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I have my ACA certification to get paid through insurance. I have been working in home health care for 4 years with Well Care and left them to come care for my aunt, my uncle is paying me out of pocket as of now but its getting harder for him to pay me. When I took the ACA, it said I could work for myself and get paid through insurance, I just do not know where to start or who to call, if anybody can help that would be awesome. Thank you.

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Most people pay out of pocket. I will bet you have no contract with uncle or any employer. Health insurance does not pay for custodial care. Is aunt on Medicaid.? Has an application been filed for in home Medicaid?
A lot will depend upon the state on available hours
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Mevers98 Jan 26, 2024
I do this private. I have the contracts with my uncle that a normal agency would have. I took a course to be able to do home health care privately.
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Medicaid does not pay for continuous care. Medicaid may. If there is a Medicare Advantage they may. By Insurance they may mean when people buy care insurance earlier in life to help with care later in life.
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https://acacert.com/

Have you gotten training as a CNA or PNA and been certified thru the State u live in?
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Mevers98 Jan 26, 2024
Yes I have all the training and certifications I have my CNA and I was certified with the PCA. I took a home health course through ACA to become a private caregiver
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What insurance are you talking about? Long term care, Medicare, Medicaid?
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In the four years you have been a CNA have you ever known anyone that was paid by an insurance company?

You would need to contact your aunts insurance company to see what benefits she is entitled to. If she has a LTC policy you probably could be paid. My aunt had one and her daughter was able to bill for some of her hours but not all and was not supposed to live with her mother for whatever reason. It depends on the contract.
The area agency on aging (each county has one) may be able to advise you of any of your states programs that would accept your claim.
Here is a link to find their number.

https://www.ncdhhs.gov/divisions/aging-and-adult-services/adult-day-services/daas-area-agencies-aging

Original Medicare has a program for homebound but you would need to be working for the home health agency and have multiple clients. The AAA above could advise you on any opportunities through Medicaid. Is your aunt or uncle a veteran? If so there are programs for aide and attendance for vets which will help uncle have the funds to pay you.

The advantage Medicare plans are all different so you would need to call the number on the card or possibly look online with uncle to see what benefits they offer.

I think you have a great idea to bill insurance for your work. I just don’t think there are any insurance companies out there that offers the benefits you are wanting to bill for.

It might be that you could go to work for one of the home health’s to augment what uncle pays you. Wishing you luck.
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If the patient is on Medicare, not Medicaid, the payment comes directly from the patient, except in rare cases where there is a doctor’s order for a limited time, or the patient has long term care insurance.

If they are on Medicaid you will have to check your state’s regulations.
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After doing some research, several states offer some form of compensation, benefits, or support to family caregivers under qualifying circumstances and eligibility factors. For instance, California, New Jersey, New York, Washington, Oregon, and Hawaii are a few of the many states that pay family caregivers and provide ongoing caregiving resources and support.

In fact, California family caregivers can receive up to 60-70 percent of lost weekly earnings between five to 18 months before the claim start date. The state also has a unique program known as Family Caregiver Services, which helps coordinate services for respite care as well as in-home or out-of-home assistance. These services are provided to adult family members or informal caregivers who are 18 or older and provide care to individuals who are 60 or older.

If you have a chance, please read this article which details the general road map on how you might be able to get paid in your state. http://tinyurl.com/nhefaa7f
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Geaton777 Jan 31, 2024
Is this connected to Medicaid? In my state (MN) it is.
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Mevers98: Look here - https://acacert.com/

Disclaimer: Not my authoring.
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That would depend on the State you reside in. I know in California, each county has a program for disabled and elder individuals which is controlled by the State of California and managed by all individual counties office of The Department of Public Social Services. The IHSS or In-Home Support Services allows recipients to choose their own provider provided they’re an IHSS provider. Anyone who completes the enrollment process and passes the live scan background check can become a provider. Each county pays providers an hourly rate (based on the county contract), will have a caseworker come and determine the amount of allotted hours the recipient is eligible to receive, is a Medi-cal paid program so recipients are to be eligible for Medi-cal but if not they do have a waiver program to get applicants approved. If you are in California, the first step for your aunt and uncle would be for them to apply or get on Medi-Cal or the waiver program. Once/if approved, then they need to contact their county’s local Public Authority to apply for your aunt to become a recipient and that’s pretty simple and straight forward process. However, the provider enrollment process could take up to 90 days for processing so I would suggest that process is started ASAP. To begin that you would also need to contact the Public Authority in their area. You do not need to live in the home but can. Again, this is strictly for the State of California. I do know that there are a few other states that have similar programs, however, some have waiting lists, won’t pay for family caregivers and unfortunately don’t provide a program as good as California.
I wish you and your aunt and uncle the best of luck.
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I would think that you would have to contact your aunts insurance or have her call and ask if they would pay you directly.
I know in some states medicaid does pay family members if they care for their loved ones.
Perhaps insurance may pay you through a home health agency, I have known cases where the patient identifies the caregiver(home health aide) so the care giver then tells the patient to call the agency that employs them and request for them specifically. Of course with assurance that the patient's insurance covers that agency. You can also go back to the ppl that certified you and ask this question as they seem to have told you that this was a possibility for you.
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Post is kind of old from January
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