My mom and I live in AL and she was recently diagnosed with late stage dementia that is progressing rapidly. How do I file for assistance?

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I’ve heard Medicare will pay 35 hours a week for home care. I still work and she cannot function alone mentally or physically. Does anyone know how to file for assistance?

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I hate autocorrect...it thinks it is smarter than me...mom does not have a numerologist she does have a neurologist 😂😂😂
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I doubt that either Medicare or Medicaid will ever pay for an outside 1-on-1 caregiver for 35 hrs a week. Unless she lives in an extremely high cost-of-living area like NYC.

I’d suggest that you read up on what Medicare and Medicaid are & more importantly are not. This site has several really good articles on this.

You mention that you are both in AL. So your working at an outside job but live with your mom in an Assisted Living apartment, is that correct?
If so, just what is the AL providing for her care?
Adding an outside caregiver into an existing AL situation doesn’t make sense to me. What kind of AL is this that allows an able working family member to live with a parent who gets AL care & services? 
How is the AL being paid?

You know to get any type of care, your mom will have some sort of in person needs assessment done by a medical team. It’s not just you file an application online and she gets a caregiver. The assessment is usually done by Geriatric specialist RN and SW duo. If your mom needs 24/7 nursing oversight, then they are going to report she needs to be in a NH for skilled nursing care. If it’s determined she needs 18hrs a week care, then that’s what will be provided by whatever program she is eligible for financially.
BUT if she is already living in AL, why isn’t her care needs being provided by the AL? Or provided for between the AL and yourself? 
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Iggie; I think that they are in Alabama. Not assisted living.
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I would contact your county's Area Agency on Aging (it might have a slightly different name). That should help get you started to see what is available for your mom. Good luck!
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Lassie,
Having a bad day? No need to be snippy. "Beknighted?" Personally, I'd choose to live in Alabama over at least 13 other states I can easily name.
Get a clue yourself, dear.
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My mom's numerologist suggested and ordered some home health saying her Medicare supplement will pay for up to 20 home health. I thought, "wow, that would be nice, I can get a little break" but when I checked on what it actually covered, it was only specific things and no daily living tasks. They would send someone to bathe her...it would not be a break...I would have to be there. Not sure if that is what you are referring to, just my experience.
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DK, do contact your Area Agency on Aging. They will have the information you need. Contrary to what others on here say, I think Medicare does pay for some in-home care; it may not pay for your mom, however.
Medicare in Indiana paid for hospice care for my father-in-law for many months; but it was only for 2 or 3 visits a week to bathe him and for a nurse about once a week to see if he needed anything medically.

MedicAID is different. It's for people who are broke financially. You could call your County Welfare Dept., or Department of Family Services to see if your mom qualifies.
It will be a difficult time for you both, so don't hesitate to ask for help.
Sorry that there was a misunderstanding about what AL meant--it is commonly used here to mean assisted living, which may be what your mom needs.
Also, some places have adult day-care where you might be able to take her while you're at work. Perhaps check with your Area Agency on Aging or call local nursing homes or assisted living places to see if they offer it.
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Services covered by Medicare or do you mean Medicaid have to be prescribed by her doctor who will give you names of providers.
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Barb - rotflmao! Thanks.
Could be AL in AL..... not likely, but that would be a new one!

So DK, your in state of AL, right? I really do not see any fed or state program paying for 35 hours of in home 1-on-1 care as it’s just not cost effective unless it’s an exceptional very high cost of living situation like NYC is. Medicaid in southern states reimburse NH 5k-6k per month for 24/7 NH care, roughly $7.50 - $9 hr paid for a resident to live 24/7 in a fully staffed skilled nursing facility. Based on what folks have posted on this site, for states with some sort of IHHS (In Home Health Support/Services), average is 18/20 to 22/24 hrs at most. If they need more than that, they or their family need to hire caregivers on their own.

Mom may be able to get Medicare’s at home hospice benefit. I’d suggest you speak with her MD as to writing orders for a hospice consult. Hospice, if she’s qualified medically, can be set up in home within a couple of days. Usually it’s 2-4 times a week for 3-4 hrs blocks. Hospice can order in all sorts of equipment as well, like pneumatic mattress and specialty bed.
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Wish I could get a numerologist to come out and help me pay the rent!
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