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Start with the family member. They should pay you for services rendered. You need a contract with this person in which your duties are listed, and both of you should abide by it.
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jameselder8, I see you are new to the forum, welcome. When you can, please fill out your Profile, that would help us a lot when it comes to answering your question. Such as, are you caring for a spouse, a parent, or grandparents, etc? Are you a grandchild, college age, an adult child, or a senior yourself? Depending on where you are in the family tree will help.
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Is the person on Medicaid or in this case MassHealth? If yes then you should reach out to the state for information. Realize you are caregiving around the clock? If there is compensation for most state Medicaid it will be low payment for a few hours a week. Two people cannot live on just 1 social security.
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If ur caring forva spouse there maybe no compensation, Call Social Servicesvinvur County and talk to a Medicaid caseworker.
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James, your expectation that you can be compensated may not be realistic. Substantial government support for care is limited to Nursing Home level, actually in a NH because that is much more economic than one-on-one at home. A few hours a week of in-home care may be compensated, but it isn’t a living wage. Certainly not 7 full days a week, or around the clock - which is 3 shifts every week day plus 6 shifts over the weekend. Substantial long hours compensation (Medicaid) only kicks in when the ‘patient’ has spent virtually all their own money.

The first thing you are going to need is an assessment of what care your family member needs. Perhaps ask the doctor how to get an assessment and where to find more information about local payment programs.
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