My sister has Medicaid and resides in a nursing home. Can we hire a sitter to attend to her without jeopardizing her Medicaid eligibility

Q) My sister has Medicaid and resides in a nursing home. She has Hospice service. Can we hire a sitter to attend to her without jeopardizing her Medicaid eligibility. The family would pay for the cost of the sitter. She resides at Charlestown Place in New Albany IN (Previously Providence Nursing Home).

A) I’m not a legal expert, but I can provide some general information that may be helpful. Medicaid rules and regulations can vary by state, so it’s important to consult with a qualified professional or an attorney who specializes in Medicaid law in Indiana to get accurate and up-to-date information regarding your sister’s specific situation.

In general, Medicaid provides coverage for nursing home care, including hospice services, for individuals who meet the eligibility criteria. Medicaid eligibility is based on various factors, such as income and assets. If your sister receives Medicaid benefits, there may be limitations on the additional services she can receive without affecting her eligibility.

In some cases, Medicaid may allow for “consumer-directed” or “self-directed” services, which enable individuals to hire their own caregivers or attendants. These programs may provide flexibility in using Medicaid funds to pay for services beyond the basic care provided by the nursing home. However, the specific rules and guidelines for these programs can vary by state.

To determine if hiring a sitter would affect your sister’s Medicaid eligibility, you should contact the Indiana Medicaid office or consult with a Medicaid specialist. They will be able to provide guidance on the rules and regulations in your sister’s specific case and help you understand any potential implications of hiring a sitter and paying for the service privately.

It’s important to seek professional advice to ensure that you make informed decisions that comply with Medicaid regulations and protect your sister’s eligibility and benefits.