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Eldercare
Reply to "If elderly person enters hospital, and needs nursing care after"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]How can he not have his own residence? Is he homeless? If he is homeless and indigent, then a social worker will have to make an assessment of what his needs are and what the local resources are that can meet those needs. The assumption is he would be Medicaid eligible and in need of full-time nursing care. Which would actually be best in the short-term as he would have a roof over his head and a bed. If Medicaid eligible then they will find a facility that has a Medicaid bed available. If he is not in bad physical shape and does not need full-time nursing care, then it would be up to the local elderly services to find a room/lodging that is available to meet his needs. But there would still be a cost involved with that so it might be dependent upon what he gets for Social Security. In many, many communities there is NO housing available for the elderly. Add into that all the competition for rental properties and rent increases, there are very few places which are vacant. It is not unheard of for the elderly without significant medical needs (necessitating nursing care) to find themselves on the street. You will see them on the streets and along the roads in Florida since there are usually no housing vouchers for elderly as families with minor children come first. Florida is the bellwether for how it goes elsewhere. If the elderly have a car they may live in them. Or else you see them pushing carts with their belongings. Many of them do not have mental health or substance abuse issues, they are simply old and poor and have nowhere to go. [/quote] He is currently staying with a relative but that relative’s house is not set up for a disabled person, nor does the relative have the means (time, skill, money) to care for a person who is not independent. That relative does not want the person back because it would be too much.[/quote] Yes, the hospital has someone that will coordinate their care and find nursing home that has room to take him. It sounds like after dischargee, they will need to go to an assisted living facility and I believe Medicaid for that expense but they will have to go the a place that takes that.[/quote] Medicaid does NOT cover assisted living. OP, if your relative does not want this elderly man back in their home then the first and most important thing is to make sure that he knows it. Have you and/or relative point-blank said to him that he is no longer welcome to live with them? If not, then relative needs to sit him down, look him in the eye and tell him. He should be fully aware that he does not have the option of living with family anymore. The sooner he knows he is on his own/alone the better. He can make choices based on the fact that he can no longer expect his family to care for him. Hopefully, he will wind up with a good social service person who can aid him in (also hopefully) finding a place to live and a support system. There are many people in volunteer organizations who will help fill in the voids in his life, such as activities, companionship, adopt-a-grandparent program, donation of clothing, rides to appointments, etc. [/quote] Medicaid in some states covers assisted living, in other states it does not. There are also programs for assisted living that are lower cost. However, in MD, they only pay for nursing home care. But, in other sates [b]its different as each state runs their own long term care medicaid program. [/b] If he is staying at a friend's house, someone needs to locate a bed and apply for long term medicaid for him.[/quote] That's true, but MOST of the states require that individual has "nursing home level of care needs" AND will need a waiver AND will have to be put on a looooong waiting list. In summation, people should never expect to get Assisted Living benefits from Medicaid. [/quote]
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