******** – WestMass ElderCare,
I am very disappointed to hear that the new rate might be similar to only a small COLA increase. I had hoped that Senator Buoniconti would have been able to help get something approximating fair payment levels for the 24/7 caregivers are responsible for, considering their efforts save the State at least many thousands of dollars.
I had thought that medication not being an ADL was a bit odd, when in my particular situation it is definitely a (if not the) key component to health, and I wanted to attribute this difference to an oversight resulting from the tendency people have of thinking in terms of physical health. But the fact that ******* would not qualify for level 2 payments when so clearly it is level 2 care, explains why medication is not an ADL but an IADL. This reaffirms my suspicions that the new regulations were written to achieve a predetermined objective. That is, to minimize the short-term costs to MassHealth even though it may not be in the best interests of the insured and is unfair to care providers. It seems to me that inadequate payment levels could be seen by some as being discriminatory against non-physically disabled individuals, in that this will surely impact the availability of community based care providers.
The fact that you are unfamiliar with the terms I chose to use illustrates the concern I have regarding my making written reports. I am capable of making observations about behavior and deciding how to respond. As long as I can continue to relate this information to you, so that you can interpret and record the information using the proper terminology, then this is fine.
If MassHealth does not at this time intend to make fair payments that reflect the extent of care provided, then the matter of recording care in 15 minute time blocks so as to qualify that payment is moot.
A 'large print' version of the form will be of some help I suppose. I would prefer to have the cause treated rather than the symptom, but without additional income or insurance to cover the cost of corrective lenses, I guess this is the next best thing. Also, I have come to realize that for me to have the time to complete it without sacrificing time needed for other purposes, I will need someone to assume my responsibilities while I make entries. Because I am just now starting to get caught up on things that were set back by the insult and lack of consideration that MassHealth treated me to in the past, I am not inclined to suffer even more damage to what little time, effort and money I still have.
Where MassHealth did not provide the allowed 8 hours of Home Health Aide services per week for the benefit of the clients recovery, to give me some respite, or to allow me to acquire additional income, there should be no problem now that regulations require this form to be completed and I will need someone to temporarily assume care responsibilities for me to do so. The full 8 hours will not be necessary, 1 hr every other day should be adequate. This will most likely be problematic for a while, and could even be detrimental if not done tactfully. But I'm thinking maybe some personal hygiene care, hair, nails, grooming, etc. maybe some leg exercises, should be accepted and might even come to be welcomed. Please try to arrange for this as soon as possible so that it will be in place by the time I need to start filling out the form as per the new regulations.