I live in assisted living. When I came in I had to pay a lump sum, my pension and give them my SS. I am on Medicaid and Medicare. What happens next?

Admin

Can u stop comments on this post and other posts made by this OP. Its the same question almost every time with no replies to questions asked.

Thank you

Did you apply for medicaid,. If you have any property they will tie that up . So when you past away they will be asking POE . Family sake have house Medicaid wants their money back for paying your keep . No matter what . So before applying check your property deed did you transfer into another's name five years before . If not $$ they will know . Careful

Ask the facility / Assisting living facility.
Talk to the county, senior department.
Call Medicaid and Medicare.

The facility has clear legal guidelines (or should have) with what they can and cannot do. If they can 'kick you out,' they will know the rules and regulations. Do not fear reaching out to them. Read the fine print you signed on all documents / contracts upon move-in.

Do you have family ? a friend ? an attorney that you can talk to - to assist you with these things?

There are low-income attorney services in some areas. Check with your county and see what is available to you.

Gena / Touch Matters

Medicaid rules vary from state to state, and anything to do with Medicaid is complex. Most states do have "estate recovery" which means anything that goes into probate, Medicaid can potentially seize after your death. You need to contact a social worker even if it is in your county to organize to see an attorney for low-income people. The county may even have eldercare services which includes access to an attorney.

medmistakes: Seek the counsel of an elder law attorney.


JoAnn: I did see your posts on this thread.

Please hire an Elder Law Attorney to read over your contract and make sure that your son's name is not mentioned anywhere. Find out if you need to locate to a different assisted living facility.

https://medicaid.ohio.gov/families-and-individuals/citizen-programs-and-initiatives/hcbs/waivers/hcbs-waivers

The last OPs post was Feb 26th after I posted that they never answer our questions so I considered them a Troll. She came back saying she was the daughter and then started writing like she was the mother. And still has not answered the questions asked. I really can't believe that the person has racked up a bill of 10k and has not been asked to leave.

https://www.agingcare.com/questions/did-not-mean-to-try-to-deceive-anyone-by-third-party-or-whatever-i-was-afraid-nursing-home-would-rec-479912.htm

Only the administration of your ALF can answer this, medmistakes. ALFs are not regulated as nursing homes are. They are basically businesses with rentals and they provide such care and levels of care as they tell you in your initial contract. Your contract will have information in it, and if you require more information then your ALF will give it to you. It is, in truth, very rare for ALF to accept medicaid patients. When my brother was in his ALF it was made clear to us both that when his money was gone, so was he (though much more nicely said).
I will wish you good luck and I will hope you update us, but do discuss this ASAP with your own administration. This has to be so worrisome for you and my heart goes out to you.

Have you talked to the social workers at your facility? By now, they should have told you if they have Medicaid beds. Not sure how you were able to stay there and get a balance owed of $10K.

Are you possibly using your social security (and maybe pension) plus the $600 to self pay for your AL residence? And the Medicaid you get is a waiver program that gives you some at home services? If that's the case, it's probably time to apply for long term care nursing home Medicaid bed.

Most AL facilities are self pay, just like you're doing now. When folks run out of money, they apply for Nursing Home Medicaid which pays the facility and no out of pocket. I think there's a few states that have some AL Medicaid paid beds, but not many. Some AL facilities even have higher level of care NH beds you can move to by applying for NH medicaid.

Definitely talk to the facility to find out if they accept Medicaid bed patients. They can help you apply for Medicaid bed to keep you in their facility or to move you to nursing home like most folks end up doing. There's more probability that when you run out of money, you'll have to go to another facility. Some states do hold children responsible...I read it on this site and looked it up. It has something to do with familial responsibility, I believe.

Please, dear, I suggest that you seek counsel from an Elder Law attorney or other legal guidance of your choice. You need your own personal professional advocate and guide present with you for any conversations henceforth with facility representatives.

Did your son sign any documents?? If not, he is not financially responsible.

This money thing sounds fishy to me. Please follow other readers' opinions and good luck.

I just went thru everyone of OPs questions starting on Aug 2021. Not in one are questions we ask responded to. I questioned in my previous post if the OP was even the resident. I think not. This question is from the daughter. Almost identical to this one.

https://www.agingcare.com/questions/assisted-living-facility-is-letting-my-mom-live-there-taking-her-ssd-we-paid-a-lump-sum-to-get-in-472067.htm

If you note, some of the earlier questions have been closed to replies.
I think we may be dealing with a Troll. If not, it would be nice if they would post, identify themselves and give us more details. Otherwise, I think we should stop wasting our time posting.

Please read OPs previous posts.

I am wondering if this is the person in the AL and not a third party. If the third party please post as who you are in relationship to the resident.

Is Medicaid LTC paying for your rent? If so, usually your SS and pension do go towards your care and Medicaid pays their share. There is no additional payment because you should have no money when Medicaid LTC is involved. Where u able to get into AL on a voucher? Because ALs usually do not except Medicaid LTC. In my state you have to private pay for at least 2 yrs for Medicaid to step in.

Unless you "bought into" a Senior Community I do not understand a lump sum amount. My Mom was private pay. She did pay a fee that was non-refundable. Then she just paid her monthly rent/care.

Medicaid for LTC does not work the way you are describing. Are u handling you own finances or is your son? Without more details, I don't see how we can help. I have never heard of owing anything when Medicaid LTC is involved. Your son cannot be made to pay if he did not sign anything making him responsible. Signing as your POA does not make him responsible.

What I think maybe happening is your not on Medicaid for LTC only for Health. Your pension and SS were enough to offset the cost of your rent and care, leaving you $600 you needed to pay out of pocket. Now your savings are gone. So you no longer can remain in the AL. You need to now find out if the AL will allow you to file for Medicaid and allow you to stay. If not, then you can still file for Medicaid but will need to go into Long-term care or find a board and care who will take ur pension and SS as payment.

I think if your worried about son being responsible for your balance due, son needs to get involved. He needs to talk to the Administrator. You may need to move and with all your complaints about the place, that maybe a good thing.

Do they accept medicaid?
Have you applied for medicaid?
Only your own facility can give you answers. You need an appointment with your facility management/administrators and with whomever is managing your finances if there is anyone. My best out to you.

Your son is not responsible unless he signed specific documents stating he would be financially responsible for any unpaid expenses. You need to talk to a state social worker to help you find the best solution.

Talk to the business office of your facility for accurate answers. Review the contract you signed when you moved in.