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[quote=Anonymous]My MIL did not have a house or any money, so it was a non-issue for us.  You will probably need to sell the house and use that money for ASL or a nursing home and then could get medicaid once that money is gone.  Medicaid only pays for a nursing home, not assisted living.  We just went through this and had to put my MIL in a nursing home when she probably would have been fine in ASL.  It took me about six months.  We had to move her here, establish residency (not a big deal - get benefits, apply for the medicaid waiver, get a bank account, transfer her address and get her an id).  Then I had to call many many nursing homes and get her on the wait lists.  Very few take the medicaid and if they do you are the last priority.  I had many outright refuse, several pretended to put us on a list and I finally got lucky with APS intervening and they helped us get into a nursing home.  I had to call APS many times demanding help and telling them that my MIL was homeless and could not stay with us long-term.  Most of the APS folks were not helpful but I got lucky with one who gave me enough guidance to get me to where I needed to be.  They claimed they had in-home help but when I asked for support they refused saying the focus was on a nursing home.  They said there was payment help for an adult day care but no one could tell me how to do it and the day care didn't follow through so we had to stop.  We got a therapist through a free county program and she bailed within a few weeks due to the dementia.  Start now, get on the medicaid waiver (5 year list and do not need to show current need) and look into lower income programs.  There are several in the area but most are $2500+.  I would not rely on an ALF saying they will take her until they officially offer you a bed.  We had one nursing home tell us for months they'd take her and even six months later no bed.  We're still waiting as we never told them we got another bed.  The best way to do it is through a hospitalization.  It is very difficult to do a direct placement from home.  We had no reason to hospitalize but every nursing home and professional told us that was the main way as medicare will pay for rehab for a few weeks.[/quote]

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