Reply to Are your parents in a nursing home paid by Medicaid? Are you concerned the program will get cut?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]It’s a separate program and long term care Medicaid and not regular Medicaid.  Doubt they coul cut it as where would people go?[/quote]

Women will be expected to stay home.  [/quote]

As a woman I did this but at some point it is not manageable without help.  Long term Medicaid was our only option.  Most people cannot do it especially with young kids. [/quote]

The current system already penalizes adult children, often single women, who quit jobs in the prime earning years and move back home to take care of their parents. The kicker is that the parents' issues are so complicated that they may must move into a LTC facility. The house must be sold before the parent can receive Medicaid, so women in their 50s, 60s, 70s find themselves on the street without a home or a job.[/quote]
DP.
There are ways to keep the house, please don’t dramatize. 
I haven’t seen many women on the street unless they have mental health issues. [/quote]

How do you keep the house? Please share the ways. [/quote]

Elder law attorney will consult
AFAIK it’s irrevocable trust or a share of the house belongs to a relative, but I am NAL[/quote]

So you really don’t know. [/quote]

I know that people do it. So it’s possible. [/quote]

Nursing homes come under long term care Medicaid. It’s a different program than regular Medicaid with separate qualifications and rules.  [/quote]

It’s all a part of Medicaid, just with different eligibility criteria. And it is just as vulnerable to budget cuts, in part because the per person cost of Medicaid enrollees in long term care is so much higher than for any other category of enrollee.[/quote]

No, it’s not and you can qualify for long term and not regular. Two different applications.  The long term care is a waiver program. [/quote]

Yes, you can qualify for long-term care under Medicaid but it is still part of the same Medicaid program — jointly funded by the states and the federal government. Kids qualify for Medicaid under a different eligibility pathway, but it is the same government program.

Medicaid covers nursing home care as an entitlement; if you meet the eligibility criteria, you can get the service. Medicaid home- and community-based services — i.e. getting long term care at home or in a community setting (not an institution like a nursing home) — is usually available through a waiver program in one’s state. Even if you qualify, there may be a waiting list.

Right now Medicaid is funded as an entitlement. People qualify for coverage, they get services and the federal government and state government each pick up a share of the costs. There is no cap on the costs. If Republicans in Congress decide to switch Medicaid to block grant funding, under which the federal government only pays each state a fixed amount each year, with the states left responsible for picking up the rest of the cost (however high it goes), that can definitely affect long-term care coverage in Medicaid. (Another possible scenario is that the federal government would pay a fixed annual amount for each person on Medicaid, known as a “per capita cap”.) Under block grant financing states most likely would have more flexibility in how they run their Medicaid programs, which may include further restricting eligibility or benefits. Do not delude yourself into thinking Medicaid financing for long term care is untouchable. It’s not. Messing with it would be politically unpopular, but even politically unpopular things have been known to happen in the service of, oh, say, financing big federal tax cuts.

Here is a good basic primer on Medicaid, who it covers and how the financing works from KFF, the nonpartisan, nonprofit health policy research group.

https://www.kff.org/health-policy-101-medicaid/?entry=table-of-contents-who-is-covered-by-medicaid[/quote]

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