How do people with ALS afford an aide to come in a few hours a week to provide help. I have called dozens and dozens of Home Care companies and they all have the same requirements. 12 hrs a week at $30-$37 an hour, Or between $ 1400 and $1600 a month medicaid May pay some but what happens when you make two much for Medicaid and not enough to be comfortable with an additions $ 1600 a month NY dept of aging has a program that helps financially but there is a 6 month to one year waiting list