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Reply to "Dealing with poor elder care planning"
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[quote=Anonymous]It would be very hard to find a nursing home that will take medicaid pending and is decent. We moved my MIL here and then found a nursing home. It took about 8 months (she lived with us) and it was an absolute nightmare. Finally we found one to take her that was supposed to be top rated and we've had nothing but issues. It does help so we can be actively involved. My MIL gets $77 a month (I get her SS check and have to send in all but $77 - I think it is 77 about that much). Her only expenses are clothing, shoes, dental and a few other things. We supplement a little but by our choice. I buy a lot of clothing and bedding because the nursing home destroys it or loses it. But, I buy on clearance and in bulk and hold on to it till she needs it (i.e. $10 jeans, $3-4-5 tee shirts), so I can make that money stretch. Medicaid will sometimes reimburse for dental and other medical not covered by medicaid buy you have to prepay and then it is deducted another month out of the money you send to the nursing home. Call around and see if you can find a nursing home. Since she is on medicaid, they may be willing to do medicaid pending. It takes up to 90 days to get the paperwork through, normally just due to lazy workers. So, during that time the nursing home is not getting paid. We have been on waitlists for several years. A year ago, I reapplied to move her and no one would take her. They mostly want them out of the hospital under medicare and then transfer to medicaid. Medicare has a higher pay rate and during that time you can get transferred to medicaid. Its possible, but very difficult. It is best to have someone nearby to advocate for her, especially as the dementia progresses. And, if you do not have POA, then at some point be prepared to go to court to get legal guardianship. The nursing home we were at would not accept my husband's POA. Also, become the rep. payee for social security and have them out a note on the account that it cannot be changed without your consent. (often the nursing home will take the check and then not spend the remaining amount on the individual). [/quote]
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