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This was suggested to me by the Social Services offices when I expressed conflict about choosing between home health services and LTC with Medicaid. Mom has dementia and is rehabbing a fractured knee. Her dementia has worsened while in rehab, and wonder if she might improve at home. She might be discharged in a few weeks (if she doesn't progress, or the 100 days of Medicare coverage ends).


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At rehab you get PT six days a week. If she is not making progress with that, she will not make progress at home. It is NOT true that she can go back to rehab. She would have to find a long term care facility. The easiest transition is from rehab to long term care. Once you get her home, she may refuse to go anywhere and you are stuck.
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No...the transfer into rehab which is fully covered is from an acute care hospital. Meaning, some serious medical situation has just happened, and after dealing with the acute nature of what ever it was, now she transfer to be rehabilitated.

The only way someone goes from home to rehab is if it is being paid privately.
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I'll have to go to mom's rehab office and speak with the social service person who gave me the 30 day return idea. If she confirms it, I'll get it in writing.
Right now, though, I think the best thing to do is start the Medicaid application process, just in case we decide it would be best for her to remain at the same location but in the long term section.
Thanks for your feedback! I am alone -like many of you- making serious decisions about my mother, and grieving her increasing dementia.
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