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My father is a 104 World War II vet. SInce he came to live with us in September, 2014, he has had congestive heart failure and a stroke. He needs a lots more help now with activities of daily living. He can walk using a walker as long as someone walks with him, and can feed himself, but needs help with most other things. He doesn't have dementia or Alzheimer's, thank goodness. The VA has only given my father 10 hours of caregiving per week, which isn't nearly enough. I am having his doctor fill out a new VA form 21-2680. Since this is a new application, is there a case number that I need to put on, which it asks for? My father does get 30 hours a week from Medicaid also, but my husband and I work fulltime on our business at our house and could use more hours in the afternoon for a caregiver to look after my father. My father refuses to go to adult daycare. Private pay for caregivers starts at $15.00 in our area of Virginia, and my father has no savings left. There are no other relatives to help care for him.

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A brutal honesty here? If your dad is getting 40 hours of care per week and it's not enough for you both to maintain your business, then it's time for dad to be cared for in a facility or care home.
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I'll check my VA and military newsletter archives and get back to you with links or whatever information I can find.
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Never let the MD fill out the 21-2680. There are care questions that he would have to guess at and get wrong. YOU fill it out and ask him to sign it. You keep the original and he gets a copy.
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Yes. I might recommend finding someone in your area that specializes in veterans benefits and have them do the form.
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Gladimhere, yes, you can get both Medicaid and Veterans' benefits. My dad has been doing so since he arrived here. Thanks for all of your tips and help, everyone. My dad has someone from 10 am to 1 pm to help get him ready and feed him breakfast in the morning and someone from 6 to 9 pm to feed him dinner and help put him to bed. We were hoping the VA would find that my dad needs more pension amount (currently they pay $798/month) to help pay for a caregiver in the afternoon, because my husband and I can take care of things easily when my father is sleeping, as we have a child monitor and my father can just call us if he needs anything or has any problem. He usually just sleeps at night. He does not need to be in a nursing home. Thanks again, everyone!
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Luvdawgs you are already at the cutoff limit. You get 6 hrs a day and the agency probably bills $30per hour or $180 a day. Since Virginia pays that much to a nursing home, if you ask for more, the case manager will recommend placement to save expense. Follow the link to Virginia reimbursement rates for 2016
http://www.dmas.virginia.gov/Content_atchs/pr/Copy%20of%20Price-Based%20Reimb%20Rates-07%2001%202015-06%2030%202016%20WEB%20Final%20updated.pdf
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My father received 10 hours per week of caregiver support from the VA and we were told that was the maximum that was available through them. Additional care had to be provided through another source and, for him, at his cost. I actually got tremendous support for this issue (others, not so much) by calling the VA hospital and speaking with someone directly. Once I was able to build a connection (albeit through the phone) with someone, I always asked for the same person. I agree with the others who said 40 hours a week is a lot and if you need more, a residential facility may be more appropriate -- as hard as that would be. Good luck!
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ThereIsNoTry, do not worry...there is NO way we are going to let my father go to a nursing home. He has all his faculties and he loves living in our home. We wouldn't have it any other way. When my father was at rehab, I saw how some of the patients were treated in the nursing homes. My father says he wouldn't still be alive now if he had to live in a nursing home. He is here in my house for the remainder of his life.
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ladylee1115, my father is already getting AIDE and ATTENDANCE from the VA, but only 10 hours a week. He was in better physical condition when he first started living with us in September, 2014. He has since had 2 TIA's, congestive heart failure, and a stroke, so he had a new reassessment done by his doctor and I am going to reapply for AIDE and ATTENDANCE to try to get MORE money so that we can pay for additional caregiver hours in our home so we have time for respite, to work on our business, and time for ourselves. Thanks We already have BOTH Aide and Attendance AND Medicaid caregiving hours, but need more. I am glad to know that my father will get priority, since he is a WWII vet. Thanks for your reply. :)
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Great question! If I could add some further clarification.

If the plan of care by the physician and the care team calculates a stated need for more care hours and if your State authorizes that amount, the short answer is yes, you can have more than 30 hours per week for just one client. Our State mandates a review every 62 days but you can request a review if health changes warrant the screening.

Side note: When there are multiple clients, the incidentals of care cannot be duplicated. The ADLs determine the number of units; the IADLs - instrumental activities of daily living (cooking, driving, managing medicine). The ADLS are essential - caring for and moving the body such as walking, dressing, eating, and hygiene (toileting, bathing).
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