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I’m assume this is for LTC Medicaid…. the program that will pay for the custodial care costs for an elder to be in a NH/SNF or an AL or MC if your State does “waivers” for these type of facilities.

A facility cannot 100% on their own do what’s required for the documentation needed for the LTC Medicaid program application.

It is due to this program’s requirement for both medical AND financial information to establish that the applicant is sufficiently “at need” with no eligibility issues. A state will have fixed income & asset limits for the LTC Medicaid program so applicants or their POA have to provide their info to establish this. It’s really on family and friends to do this. info.

If family basically walk away from dealing with this, in my experience what tends to happen for NH/SNF is…… they find a reason to call EMS to take the person to the ER or hospital; then will refuse to accept them back. The placement then becomes a problem for the discharge planner at the hospital and they will be on continuous speed dial to whatever family they can contact to come and pick up their elder. If this drags on, eventually APS gets involved and the elder gets appointed a guardian. Guardian takes over completely all affairs of the elder. Family has no say…. You passed on the ability by walking away.

If this is an AL that your family member is in, well that’s a different situation than being in a NH/SNF. The elder in an AL is technically able to do their ADLs with a bit of assistance. So the AL can legitimately discharge them to a shelter.

None of these options are pretty.
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Reply to igloo572
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JoAnn29, I am letting Mom's ltc facility handle this because it's too much for me right now. Meanwhile I'm selling the house and it will revert back to private pay and she will stop medicaid.
Im fortunate in that they want to keep her there, after all it is a business.
She likes it there and is treated very good imo.
It doesn't have a memory care section so I'll cross that bridge when needed.
I didn't think I would be taking this transition as hard as I am but the admin and everyone has been supportive so I count my blessings!!
I hope the OP has the same luck.
Oh and this is not to say I still have to do a lot of leg work of my own to help things along. More than willing now.
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Reply to Rbuser1
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This usually happens when a person has been in rehab and transferred to Longterm care. If the person has no money, then the facility can start a Medicaid application or help a family member with one. I would not rely on them though. I had already started the application process when I placed Mom. She also private paid 2 months, 3rd Medicaid took over.

I am one of those people who likes to do things like this myself. In my State you only have 90 days to apply, get info needed for them, and find a facility. If not done in 90 days...you start all over. I remember an OP, who allowed the facility to handle the Medicaid application, said after 6 months nothing had happened. To me, thats too long and the facility did not do their job. I really doubt the application was completed.
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Reply to JoAnn29
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A person has to qualify both medically and financially to receive Medicaid. If we are talking about an elder, in most states Medicaid will only cover LTC, which one is assessed as needing by their doctor or the facility. Then, the person (or a representative) fills out the financial application. This can be downloaded from the county webpage for Medicaid. The applicant will need access to recent bank statements (usually 3 months worth), and know other personal information like DOB, SSN, marital status, assets like house and car and medical bills.

So, someone in a facility can make the financial application for a person but the person ultimately needs to qualify in the eyes of Medicaid. No one is "set up".
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Reply to Geaton777
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