Reply to ISO insight/advice on nursing homes, Medicaid, etc

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]PP (social worker whose spouse is a NHA) on the other thread here.  You mention trying to go the assisted living facility route for her spend down.  I have to say that this does not sound like a good plan to me.  What you need to do is get her into a nursing home while she has some assets and let them be spent down while in the nursing home where they will then assist you in the Medicaid application process.  It's far easier than trying to get into a nursing home in a Medicaid pending status.

The reason why you need good credit to get into an assisted living facility is this.  Once the money is gone to pay the bill, you have to leave.  If you don't leave voluntarily, you get evicted through whatever channels the state has set up for that to happen.  (Nursing Home regulations vary by state and you mention that you are not in Maryland so I don't know what the eviction process might be).  The reason for good credit is to insure that you are going to pay your bill.  [/quote]

One of the places we are looking at has an assisted living facility and a nursing home.  The latter takes Medicaid.  Ideally she would transition from assisted living to the nursing home as necessary.  How does one get admitted to a nursing home?  That's what puzzles me.  My mom's doctor, whom I am not particularly fond of as he seems overly focused on preserving my mom's dignity with little interest in how that plays out when she is at home on her own, may refuse to admit her.  She can't meet the ADLs (is that the right acronym) on her own as she basically doesn't trust herself.  The doctor seems more focused on if I am respecting my mom's HIPAA.[/quote]

PP here.  So your questions then are will she be able to transfer to the nursing home after she runs out of money and how will that process occur.  There is criteria for Medicaid to pay, financial being only one, which you should inquire about.

You don't need her own doctor to admit her.  And, unless her doctor has privileges at the nursing home, he will be out of her life once she moves to a nursing home.  She will have to switch to one of the doctors who have privileges at the nursing home you choose.  [/quote]

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