I am permanantly disabled, use a power chair, have a service dog, but have mental type problems with strangers (I am agoraphobic, PTSD, AND DPD). Medicaid set me up with an agency, who all will be strangers. I have a young man that has been helping me out but needs some income so does child care when I am napping or watching tv or on my lap top. He lives on my court across from me. How do I get medicaid to pay him instead of a stranger that will basically be a maid and meal preparer from 9am-3pm. Will is available at all times. Please if any of you know help me with this.
Here is how it worked for us. My mother is eligible for homemaker assistance -- light cleaning of her tiny apartment, laundry, changing bedding, etc. My brother is disabled, needs to work a minimal amount per week, as is able to do these tasks. The Elderly Waiver program my mother is on uses certain agencies. They directed my brother to apply at one of the agencies. They told the agency they already had one assignment for him, and that he would not be taking on any other clients. Brother filled out their forms, went through minimal training (not on how to make beds -- things like client confidentiality, appropriate behavior in client house, etc.), and has been performing the job for about a year. He gets his check through the agency.
I'm not sure if this is exactly how it will work in your county, but I offer this example to encourage you to discuss it with your case worker. I'm sure there will be a way to have someone familiar providing your services.
Tell us how this all works out for you. We learn from each other, and your experience will help others.