't go to a career.... on average if a working person doesn't go to work he/she will lose over the years between $285,000 and $325,000 which includes not only loss of salary over those years... it also includes the net worth loss of the health insurance coverage.... loss of money being put into Social Security/Medicare..... loss of other benefits such as matching 401(k).... profit sharing.... workman's comp insurance.... company sponsored life insurance.... vacation pay, sick pay.... tuition assistance, etc. [source: in part Reuters 5/30/12].
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Your 82 yr old mom gets some sort of income, like a SS check or retirement. Or mom has savings. She can use any of those funds to pay grandson for caregiving as freqyflyer described.

If mom goes to try to get a community based program paid by Medicaid, mom will need to show that she is "at need" for services. She will need some level of certifiable medical assistance " needed" and also show financial "need". She will have to be evaluated by a state paid health professional to determine medical need. If she is still very much competent & cognitive & can do her ADLs, she's not going to qualify.

Keep in mind, that community based payments are done via a Medicaid waiver. Right now the trend with waiver programs are PACE or other site based community programs. Where the elder who is "at need" instead of staying at home & getting caregiver to provide inhome care, instead is enrolled in a on-site program. These are lots more cost effective to provide.
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thank you for answers, my son is full time college student considering part time job, thought this may be win/win solution
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Majority of grown children and grandchildren do not get paid for taking care of a love one unless that elder can pay from their own retirement fund. If your Mom can do that, then your son would need to put together an employment contract, and pay payroll taxes.

I hope your son isn't giving up a full time job to take care of his grandmother, as he would need all the retirement funds he can gather for his own care once he reaches retirement age.
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This varies from state to state. There are Medicaid waiver programs that allow community based care either in home or in a facility.
Some states will only work with contracted agencies. The work around is to get the agency to hire a family member. Because there is such a shortage of people willing to do the work, agencies will hire someone in the family, providing they are NOT living in the same household and they can pass the fingerprint / background checks and attend the training.
The down side is that they don't get many paid hours, only what Medicaid will allow.
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