My father is a 104 World War II vet. SInce he came to live with us in September, 2014, he has had congestive heart failure and a stroke. He needs a lots more help now with activities of daily living. He can walk using a walker as long as someone walks with him, and can feed himself, but needs help with most other things. He doesn't have dementia or Alzheimer's, thank goodness. The VA has only given my father 10 hours of caregiving per week, which isn't nearly enough. I am having his doctor fill out a new VA form 21-2680. Since this is a new application, is there a case number that I need to put on, which it asks for? My father does get 30 hours a week from Medicaid also, but my husband and I work fulltime on our business at our house and could use more hours in the afternoon for a caregiver to look after my father. My father refuses to go to adult daycare. Private pay for caregivers starts at $15.00 in our area of Virginia, and my father has no savings left. There are no other relatives to help care for him.
http://www.dmas.virginia.gov/Content_atchs/pr/Copy%20of%20Price-Based%20Reimb%20Rates-07%2001%202015-06%2030%202016%20WEB%20Final%20updated.pdf
If the plan of care by the physician and the care team calculates a stated need for more care hours and if your State authorizes that amount, the short answer is yes, you can have more than 30 hours per week for just one client. Our State mandates a review every 62 days but you can request a review if health changes warrant the screening.
Side note: When there are multiple clients, the incidentals of care cannot be duplicated. The ADLs determine the number of units; the IADLs - instrumental activities of daily living (cooking, driving, managing medicine). The ADLS are essential - caring for and moving the body such as walking, dressing, eating, and hygiene (toileting, bathing).
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