My dad has severe dementia and was recently approved for Medicaid in a skilled nursing facility. His monthly out of pocket was $1,342.50. My mother is also disabled and was just approved for WA State COPES (in home assistance) for a mere 20 hrs. per month. Now that she was approved, my father's monthly out of pocket payment increased to $2,267.13. They are broke and this will actually put them in a negative state each month. I am POA and live in another state and do all of their paperwork and applications for them. I am in shock and am not sure what to do.