If Medicaid pays so much for its nursing homes why does it give more support to private facilities?
My Dad stays in a Medicaid financed nursing home, so it does not cost him anything beyond his SS money ($800). The facility is very shabby, understaffed, not very clean and you would, in one word, describe it as "cheap". Cheap? Not really. For a resident who pays out of pocket the price would be $8,000 a month. However, for this price I could place my Dad in a nice clean lovely private facility with the highest level of comfort and care. I cannot afford $8,000 place, but I might be up to paying $4,000 if Medicaid would contribute the rest. I don't understand why they don't. