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She is qualifying now for care. The nephew is signed up for the caregiver classes. They are planning to be living together for ease of access to care.

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Medicare provides in home services for 60 days following a hospital stay.
These services are usually through the VNA. Did VNA say they would hire him?
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No, it's not Medicaid. It's Medicare through which she is going to be provided care.
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If you mean she is going to qualify for Medicaid, you need to know your state's rules for Medicaid services. If nephew is getting certified as a CNA or PCA then he might be hired by the agency contracted to provide services.
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