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Grandparents Raising Grandkids

More grandparents raising their grandchildren

BY ALEJANDRA CANCINO, ASSOCIATED PRESS  February 16, 2016 at 2:41 PM EST
CHICAGO — When Debra Aldridge became her grandson’s primary caregiver, she was making $7.50 per hour as a cook. The alternative for the newborn, she was told, was to put him up for adoption.

“I took one look at the little fella, and that was it,” said Aldridge, now 62. “I couldn’t let go.”

For more than 11 years, Aldridge, who is divorced and lives in Chicago, has struggled to feed, house and clothe her “baby,” Mario. As she ages, Aldridge sinks deeper into poverty.

Nationwide, 2.7 million grandparents are raising grandchildren, and about one-fifth of those have incomes that fall below the poverty line, according to census figures.

Their ranks are increasing. The number of grandparents raising grandchildren is up 7 percent from 2009. Experts say the trend is likely to continue as the nation responds to the opiate epidemic. Military deployment and a growth in the number of women incarcerated are other factors forcing grandparents to step into parental roles.

Already, child welfare agencies are reporting an increase in the number of children, especially infants, taken from parents battling drug addictions and mental health issues. After years of declines, children in foster care rose by nearly 1 percent in 2013 and by 3.5 percent in 2014 to more than 415,000.

The increase comes as states are placing more foster children with relatives in response to research showing that children fare better with family rather than in foster care.

There is an economic incentive, too. Generations United, a nonprofit that advocates for “kinship families,” says taxpayers would see significant savings by keeping children out of foster care and placing them with relatives.

But at the same time, the group says there is no comprehensive framework to keep these kinship families stable. Crucial programs, such as legal services and support groups, “exist only in small pockets of the country,” it said.

Those support services are something many grandparents raising grandchildren need. Many are living on fixed incomes and managing chronic illnesses. About a quarter of grandparents raising grandchildren have a disability.

“People who step forward, step forward because there is a crisis in their family and apparently don’t take into account their own limitations,” said Esme Fuller-Thomson, a professor of social work at the University of Toronto, who has researched grandparent caregiving in the United States.

Maria Nanos, executive director of the Center for Law and Social Work in Chicago, said that when the state is involved, grandparents receive free legal help from the center, but informal caregivers navigate guardianship on their own. The center usually receives funds from the state’s Department of Aging to help those grandparents. But Illinois has operated without a budget since July, so the center has not received the money this fiscal year.

“We have to turn people down,” Nanos said.

Some states offer financial aid for informal kinship families.

In Georgia, grandparents older than 55 can get a $100 monthly subsidy per grandchild. They also have access to grants and could qualify for subsidies similar to those of foster parents (between $14.60 and $18.80 per day). But access to the assistance, which is often housed in different agencies, can be tricky, if not impossible.

To help relatives navigate the complex web of services, some states have created kinship navigators.

Lynn Urvina, is one of about a dozen kinship navigators in Washington state. She said grandparents call her seeking information about support groups, obtaining guardianship and financial help to pay bills. Every year, her case files grow.

“In our area, methamphetamines have had a huge impact,” said Urvina, who is raising, along with her husband, a 12-year-old granddaughter.

Navigators in Washington serve 30 of 39 counties, with multiple counties overseen by one person. Some counties include rural communities where grandparents have little access to services, Urvina said.

“If all grandparents walked away and say, ‘we can’t do it,’ there would be no homes for these kids,” Urvina said.

To boost assistance to kinship families, Sens. Orrin Hatch, R-Utah, and Ron Wyden, D-Ore., are working on a bipartisan bill that would reimburse states for a portion of money spent on such services as substance abuse prevention and kinship navigators.

As her grandson enters his teens, Aldridge, the Chicago grandmother, said she knows she’ll need more resources to clothe, feed and keep him out of trouble.

To help make ends meet, she stands in food lines, taking two buses to reach the food depository. But she won’t give up on Mario.

“He needs me,” Aldridge said.

Alejandra Cancino is studying health care and long-term care issues as part of a 10-month fellowship at the AP-NORC Center for Public Affairs Research, which joins NORC’s independent research and AP journalism. The fellowship is funded by The SCAN Foundation.

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IRS Form 1095-B

Some of your client might be coming to you and asking about the new form they received – the 1095-B.  Medicaid is sending this form out to individuals, per IRS requirements.  Please see the attachment below that explains this form.

