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[quote=Anonymous][quote=Anonymous]My son's epilepsy has resulted in a Medicaid benefit, not based on our income, that allows us to pay a (not medically trained) personal aide $11/hr for 4 hrs/day. We pay our nanny $15/hr take home, on the books (that's her net pay, the gross is higher). To use the Medicaid benefit, we would have to fill out a timesheet for her and submit it to an agency that she would register with. I asked her to register and she didn't seem eager to do it. She wants all the Medicaid money. I'd like to reduce her salary so that we end up splitting the Medicaid money. Or we can just opt not to use the Medicaid benefit. WWYD?
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Net doesn't tell us anything, OP.  What is her gross?  How many kids are there and are there any other special needs other than epilepsy?  How many hours per week?  What is your general location?  What are her normal duties?  What education does she have (relevant to childcare)?  How much nanny experience does she have, how much is special needs experience and is any specifically experience with children with epililepsy?  Are you currently paying on or off the books?  In order to know what a fair wage would be, these are important questions.

With all of that said, most special needs nannies fill out the timesheet but earn far beyond that meager amount, certainly more than $15-17 gross per hour.  I would suggest letting her know that you need to renegotiate your contract.   Filling out the contract should be required as part of the weekly duties.  Gross pay is negotiated per hour, and you specifically state that you will pay the difference between the $11/hour and gross for all covered hours, then you will cover all additional hours at the full amount, and over time will be paid at 1.5 times the gross rate.  Medicaid is worded so that you have respite care each day, but you need more than that.  If she's not willing to comply, find someone else.

Special needs nannies learn quickly that it's not just about learning about a specific child's needs.  They frequently work closely with parents, pediatrician, specialists, school, etc.  Part of their duties is to maximize the parent's ability to have care for the child, so filling out Medicaid time sheets is well within the scope of the position, and given how expensive it is to have all the help necessary for the child, most parents make it non negotiable.  Either she understands this or she doesn't. [/quote]

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