Reply to Does Maryland pay family caretakers of indigent senior citizens?

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[quote=Anonymous]No idea, but I found this:

https://www.medicaidplanningassistance.org/maryland-cpas-program/#:~:text=Self%2Ddirected%20services%20allows%20the,on%20the%20program%20participant's%20behalf).

If true, it seems yes, you can be paid to care for indigent family members but you need to be hired through an agency, not directly paid.

[quote]Maryland’s Community Personal Assistance Services (CPAS) Program provides personal care services for elderly and disabled persons who require assistance with day-to-day activities. Intended to enable persons to continue to live at home, program participants receive assistance with activities of daily living (ADLs) and instrumental activities of daily living. These activities include bathing, personal hygiene, dressing, mobility, meal preparation, eating, and light housecleaning.

Personal assistance services offered under this program may be provided by licensed agency workers or program participants have the option to self-direct their own care. Self-directed services allows the hiring of a relative or friend to provide care. This includes an adult child or spouse, given that person is at least 18 years old and not the program participant’s guardian or acting as the program representative (making program decisions on the program participant’s behalf). Furthermore, the “caregiver” must become employed by a Medicaid Personal Assistance Agency. A fiscal intermediary handles the financial aspects of employment responsibilities, such as tax withholding and caregiver payments, for the program participant.

Program participants must reside in their own home or the home of a friend or relative. While services cannot be provided to persons living in assisted living residences, it is thought that persons can reside in adult foster care homes.

CPAS services are an entitlement, which means meeting the state’s Medicaid eligibility requirements guarantees one will receive benefits. Put differently, there is never a waiting list for benefits.

The Community Personal Assistance Services (CPAS) Program is a Medicaid state plan program. Self-directed personal assistance services, available via CPAS, is a 1915(j) state plan option. CPAS was previously called the Medical Assistance Personal Care (MAPC) Program. Medicaid Maryland is called Medical Assistance, and Medicaid for the elderly is called Medical Assistance for the Aged, Blind, and Disabled.[/quote][/quote]

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