How much does Medicaid pay for home health care
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- čas přidán 12. 09. 2024
- To learn more about the Medicaid PDO (participant directed option), which has Medicaid paying your preferred caregivers directly, watch this video: • Jason Discusses the PD...
🔴 To read more about Medicaid's PDO program (which allows Medicaid to pay your friends or relatives an hourly rate for providing home care), click here: www.elderneeds...
To learn more about how to qualify for Medicaid (to either get a family member paid via POD, get help paying for a home health care agency, ALF or nursing home) visit our website: www.elderneedslaw.com to schedule a consultation today.
The title was "how much does Medicaid pay..." I didn't hear a $ amount. You just discussed structure and hours. 😥😥
This video gets into actual numbers: czcams.com/video/sZ455NlGSCA/video.html
You keep using the term home health care. That is not correct. Non-Medical Home Care is what you are referring to. Home Health Care is skilled nursing, PT, OT, and in home medical services and care.
True. We could also distinguish between home care and custodial care. Skilled va unskilled care and more. Remember that I creating these videos for people not in the “business” - so I am using terms that are more widely / generically used.
Thank you for the comment!
He literally did not answer the question
Hi Reko - one reason why is because the rates differ with different medicaid managed care organizations (they negotiate their own contracts). The point I was trying to make is that Medicaid will approve a set number of weekly hours. Medicaid will then pay the contracted agency directly.
If you are interested in a family member or friend getting paid, there is a Participant Directed Option (PDO) that you can read more about here: www.elderneedslaw.com/blog/participant-directed-option
(the rate is pretty low... approximately $11.00 - $13.00 per hour)
So how much do they pay?
Right?!
Do a search on what agencies charge. I think the average is $22 to $25 an hour.
To hire a person DIRECTLY (not an Agency) it probably depends upon your county. It's just caregiving. HOWEVER I didn't check about what Florida pays but would assume your County is not going to pay much more than min wage unless you reside in a very expensive area. In Calif, the Bay Area is paid a few dollars more than where we live. San Francisco pays very well but it's an arm and a leg to live there.
In Florida they pay $15-$40/hour depending on the program the person is enrolled in and they level of care needed.
@@alovingtouchhomecare2082 Thank you that is sweet of you to reply. Blessings
One has to follow protocols get referral from doctors to get agency paid
For Florida Medicaid Waiver services, essentially what happens is that the Medicaid provider will do an assessment to determine how many home care hours the Medicaid recipient is entitled to (note: sometimes they do not provide all hours that are necessary and an appeals process needs to be followed). The managed care organization will then pay their hourly rate based on their contract with the home care agency or to a family member/friend via the PDO program (PDO does not pay very well, usually something around $11.00/hour (sometimes less, sometimes more).
I heard through an agency that the CDS option pays more then the agency. Doing the CDS option you have to do more work as far as.. hiring, firing, payroll etc..
What is the CDS option?
@@AE-yt4lx I think Nautika may be referring to CDC (consumer directed care). I am not familiar with that program because it is associated with APD (who work with developmentally disabled children and only adults with very specific conditions). In my world (elderly and disabled) there is a program referred to as PDO (participant directed option). You can read more about that here:
www.elderneedslaw.com/blog/participant-directed-option
I am currently using the CDS option, yes you are able to pay more. Thur benefits and bonus as well. The big managing companies will discourage you and not CDS option. Do your homework and ask around.
I do self directed honestly it's less work for me I no longer have to argue with the agency
This very informative,thank you,Do you know how much Medicaid pays the agency ?
Our pleasure. The agency is paid an agreed-upon contractual rate. This is slightly different with each plan.
Wow, in California we just call the IHSS office and someone comes out to do an assessment. You'll get maybe 2-4 hrs per week is average. Enough to keep you alive. It's hardly ever more.
Its different in every state, for sure. Florida Medicaid usually pay for between 15-40 (sometimes more) hours of care per week.
@@OneLife21 No I worked for a Supportive Living Agency so would hear about how many hours many of our clients received. And my own clients received about 10 per week. Considering I knew most of the clients of the company, you'd hear about it. Even with HIPPA laws it was open discussion for whatever reason. Of course some people had much more hours, some less, but if you averaged it out. most people don't get many hours. I'd also talk to some of the IHSS Workers around the subsidized apartments we'd work in (Clients lived in their own apartments). My Father in law used ot be an IHSS worker too. One GREAT perk in Calif is as an IHSS Worker in Subsidized housing, you are not forced to pay 30% or whatever percentage of your rent. HUD doesn't charge IHSS workers who live with their clients.
Wow! I get 49 hours a week for one person.
Hey, quick question: if a home care agency accepts medicaid, does medicaid provide us with their clients with the return of our caregivers services or do we still need to go out there to find clients for medicaid program? your videos are really helpful to me! Thank you
You are very welcome! Usually when you accept Medicaid, you contract with one or more Managed Care Organizations (e.g. Humana, United, Sunshine, FCC, etc...). You're then on their "home-care-agency roster" and given to enrollees as an option.
If I become certified for HHA and apply for the POD would they pay more?
I am not sure. I know that Medicaid Waiver pays more for skilled care.
