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[quote=Anonymous][quote=Anonymous][quote=Anonymous]
I am not getting it.  Find a bed now.  It's not easy but it's doable.  If she's on hospice try something like Casey House through Montgomery Hospice.[/quote]

DP. OP’s mother would have to meet the criteria for inpatient hospice (versus home hospice) to go to a place like Casey House. Her death would have to be imminent, or she would have to require a level of clinical care that could not be managed at home. The length of stay is usually fairly short. It does not sound like OP’s mother would meet that criteria.

Also - it is not easy to find a Medicaid bed from the community. The easiest way is to go to a skilled nursing facility for short-term rehab after a hospitalization, and then transition to a long-term care bed in the facility. It would have to be a facility that has not only long-term beds available, but a Medicaid bed in particular. But with OP’s mother living in the community, there is definitely a waiting list (unless the memory care is part of a CCRC that has LTC beds - that makes the process so much easier).

OP, you could also pay privately for nursing home care, and then eventually transition to LTC Medicaid when the funds run out.[/quote]

all of this. first, we are in the district. second, while casey house is a wonderful service for imminent end-of-life, she doesn't meet that criteria. third, transfers are very traumatic, and her current facility is great, they are just private-pay only. so yes, a transfer to a dc medicaid facility will happen while she can still private pay, and then apply for LTC medicaid in the spend-down period.  in an ideal scenario she would be able to pass in her current facility. but planning for that is impossible. 🤷🏻‍♀️

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