Therefore then not able to afford a nursing home?Our mother is under hospice care and currently staying with us at our home. She is getting to the point where she needs more 24 hour care and needs to be in a nursing home. We applied for Medicaid, only to learn that she is over the income limit (which was a huge surprise to us). We have learned that Ohio is a 209(b) state, allowing patients to spend down their income. What is the best way to do this and how do we document it? We have appealed to the state and are awaiting a conference with the county to try and overturn the ruling. I want to believe that between reduction in income and being on hospice, she should be approved for Medicaid. Thoughts?