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Old 03-06-2009, 06:46 AM   #1
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Caregiving: Fair Market Value!

Does anyone know what the Fair Market Value per hour is for taking care of a family member in your own home!

 
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Old 03-06-2009, 08:39 AM   #2
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Re: Caregiving: Fair Market Value!

Anyone?

I had a rep from respercare (sp?) (a friend of a friend), who had also been a director of a nursing home in the past, tell us that it was $8.50 per hour and that it could be for up to 16 hours a day.

We just signed a caregivers agreement the other day and the lawyer told us and put in writing that it is $17 an hour. Of course that seems ludicrous to us, but it is in writing.

I guess I should have started from the beginning.


We've been taking care of my mother (who has alzheimer's) in our home for over 2 years for approx $3.00 an hour. This is being paid to us from her account from my brother who is power of attorney.

Mom had very little money (and only had this money after selling her small home). Family wanted her to be immediately placed in a nursing home after daddy passed, but we said no way, and she came to live with us.

We get NO assistance from family and after talking to our friend was told that services (adult day care specifically) through medicaid (paying for 3 /8 hour adult day care visits) was available for her but only if she had under $2000.00. She also told us that we could pay down her money since we should have received more in the way of compensation for taking care of her.

With this in mind we started asking questions and it ended with us going to a lawyer. The lawyer says it is illegal to back pay and that we should have had a caregivers agreement all along. That medicaid can deny her services even when she gets to the $2000 income level because we didn't have the agreement to begin with. That seems odd to us because we had a verbal with my brother, took good care of mom, and got very little ... but you can't buck the system I guess.

Anyway we decided to go ahead and do the caregivers agreement as of yesterday. But now what she told us seems odd to us.

I mean, she is saying that medicaid will not allow my brother to back pay us to pay down her money to get services, but will allow us now to charge $17 per hour for her care, (but not to use 24 hours she said).

One last thing.

The thing that has us concerned now, is that the lawyer says that because we did not have a caregivers agreement from the beginning, that medicaid (when she is able to apply for it) has the right to look back over the last 5 years and could deny her benefits (a penalty which would delay her from getting benefits for 7 months) because we didn't have that agreement.

Again, I find that odd since we only were receiving about $3 per hour and the lawyer is now telling us we can charge up to $17.

Thanks in advance,
D :-)

 
Old 03-06-2009, 09:30 AM   #3
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Re: Caregiving: Fair Market Value!

My mom who has alz, has been living with my brothers alternating months and in the beginning (maybe for about one year), I just made a check to them for $1000 a month (which is a joke, considering the fair market value for 24 hour care can go near $8,000 a month). Then I found out about the caregiver agreement and had that drawn up last year with agreement of $1500 a month for her care (which is still a joke and the lawyer broke down the fair market value in the agreement and we are saving the system thousands a month). Now like you, I am wondering about the money I gave them before the agreement. That would be so unfair of medicaid to penalize the family for mom's care. Maybe we can write up an informal monthly agreement for those months and just stick them in our check books as a bill for mom? Don't know - but when the time comes for medicaid, I am a nervous wreck about what and how it is done - and scared mom will not be able to get on if there is a snag somewhere through no fault of mine (I am POA and do all her bills). I am keep every single bank statement with all the papers attached each month. The stack if so high - and I am making copies monthly for medicaid.

The lawyer also wanted me to make a breakdown of the $1500 on how it is being spent for mom and I made a chart for each month with rent, food, bathing, etc. to equal $1500.

It makes me despise the entire system - they just don't care how families suffer and want to help their parents and keep them out of nursing homes as long as possible (doing them a favor).

Sorry for the long post.

Good luck, and I agree, we should have done the agreement in the beginning.

maryann

 
Old 03-06-2009, 09:45 AM   #4
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Re: Caregiving: Fair Market Value!

Thanks Mary,

So are you saying that your lawyer said that you could only pay your brothers $1,500 a month, or was that just the amount that you and they agreed on?

Again, our lawyer said that you can charge $17 and hour but not to use 24 hours. Considering that mom sleeps 8 hours a night (hopefully) then we could in essence charge 14 or 16 hours a day. Just using the 14 hour day scenario that is $7,140.00.

Another crazy comment was that we could "pay down" the money as long as it was for things for mom. For example she said mom could buy a wide screen TV or a Car. I said that is crazy ... mom has Alzheimer's and couldn't ask for those things. She said it didn't matter. Go Figure! The system is messed up big time!

D

 
Old 03-06-2009, 09:48 AM   #5
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marypar HB User
Re: Caregiving: Fair Market Value!

Quote:
Originally Posted by Survivor101 View Post
Thanks Mary,

So are you saying that your lawyer said that you could only pay your brothers $1,500 a month, or was that just the amount that you and they agreed on?

Again, our lawyer said that you can charge $17 and hour but not to use 24 hours. Considering that mom sleeps 8 hours a night (hopefully) then we could in essence charge 14 or 16 hours a day. Just using the 14 hour day scenario that is $7,140.00.

Another crazy comment was that we could "pay down" the money as long as it was for things for mom. For example she said mom could buy a wide screen TV or a Car. I said that is crazy ... mom has Alzheimer's and couldn't ask for those things. She said it didn't matter. Go Figure! The system is messed up big time!

D

 
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