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This was perfect for my brother who is disabled and just needed a small income to qualify for some insurance. He is an excellent cleaner, by the way. My sister had just retired from a high-paying job and I doubt the small caregiving payment made a lot of difference to her. But she said getting that check in the mail made her feel appreciated and her efforts acknowledged.
If Gramma is eligible for Medicaid that is the most likely source of payment. It won't be the equivalent of you holding a fulltime job, but it is something!
I see that GM is living in your house. Is she paying room and board? She should be if she can possibly afford it. My sister charged Mother the same amount she was paying for her small apartment in subsidized senior living. This was an awesome bargain for Mother because it included wonderful meals. It was under the fair market value of what she was getting. If Mother had not been able to pay that my sister would not have charged her.
EBeach, I bet your sister was being paid through "Medicaid" and not "Medicare".. Depending on what State programs are available, some States do offer minimum wage for a limited number of hours.