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My mom owns her own home. If she lives there part time and lives with me part time (in another town), how will that impact her Medicaid eligibility? We are in Texas and she gets dual with QMB.

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Why does Medicaid have to know at all? You don't say she has two residences and lives with you part of the time. In fact, you don't need to say anything to them.
Your mother is visiting you. Not living with you. People have a right to have an extended visit with their family. You're in the same state too? Say nothing. If your mom has to go to one of her doctors while she with you, then you may have to do a stretch of driving. Do it. Or get someone to help.
Is her house nice? Make a few bucks off it as an Airbnb. Medicaid doesn't have to know all her business.
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Louloulee: Wherein lies the Qualified Medicare Beneficiary?
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You are in the same state so I don’t think it should affect it at all. I wouldn’t change her address for Medicare and Medicaid or her doctors if you do that at all when she goes back and forth. Will her house be empty when she moves to yours for the 6 mos? Will you be going back to check on it and take care of things anyway? The things that might be affected are any housing assistance she might get and any in home assistance if she gets it but I’m assuming you have that worked out. If you were talking about two different states then it might be more complicated I think.
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Is her home her main residence? She still gets mail there?

Does she have a Medicare Advantage plan. If so, she may not be able to get care outside of her state the policy was written in.

Straight Medicare with a suppliment...i don't see where the QMB would matter if it goes by income. Who is her supplimental?
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KaleyBug Jun 2022
Medicaid not Medicare. OP said same state
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I had to look up QMB, which apparently pays Medicare or Medicare Advantage premiums, etc. for qualified recipients.

https://www.elderoptionsoftexas.com/article-medicare-for-low-income-seniors.htm

The concern that I think of first, is if the two homes are in different regions so the selected plan doesn’t include in network doctors in both locations. Does the program require the use of in network providers for non-urgent care?
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I’m not the Forum’s Medicaid expert, but if your mother moves out of her house into a facility, won’t Medicaid require the house to be sold?
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BurntCaregiver Jul 2022
It depends. Medicaid can't command people sell a house. If the mother goes into care and she cash-pays every month, or has a long-term care policy, then no. In some instances assets like rela estate are considered exempt.
If her property was put into Irrevocable Trust that's considered a protected asset so long as the Trustee(s) don't sell it. So a family holds onto it. They rent it as income property, but they don't sell it.
If the OP's takes care of business now, then the mother's property and assets can be protected if he can keep her out of a care facility for I believe five years. That's the Medicaid look-back period in most places.
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