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Does she really have to stay for 60 days? My mother has been in a rehab center for over 20 days when she had a UTI that sent her to the hospital for acting out. I am in Florida. Can I really not get her help until she goes back for 40 more days?

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Just an FYI, There are new medicare rules..... if a person is under observation in hospital, they are not considered admitted. Be sure of this rule before one contemplates needed rehab. Welcome to ObamaNOCare
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Ooops "The difference between MEDICAID and Medicaid Diversion".
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The Cares Department, in your county, phone number can be obtained by contacting Department of Elder Affairs' Diversion Program in Tallahassee at telephone number 850- 414-2000. They can explain the difference between Medican and Medicaid Diversion.
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As far as I know, the 60-day stay in a nursing home medicaid is applicable if you apply for medicaid diversion so she can get various long-term care and medical services. You qualify for the medical diversion if you stayed in a nursing home medicaid for at least 60 days. Not sure if you are referring to medicaid of medicare, or about the institutional care program for nursing home medicaid. Is your mother located in Florida? It is advisable to talk to a medical lawyer for eligibility and qualification
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Is she in the hospital on a 60 day psychiatric hold? That would have been a court order.
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My understanding of the system is that she has to be OUT OF the hospital for 60 days before she is entitled to another 100 days of rehab or nursing home care. Can anyone else clarify this? Perez, do you have someone else you can take with you to talk to the discharge folks? It's hard to listen to and understand all of the message when you're anxious about your parent. Take another relative, or a friend.
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The other thing I had run into along the way was that a hospital stay had to be three overnights before there was coverage for another rehab period. This was for my dad who had both Medicaid and Medicare.
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Your institution's financial counselor should be able to tell you which end is up with Medicaid regs. On the good side, when they finally approve Medicaid it covers at least back to the date of application. And you have to be sure of whether you are asking about Medicaid or Medicare, they are VERY different things. On the bad side, with Medicare, you only get the 20 days of facility rehab covered now and there is copay 80-20 then it's Medicaid of self-pay for long term care. Medicare used to be 100 days as long as progress is made.

I am probably mixing something up. with the recent changes...but outpatient or home based rehab may be covered for longer under either. Theoretically under a new ruling you might even get maintenance or preventive care covered to prevent regressions. Renewal or reset periods where it is covered again may also vary, and could change with hospital stays or new conditions or surgeries.
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All I have is my own experience with my dad when he went into a NH. Medicare covered his stay up to a point but we were looking at long term placement in this NH so while Medicare was still paying the social worker at the NH advised me to begin the Medicaid process. Once Medicare dropped my dad, which was anticipated, he was in the process of being approved for Medicaid which would foot the bill retroactively so my dad was allowed to stay at the NH while his Medicaid was being approved. In the interim my dad had to hand over all of this monthly income to the NH. The NH strongly suggested that we put their name on my dad's accounts so they could just debit his account every month but we weren't comfortable with this. We paid the NH every month ourselves from my dad's account.

My dad was finally approved for Medicaid---2 months after he died.

As it was explained to me the Medicaid process had to start ASAP because it does take a while to be approved.

Getting my dad on Medicaid was suspiciously easy. I'd read so much about what a mess it is but that wasn't my experience. However, my dad's finances were very simple so that probably had something to do with it. Oh, and while we were in the process of getting my dad approved for Medicaid the nursing home would ask for proof periodically, proof that the Medicaid was still pending. Which we provided. If you anticipate your mom having to stay in the NH either talk to the social worker there or go to your local Medicaid office to get the ball rolling. It's never too early to begin the process.
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Hang in there S6PEREZ .. Someone will answer. I'm not up to date personnelly on my NH facts but others are so I don't want to give you false information..
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This is why I never wanted to post a question.... Answers are few and far between.
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