Is a person automatically covered for long-term NH care if they already have Medicaid?
Boyfriend has Medicare, Medicaid, and Humana gold. Understand Medicare only covers up to so many days and skilled etc.
Being discharged in two days, for care as outpatient therapy. Does not live with me. Doesn't want to be a burden, I've no choice no matter how supportive I am, this is pride and I can't make him understand this is what unconditional love is.
Going home to daughter, as he already lives with her and grandchildren..unsure if they are able to accommodate him being an amputee, going to try, family may not have the skills long-term to accommodate being caregiver. He is one month today after surgery. Waiting for prosthetic as stump is healing. Doing well with pt and ot.
He is considering NH. Does having a leg amputated automatically qualify him for long term NH?
I just finished getting my mom 84 with vascular dementia approved for her NH Medicaid, but cannot compare her situation with his. Thank you so much for any advice.
As far as LTC Medicaid, a Dr. has to sign off that it is necessary, and no, just because you are missing a limb doesn't make it medically necessary for LTC. There are hundreds of thousands of people living normal healthy lives with missing limbs.
He must show some other need that requires skilled hands on care 24/7 for him to survive.
Encourage him to get back to living and find his own place. His daughter should not be strapped taking care of him for the rest of his life. Obviously there is a transition period, but he shouldn't be planning on staying for ever.
Once the limb is amputated the stump should heal well. When he gets his prosthesis PT & OT will teach him how to put it on and work with him to get used to it.
I've found a good publication that may help
https://www.medicaidplanningassistance.org/nursing-home-level-of-care/
As said, he will be fit for a new leg and have PT, OT to help him learn how to use it. He needs to learn how to do as much as he can on his own. If not set up for therapy at home to help him with ADLs then I would call his doctor and ask that it be approved. Tell daughter he should do as much as he can for himself.
My daughter went with a guy who was in his late 30s. He had lost a leg. I watched as that man got himself into his jeep from a wheelchair throwing the chair into the back of the jeep and then getting into the driver seat.