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Elderly friend has both Medicare and Medicaid. She has 8 hours of home health care. She really needs someone to care for her during the night as well. She lives in a house in a small town.

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Once you need round the clock care, it is time for a nursing home or assisted living. Some states now include Assisted Living in a Medicaid program under "community based services". Check your state.
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No, Medicaid won't pay for more hours. If they did, everyone would have around-the-clock care in their home.
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You are right, Maggie, and for the right reason. It would be far too expensive.
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My instincts tell me no, they won't. It would be more expensive for her to have round-the-clock care at home with an individual care giver than it would be to place her in a nursing home. Maybe others have more workin' for them than "instincts" though.
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