In some States, like Colorado, if your child gets or would be eligible for medicaid if you met income deeming for Social Security, and qualifies for CNA level services, you can be the CNA for your child. In addition to providing the best level of care and being able to be there when the child needs you, this income does not count toward deeming for SSI.

This means that your family can earn the SSI deeming limit plus your CNA wages. In Colorado some of the agencies who will hire parents to take care of their children also provide benefits such as medical, life, disability, dental and vision insurance, bonuses and vacation pay.

Here is the statement made by Social Security in Colorado on the deeming income question:

"You are correct in your interpretation of SSI policy. When Medicaid dollars
are paid to a home health agency and the agency hires the parent/spouse to
provide care for the child/spouse receiving SSI benefits, wages paid to the
parent/spouse are excluded from income for deeming purposes.

Although this is not new policy, SSA clarified this SSI policy in POMS
instructions on 10/03/07.

Please let me know if you have any additional questions on this issue.

Nancy Gradel

Social Security Administration

(303) 844-7098"

To find out if your State allows you to be your child/spouse's CNA, you need to contact the State agency that controls Medicaid in your State. Medicaid is controlled by the State and so varies from State to State. If your State does not allow this service, use Colorado as an example and ask them to contact Colorado to see what advantages (such as quality of care, fewer hospitalizations, care in emergencies like loss of electricity..., flexible hours of care like on holidays or weekend, you always show up on time, you are not inappropriate in your behavior, you understand the exact needs of you child's condition...) it offers.

Social Security is a Federal program and the same in every State. So if you State allows this kind of care, the Social Security quote above applies to you.

ADVOCATE ADVOCATE ADVOCATE

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Hi Ginny!

Since we're new to Colorado, do you have any suggested resources for learning more about the Medicaid policy? What process did you go through to have your son covered by SSI and Medicaid?

Liisa
Join Parent to Parent (P2P-CO@yahoogroups.com) Look under parent wisdom.
there are several Medicaid waivers if you income is too high to qualify. Your CNA income would not count as income for deeming purposes. It is a chicken and egg issue.

People on the list can help.

Ginny
Broomfield

Liisa Underwood said:
Hi Ginny!

Since we're new to Colorado, do you have any suggested resources for learning more about the Medicaid policy? What process did you go through to have your son covered by SSI and Medicaid?

Liisa

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