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My Doomstead

Started by 18hammers, Jun 30, 2023, 09:49 PM

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RE

Well, a start would be a floorplan of the building with the dimensions of any rooms I would need accessible.  That would be the living room, a bedroom if I was to use one, the bathroom I would use and the kitchen.  Also the garage or location I would store my outdoor machine when indoors and scooting around on the electric wheelchair.  That location needs to be covered and have an electric outlet for charging.

I don't necessarily need a bedroom if the living room or rec room is big enough, I have zero need for privacy, just a spot for my recliner that can be darkened and out of the main flow of traffic.  I have no set sleeping schedule, and sleep usually about 2 hours 3 times during a 24 hour period, sometimes 2 or 4 times.  I spend much more time in the recliner awake but with my eyes closed meditating, and unless you touch my foot or make a loud noise, you can't tell if I am awake or asleep.  Rest of the time I am at the computer or rolling around somewhere.

Any building is just ramps if needed or possibly stair lifts, but I would need photos and if it was a big job, probably too much money.  Most anything else I can get stuff from home depot, any anybody who knows how to use an electric drill and stud finder can mount wall bars or ceiling lifts etc.


Hot water is not an issue because I do sponge baths, so you just need to be able to heat a large pot of water to mix with some room temp water in a plastic bucket with liquid soap.  Then same again for rinse with no soap.

Next would be to find out what the medicaid reimbursement rates are down there and what is involved in moving from AK to MO and how long the approval process takes, and whether a pre-approval is possible before I leave.  Without that, I doubt I would eave, because giving up my bennies here without being certain I would get similar ones there would be really stupid.

Right now I would rate the chances as low as long as I am getting the full $16,500/mo it takes to keep me housed in this place covered by medicare/medicaid, until I gt offered suitable indepedent living housing, despite having only $200/mo disposable income right now.  Chances would shift to extremely high though if med/med takes me off long term care and shifts me to the waiver program, in which case they will try to force me to go to the first available assisted living gulag with a cell open, which I absolutely will not do.  I won't sign discharge papers even if they waterboard me.  lol.

So. it's worthwhile to have a plan in place to prepare for this possibility.  Boy Scout Motto: BE PREPARED!


RE

RE

Collapsing Garage?  Like a tent?  I definitely need to see photos of outside and inside.

Yes, medicaid ic impossible, and SS itself can be a problem with changing addresses and banks.  All of that presents the biggest obstacle to making a move like this.  Also why doing it pretty much only comes as a last resort if they change my status and reimbursement rates.  It is guaranteed at least 6 months of screwed up payments and getting hooked up properly.

The proceedure for getting paid is this.  Find an agency in your area that provides home health care workers.  All of them are understaffed and she will have little problem being hired, as long as she can pass a background check.  No special education is necessary to get hired,  I think some of mine didn't even graduate HS.  Some experience is welcome.  You get a couple of weeks training I think, requirements differ by state.  Then you take an exam for your Personal Care Assistant (PCA) certificate.  You can take a longer Certified Nursing Assistant (CNA) class and get usually about $2/hr more pay. 

Once hired, they will call you with possible clients to work for,part time hours or full time, you fit to your schedule and the client.  If you have a specific client (me) you want to work for, my Care Coordinator fills out the paperwork so the agency gets reimbursed by medicaid, and you get paid by the agency.  If you are really an entrpreneur, you set up your own agency and get reimbursement directly from medicaid at a much higher rate, but the logistics of setting that up I am not familiar with.  Mucho paperwork involved, unless you intend on making a business out oof it and trying to hire people to do the work, not worth it.

Cats not a problem, as long as the litter box is far away.  lol.Currently, I don't need any lifts unless I fall down accidentally, which I haven't had happen for over a year, but good to have available if I do have an accident.  Setup depends on type, and some arent mounted but free standing oon casters to roll around.  Hoyer is one common typ.

I'll send my email in a PM.

RE