Follow
Share

We live in TX and would like to find out of anyone knows if Medicare will help
pay for home health care for my 90 year old Mom. She can not walk or transfer on her own and needs to be helped with bathing, etc.


The family can no longer afford to pay for her nursing home and she has been denied Medicaid coverage. Any knowledgeable advice will be appreciated.

This question has been closed for answers. Ask a New Question.
I helped my Mom send in the initial application and there were no problems at all. Medicaid was approved without a hitch. That's why I am so perplexed that this time around they are being so difficult. I can not get a specific person at the Medicaid office to help me. I call and they are of no help, other than to tell me to send the past five years of statements on both accounts and receipts/invoices for everything over $200. There is no way I will have receipts for everything over $200.

I have called so many places trying to get help, but am still at square one. I just ordered all the statements from the bank yesterday, but even when I get them, I don't see how I will have all receipts, etc. that my Mom spent on everything.

I'm guessing at this point I need to figure out where she will go from here. I have no clue and my brothers are of no help. I am feeling so overwhelmed.
Helpful Answer (0)
Report

Caregiverhelp,
Take a deep breath.
You’ve got to get this renewal done.

Unless there has been some major change in Moms financial situation in the last 5 yrs like Mom sold her house and gave the money to her kids or she has the money sitting in an account somewhere it’s possibly Texas Medicaid being Texas Medicaid.

If you have a local Medicaid office start there. Don’t call. Walk into the office. Talk to someone there. Try to find out exactly what they are looking for.

If you have a smart phone there is an APP you can download. Thru the APP you can snap a pic of the documents hit send and they have the document.

If your Mom’s Medicaid caseworker is helpful, yes they do exist, they might exchange email addresses with you and send you requests, you send the documents thru the APP, then you follow up the next day by email. You ask did you get the documents? What else do you need?

Who helped you get Mom signed up for Medicaid originally?

I do sympathize, it is stressful.
Helpful Answer (2)
Report

So Medicaid really hasn't turned her down. They just want more documentation than you feel willing/able to provide.

I think you better spend some of what your mom has left to consult and Elder Law attorney and see if they can help you streamline providing what Medicaid wants.

I can well understand how weary you are of this whole process. But giving up Medicaid will have a huge financial impact. I hope you can get some advice, get some rest, and have enough energy to get her qualified again.
Helpful Answer (2)
Report

There has to be assets if they are denying Medicaid. Does she own a home, land? Medicaid will pay if she has depleted her assets, most long term nursing home residents are on Medicaid.
Helpful Answer (0)
Report

She is currently in a nursing home and has been on Medicaid for a year now, but
with the renewal app, they are requesting tons of records for the past five years.
That would take an incredible amount of time and work to gather everything that
was deposited and withdrawn from her account. I have been handling my Mother's
business for 17 years now, and frankly, am very stressed at this point. When I send
records they want more records. I'm tired and have to find another alternative now that Medicaid is making it so hard for her to get approved. It's very perplexing to me why they now want all this information.

I've found no one to help, the nursing home financial mgr. isn't helpful, Medicaid isn't helpful, so I am at my wits end and very mentally distraught at this point. My other
two brother's are no help whatsoever. I'm on my own and am running out of ideas as to what I can do.
Helpful Answer (0)
Report

You could also ask one of her doctors to script for Palliative Care (a step up from Hospice Care). She could get some assistance, but it wouldn't be as much as she might need. Still, it's worth a try.
Helpful Answer (2)
Report

Medicare will pay for Home Health if your mother has a skilled need, i.e. A need for a RN to visit, PT, OT and sometimes an aide for a short while. Talk to her doctor to get an order and start there.
Helpful Answer (2)
Report

I think the only kind of insurance that cover more than temporary home care is long-term-care insurance.

Do you have any grounds to appeal the Medicaid decision? Have you seen an Elder Law attorney about the situation?
Helpful Answer (2)
Report

This question has been closed for answers. Ask a New Question.