Follow
Share
This question has been closed for answers. Ask a New Question.
Find Care & Housing
KS - AL for Medicaid is done by a waiver or a diversion of medicaid $. States can determine IF they even will do waivers and then which type waivers (like for AL, or PACE or inhome) and for a limited period of time. So facilities don't participate as just too much uncertainty.

Doesn't solve your problem..... but i do have a suggestion..... get her into a NH. Most who enter a NH are discharged from hospital to NH for rehab and then just stay. They have a fat medical chart that shows need for skilled nursing care which is the basic criteria for being medically "at need". But if mom is living at home or in IL, she doesnt have that. It will need to be documented with supporting lab work and medications. I'd suggest that mom become a patient of a gerontologist MD who is also a medical director of a NH that you / mom likes & takes medicaid. The MD will know what needs to be done to document "at need".

Now if mom is still totally good on her ADLs and flat not needing skilled care, getting her into a NH & onto Medicaid is a non-starter. But what seems to happen is there are all sorts of medical issues but they are getting by with family help so none of this gets into their health chart. But it needs to in order for Medicaid to find them medically eligible. Comprende? Good luck,
Helpful Answer (0)
Report

I don't think many AL take Medicaid. I have read here that AL might agree to take Medicaid after 2 years of private pay which can be $6k monthly out of pocket.
Taxpayers do not pay for seniors to be in Assisted Living. Medicaid will pay for a NH after the person spends down their assets to $2k. If she qualifies for Medicaid and needs skilled nursing care her doctor can order her to be in a NH. 
Helpful Answer (1)
Report

We are in desperate need of finding an AL facility that will take her with Medicaid. She qualifies per her monthly income, but we aren't sure they will pay for AL.
Helpful Answer (0)
Report

What do you mean by financial. If you are talking about having income monthly, Medicaid does not pay for that. That is SSI. Your local Social Service Dept should be able to help.
Helpful Answer (1)
Report

To qualify for Medicaid....that depends on how old you are.

If you are under the age of 65 AND you live in a state that has accepted the Medicaid expansion...then, the only thing they look at is your income. You must be below 180% of the federal property line. If you are above the age of 65 and trying to get medical covered by Medicaid...again...you must be in a state that has accepted the Medicaid expansion....you then could be "dual eligible ". Meaning, you have Medicare, and the state Medicaid program will be extended to cover you part B supplemental insurance costs.

If you are above the age of 65, and trying to get coverage for facility residence....then you must have no assets above $2000 and income below $2000 monthly. Then Medicaid will pick up your Nursing Home or Skilled Nursing Facility costs...meaning..residential costs. Some states have waiver programs that will allow for AL. It must be on Doctors orders....meaning there must be medical necessity.
Helpful Answer (4)
Report

KSDavis, I am placing your post back closer to the front page to see if anyone can answer your question.
Helpful Answer (0)
Report

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