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[quote=Anonymous][quote=Anonymous][quote=Anonymous]pp the potential for home care through the state would be through a Medicaid waiver, just to help you get started. Each state has different types of medicaid waivers so it's complex (and therefore some states have more services than others). I don't know Texas but given the politics of the state, usually those states will unfortunately have the least services available (and the most poverty!)  and you are right finding services in the small town is another barrier. Thinking creatively - when the time comes, maybe you all pay out of pocket to someone in the town to do some of the general upkeep. If you could find someone trustworthy who needs extra income since it sounds like many there struggle.

But like we said first steps are Medicaid, food stamps, and disability so she has some income coming in. [/quote]

She does already have Medicaid, food stamps, and disability. She used to have TANF (But I think they cut off after a few years). MIL has access to the food stamps so she is able to use those for groceries. She gets disability, but obviously only SSI so that income is minimal. Thank you for the advice on waivers. I will look into it. [/quote]

I think her doctor would have to order the aids through Medicaid.

Mom lives in one of the poorest counties in Maryland and we have direct pay and also some agency caregivers for Mom.  One of Mom's direct pay caregivers told me her mother (in her 40's) gets free caregivers through Medicaid due to morbid obesity and a stroke.

My other experience with this is that we get some caregivers through Bright Star and Comfort Keepers.  Some of the caregivers that we've had over the years also did work the same week for Medicaid clients through an agency that specialized in the Medicaid clients and supplement their income with side work through Comfort Keepers and/or Bright Star.  I guess what I'm trying to say is even though the Medicaid workers are paid through Medicaid the same caregivers generally are doing outside work for other pay direct agencies if that makes sense. i.e. You are not getting lesser care through the Medicaid workers.
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