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Reply to "Is my cousin getting bad advice?"
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[quote=Anonymous][quote=Anonymous]Hiding assets is never a good idea. Aging in place often turns into a nightmare for person who lives closest and if they live long enough and decline it is totally unsustainable no matter how house is set up. You cannot force a sibling to take someone in. I would get council on aging and other experts involved to find a long term residential setting that fits their budget. Person who refuses needs to be willing to take them in.[/quote] Yes, and honestly Medicaid/the state will find it and take it anyway. There’s a reason there’s an asset test for Medicaid. It is for indigent elderly, not for people who have assets they want to pass on to their children. First, 9k is not much money. It’s at least 4k/month for independent living and AL goes up from there. That is just housing. If they need food, supplies, transportation, OOP medication, medical copay/coinsurance, clothing, non-covered medical services (e.g., PT where there’s no improvement expected) that’s all on top. It does make sense if he can possibly qualify for IL/AL to get them both into a CCRC with a Medicaid-certified nursing home, and the sooner the better. They could stay together for a while and not need to reapply/get denied in the future when they need more care. What will happen then is that as they need higher levels of care, they can move up in intensity, draw down their assets, and qualify for Medicaid once they meet the income/asset tests. But you need a 1) CCRC that will move people along to higher levels of care without a waiting list; 2) an affiliated NH that takes Medicaid. AL/IL facilities with Medicaid NHs are also generally better equipped to handle behavioral problems (or at the very least are less likely to discharge someone for them).[/quote]
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