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As his IHSS provider, even after a phone hearing with a judge, I'm only getting paid just over 44hrs/month.
He has dementia and cannot be left alone.
Any advice would be appreciated.

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A little more info would be helpful.
Is your husband a Veteran? If so the VA might have programs that would help you. There are Veterans Assistance Commissions and their services are free.

Do you have a Social Worker you are dealing with on a routine basis? If so contact them and be relentless until you get answers. If necessary contact their supervisor. (But I bet there are a lot of people in the same situation and in many cases Social Workers are working remotely and with an increased case load so patience please. )
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bumping your post up
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Agree with Grandma, contact elderly services and demand more help. Be persistent, the squeaky wheel gets the grease.
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