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For starters for Medicare to even consider paying for a nurse a couple hours a week (if that), a doctor would have to declare it medically necessary and it would have to be through a licensed homecare agency, hospital, or some other medical entity. For you to work independently and bill Medicare, you would need a homecare license from the state and a license to bill Medicare.
Medicare doesn't have paid family caregiver programs. Some state Medicaid programs do, but not Medicare. If your boyfriend has Medicaid you could become his paid caregiver if they state you live in has this program. They will not pay you nurse's wages though.
You might be able to have him go onto Community based Medicaid program and if he’s assessed to be eligible for IHHS in home health services and the company with the State contract were to hire you to be a provider suitable for his care plan, they would pay you. And pay at whatever hourly rate their contract has set for the # of hours he is assessed at. Having this happen is pretty far fetched.
As an LVN you can easily work your way to RN, as I did, and I sure recommend you do that.
What disability your fiancé has, and what in terms of disability payments and governmental programs to help him are there will be greatly helped by your working your job as an LVN, and even better if you work up to an RN, a job in which you can work anywhere any time, and if you do certain things such as traveling nurse you can often be at home to help your guy.
I wish you the best, but you will not be paid as a medical personnel caregiver for your guy, imho. If I am wrong and you find a way, do let us know.
If his care is getting to be too much for you, he may have to placed in the appropriate facility where he will receive the care he requires and you can get back to just being his fiancé and advocate and not his overwhelmed caregiver.