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In PA the care agencies have programs where they train a person to care for a friend or LO. That person becomes an employee of the agency and is paid by them. Some give health benefits.

Another option is Medicaid homecare. You need to call your local office and see what you can apply for. If you can get enough help, maybe GF could find a job.
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You set up a contract and you pay your partner. Your payments need to be accounted for until you apply for Medicaid. You can apply for services through social services or Medicaid at home, but it is limited for a few hours a week.
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You have to provide more information regarding your situation in order for people to try to help you with solutions. There aren't crystal balls we can look into to understand all your issues.
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