Thanks, Nancy, for a great account of the waiver program in Ohio. Don't know if it is similar to Maine's, but probably not too different. It also occurred to me re: Ivan that one problem may be his spasmodic mobility. I know when Peter briefly had Medicare payment for HHA services after a hospitalization they were careful to explain that in order for them to pay, the person MUST be "housebound", i.e. very limited in outside activities---could go to visit a daughter, eat out occasionally, but not frequently, etc, Could that be part of Ivan's problem? Nancy wrote-- SNIPPED> >As for social activities... this is a dilemma for many because people >need socialization and unfortunately society doesn't value it enough to >want their tax dollars to go for the activities hours with the HHA doing >the transporting. Society doesn't acknowledge or see that socialization >is vitally important for the total health of a human being. It is >cheaper to place a person in adult day care than it is to pay the HHA >for that day. $61. -85. for adult day care verses HHA at 12.55 per hour. >Also, if the HHA calls off the patient is without care. Some patients >would be in grave danger if not one was there to assist them. The >solutions always sound so logical and easy, but they are not. Camilla Flintermann, CG for Peter 82/70/55 Oxford, Ohio <[log in to unmask]> on the web at http://members.tripod.lycos.nl/genugten/flinterm.htm and also at http://www.geocities.com/camillahf/index.html "Ask me about the CARE list for Caregivers of Parkinsonians ! " And visit the CARE webring at http://www.crosswinds.net/~caregivers/index.html