Also consider changes in care that may occur if the recipient has dementia, Alzheimer`s or chronic disease, as you may need to provide a higher level of care over time. To determine the level of care required, contact a local home care agency, a doctor, a geriatric care manager, a hospital discharge planner or a social worker. A fee may be charged for the organization of an institutional care examination. It will also help to anticipate future care needs. For example, if the recipient has dementia, a decrease may require different care. Personal care contracts are particularly important if, in the future, an older person may need long-term care such as home care. That`s because Medicaid has an asset limit of $2,000 for most countries. (To view status-specific asset limits, click here). To prevent seniors from “giving” their fortunes beyond the limit to become eligible, Medicaid has a 5-year “back look back” rule (2.5 years in California). During the “retrospective” period, all prior asset transfers will be audited to ensure that they have not been “given” and, if it is established that an applicant has violated this rule, a Medicaid ineligibility penalty will be imposed.

In California, Medi-Cal (California Medicaid) can pay for nursing home or long-term care for those with modest incomes and limited assets. To be eligible, the Medi-Cal beneficiary must meet certain requirements. Seniors often “spend” their assets using funds to pay for things like paid funeral expenses, home repairs, medical equipment and debts to reduce the dollar value of their assets. If your parents need home care services and you have decided to intervene as a paid caregiver, you will intend to create a personal care contract. The tutor`s duties should be clearly specified in the agreement, but may include the term “or similar agreed by the parties” for flexibility. If the agreement is too rigid, it must be rewritten if circumstances change. Payment of a retroactive guardian. Remember, care agreements are not intended to pay a caregiver for care that has already been provided. Instead, the agreement is established with a start date for future care services.

If necessary, you should contact your caregiver`s doctor or exit planner to get information about the level of care you will need to determine the type of treatment you will provide. Be specific about the type of care, for example, instead of simply saying that you are offering personal care, use specific, detailed language, such as dressing aid, bathing, toileting and dental hygiene. This is a controversial issue. Families often think that unpaid care comes with the daughter or son`s territory. It makes sense when we talk about a few hours here and there, let`s say bills and shopping are running errands. The agreement is usually a contract between a family member who agrees to provide care services to a disabled or aging parent and the person receiving care. The personal care agreement is most common between an adult child or their parent, but other parents may be involved, for example. B an adult grandchild caring for a grandparent.