Thank you some really good information
Thank you! If you have any other questions about getting Florida Medicaid to help pay for home health care expenses through the Medicaid Waiver program, please let me know!
How can an individual become eligible for long term Medicaid if they have assets? Will said individual need to liquidate assets in order to qualify?
The answer is, as is often the case with the law, "it depends." Florida Medicaid treats different categories of assets differently. Sometimes assets need to be liquidated, other times not. The detailed answer is a bit much for this forum. Please schedule a consultation with an elder law attorney (our Firm covers all of Florida)
Is there straight Medicaid in Florida? Do you have to have a plan? I have heard that some plans are not so good.
Hello. There a number of different Medicaid programs in Florida. Yes, there is what is referred to as "community medicaid," "MEDS-AD" (Medicaid for Aged or Disabled), "QMB" (Qualified Medicare Beneficiary), and "Medically Needy."
They also have different eligibility criteria.
Hi I got a question, Can a consumer be under two different agency & have 2 CDPAP worker's at differrent times
Unfortunately, I do not know the answer to this question.
Hi, can I ask... If a person also has an LTC insurance, and medicaid does not give enough hours , could this person use her LTC to cover the additional hours she wants? Thanks
This can be tricky. Florida Medicaid wants to be the "payor of last resort" - meaning that they want you to use other resources available before they kick in. So, if they find out about the long-term care insurance which pays, for example, up to $150.00 per day for home health care, then Medicaid can take the position that they are only needed to the extent that this is insufficient to cover your needs.
You should ask the LTC carrier if they are a part of the "Medicaid partnership program" which allows you to increase your $2,000.00 asset limit to the extent that you use the policy before applying for benefits (links below for more information).
www.elderneedslaw.com/articles/long-term-care-insurance
ahca.myflorida.com/medicaid/florida-long-term-care-partnership-program-a-public-private-partnership-for-long-term-care-insurance-coverage
@@elderneedslaw Thank you!
Good info.
thank you!
I have a question can Medicaid pay for two different Home Healthcare agency
At the same time
@lashell Russell no you can only use one home health care agency at a time.
Yes you can but only if one agency is not able to fulfill all of the hours under the plan of care
Good answer
Hi I’m an LPN in Florida with 25 years experience. I’m interested in opening my own home care agency. I work for an agency now and provide hourly care for an adult trach and vent dependent patient. How do I obtain reimbursement information needed to formulate my business plan and application for licensing and financing. I’m originally from NY and it’s easy there. Not so easy in Florida!! Can you help??
Hi Janice - I am not sure (we don't represent home care agencies). But if you reach out to us, I can put you in touch with someone who might be able to help.
Just give an hours pay amount.
If hiring a family member, minimum is $15.00/hour
I have a 13-year-old on the spectrum and she has a caregiver how do I go about having myself paid to care for her I was told there's a long wait list for the consumer direct care
Unfortunately, minor children go through the APD (agency for persons with disabilities) and is not in our area of expertise (but yes, I hear that the wait list is extraordinarily long as well). Our firm works with the elderly or those who are disabled at least 18 years old or older. Please consult with a minor child benefits medicaid specialist. You may want to reach out to the special needs alliance: www.specialneedsalliance.org/find-an-attorney/
Have you applied for SSI for her yet? Regarding getting paid thru the Program this Elder Law is referring to, a parent cannot get paid DIRECTLY to care for their child in Florida.A relative can but they exclude the parent. If you lived here in California, you could get paid directly as a parent.
@@MelissaCoup Yes
Consumer Direct Services allows you to act as employee. Although you are not able to be paid until she turns 18 years old. You may be able to hire someone in your family that lives outside the home.
Since I cant get any help with my 25 year old daughter with aspergers /autism. Ive been waiting 5 years now with ADP for a home companion and home care. Ive had to quit working in the day to stay home and help my daughter. Insurance wont pay me. I live in florida. Since i need money I have to work grave yard shifts . In the day I assist my daughter . I want to ask. If I get a licence or llc for home care home companion. Can I have medicaid pay me to care for my daughter? I need to learn the taxes part of it .
Yes, if your daughter is on Medicaid, you can get paid through the Participant Directed Option (PDO): here is an article: www.elderneedslaw.com/blog/participant-directed-option
Do you know the steps on getting a billing contract with Dads
Hi there. If you are referring to getting an agency contracted with Medicaid, I'm sorry, we don't handle that. Our firm represents those looking to get help qualifying for Medicaid - to help pay for long-term care expenses - such as home health care through the Medicaid Waiver program.
If you want to get a friend or family member paid through medicaid, you have to go through their PDO program:
www.elderneedslaw.com/blog/participant-directed-option
It must suck looking like Jared from Subway
Its not so bad. I also get Bob Saget!
Can't you pay a family member $15 per hour
Sure. But some people are running out of money, so it can go fast. Florida Medicaid planning is all about slowing the "financial bleeding" that most people who need long-term care (whether its at home or in a facility) are experiencing.
WTF. You did not answer the question
You may be looking for actual dollar rates, which are discussed in the following videos:
- czcams.com/video/rUlv0xEzVXc/video.html
- czcams.com/video/sZ455NlGSCA/video.html
Hope this helps!