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he is deaf, blind and paralyzed. recently needed rehab, and now it is evident he will be in a nursing facility where it looks as though he will remain. will it be necessary to file a new institutional application for Medicaid, or will it just roll over. Does the nursing home do this paperwork or is it even advisable to ask them to. I am hoping to get information on how best to handle this so as not to disadvantage him.

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I'm confused which does happen sometimes. Your profile mentions your location as Gary, Indiana, but your question is about a nursing home in Illinois and states that your mother lives in Gary. Who lives where?
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When my loved one moved from regular Assisted Living to Secure Memory Care, the Memory Care facility contacted the Medicaid case worker and she processed the paperwork promptly and the move was approved within one day. I think they have to do that if the new place costs more, because Medicaid pays the extra costs when a doctor says it's necessary.
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Are you sure she is not being asked to sign up for Medicaid for your Dad, rather than for herself? The nursing home in IL certainly needs to be paid for caring for your Dad. Who is paying them now? Can he afford to pay out-of-pocket? If not, he needs to sign up for Medicaid.
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My father is on Medicaid in a nursing home in Illinois due to his condition there are no nursing homes in his area, Gary , In that can contain him. My mother who lives in Gary, In is being asked to sign up for Illinois Medicaid/Medicare because he is in nursing home. She is not on Medicaid and that seems mighty strange that she is being almost forced to sign up for Illinois Medicaid and medicare and she lives in a different state. She has Blue cross/Blue Shield insurance and doesn't want the other. But wouldn't she lose out on benefits if she were to sign up for Illinois Mediare/Medicaid? Wouldn't she have to use doctors in Illinois?
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My mother was on Medicaid in the community. When she went into a nursing home some paperwork had to be completed, partly because she changed counties. But it is a fairly painless process and it does not involve reapplying for Medicaid.

I hope it goes as smoothly for you as it did for us.
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Well if you are POA or DPOA it falls to you to complete any paper work, but the NH should assist you with this. Depends on your status.
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You should ask their financial counselor or social worker if there is anything special that needs done. It would be in their best interest to do it right, so they probably will as long as they are competent. Unless you don't think they will do thngs correctly, and/or think they are going to inappropriately take any assets that a community spouse might need or end up trying to convert to private pay for some reason, in which case you visit an outside eldercare attorney or estate planner who knows your states Medicaid regs.
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