How does my husband submit to be paid to care for me?


I'm in my 50's and so is my husband who takes care of me I'm on disability. I'm type 1 diabetic. As I have several other health issue also. an he needs to be here with me most of the time.

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Chubbs - the reality of caregiving in the US is that overwhelmingly it is done by families and done for free. Or family pay from their own resources for their elders or families in home care service, IL or AL till they qualify for NH skilled care.

Medicaid is available for those who are "at need" both financially and medically as determined by your state's Medicaid program. Financially is low income to impoverishment status. Medically can mean skilled nursing care in a NH facility or other medical needs if your state is using medicaid funding for non-NH waiver programs. Right now the trend for waivers are PACE or PaCE-like community based daily program health centers rather than 1-on-1 caregivers at home. It's just lots more cost effective and cost efficient use of limited funds. If your state is doing PACE you will need to be evaluated for it first & foremost before any other program can be accessed.

If you are expecting that the State is going to pay your hubs his comparable salary (unless he is a part-time low income worker) to be your caregiver, it is just not gonna happen. Even in states that have well established in-home caregiver programs (like CAs IHHSS), it's about $10/12 hr and average 20/24 hrs a week all of which is fully reportable and taxable & FICA'd income.
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CWillie's right; it's hard enough to find jobs as people segue into their 50's; it'll be harder for him when he does return to work if he's taken time off for caregiving.

I think a better plan would be to have some frank discussions with your treating doctors and ask what you can do to deal with your disabilities and become stronger and more able to care for yourself. PT might help, for example.

And diabetes doesn't have to become a disability; it can be controlled and people can live a normal lifestyle.
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Chubbs, what are your other disabilities? Your husband would be much better off to work outside the home and continue to contribute to his own retirement savings and health insurance. Even if he could be paid it would be a pittance compared to what he could earn from regular employment. Taking off a year or two at age 50 would be problematic as it is so difficult to re enter the workforce after that age, I think you need to come up with a better plan.
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