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Code of Ethics Turns 55

The NASW Code of Ethics turns 55.  Below is the original Code of Ethics from 1960 and today’s Code.

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Tips on Coping with Major Health Setbacks

Good article written by a former clinical social worker.

 

http://www.charlotteobserver.com/living/health-family/article46097785.html

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IRS Telephone Scam Alert

Please see the link below regarding a pervasive telephone scam:
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An Advocate’s Guide to New Consumer Rights in Medicaid Home and Community-Based Services

New federal Medicaid rules, for the first time, set standards to ensure that Medicaid-funded home and community-based services (HCBS) are provided in settings that are non-institutional in nature.  These standards, which took effect in March 2014, apply to residential settings, such as houses, apartments, and residential care facilities like assisted living facilities.  The standards also apply to non-residential settings, such as adult day health care programs.

The National Senior Citizens Law Center (NSCLC) has developed a guide to the new rules, entitled Just Like Home: An Advocate’s Guide to Consumer Rights in Medicaid HCBS. The Guide’s discussion and analysis include the rules themselves, along with commentary and subsequently-issued guidance from the Centers for Medicare and Medicaid Services, and will be updated as further information becomes available.

Importantly, many details remain to be determined by individual states, subject to review and approval by the federal government.  Stakeholder involvement and advocacy will be critical as state Medicaid programs transition through implementation of the new rules.  Throughout the transition process, both the states and the federal Centers for Medicare and Medicaid Services (CMS) must accept and consider recommendations from consumers and other stakeholders.

NSCLC is available to assist consumer advocates in thinking through the issues and developing state-specific recommendations.  Under Medicaid law, HCBS funding exists to give consumers the ability to receive necessary long-term services and supports without moving into a nursing home or other healthcare institution.  The value of the HCBS alternative would be destroyed or diluted if HCBS were provided in institution-like settings.

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What is Chap and What is Medicare Certified

I thought this information might be helpful to understand these two categories that are part of our vetting terminology.

What is CHAP?
CHAP is an independent and non-profit accrediting body created in 1965. CHAPS’s goal is for home care to not only prosper, but gain strength in the overall health care industry. To become CHAP certified an agency must undergo four steps. During the Application process the agency undergoes an evaluation to determine eligibility for accreditation. Following this process, the agency applying undergoes a Self-Study. The study is a comprehensive internal evaluation and review of the organization’s operations in preparation for the site visit. The Site Visit team is comprised of health care professionals, highly experienced in their respective fields. The site visit provides assistance to the organization, while ensuring compliance with the CHAP Standards of Excellence and other regulatory requirements. The complete accreditation consists of strict evaluations over a period of three years and is completed with a Review by the board of professionals.
What is Medicare Certified?
A Medicare-certified home health agency is one that has met the federal minimum requirements for patient care and management, and therefore can provide Medicare and Medicaid home health services. Individuals requiring skilled home care services usually receive their care from a home health agency. Due to regulatory requirements, services provided by these agencies are highly supervised and controlled.
Information provided by Comprehensive Home Health Care’s website.

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More on Michigan Multi Asset Managers

To follow up on an old post by Karen Baker regarding the Michigan Multi Asset Manager (http://www.mmam.net/) … I spoke with a staff member there about referring members there for questions and complaints and received the following information:

1. MMAM can only enforce HUD rules. If there is no regulation on the HUD books, MMAM cannot help. They also do not get involved in tenant-to-tenant disputes.

2. If a member has a complaint that is not enforceable by HUD, MMAM encourages them to go to their management company for resolution.

3. For MMAM to get involved, the tenant needs to have proof that they have gone to management (copies of incident reports would work, the staff person said), followed management’s protocol for complaints, and given management two weeks to respond.

If any SCs have questions or need more clarification, I would encourage you to call MMAM. I had to leave a voice mail, but my call was returned within 2 hours and the staff person I spoke to was very helpful.

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Repairing mobility devices

I attended a webinar today on using and maintaining mobility equipment, and I asked what former Scooter Store clients could do with their scooters and chairs that need repairs. The answer: Since the Scooter Store is out of business, clients should contact the ombudsman through whoever paid for their equipment (i.e. Medicare).

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Easy date calculations

The Web site that calculates dates with the click of a mouse is www.timeanddate.com. It makes tracking much, much easier.

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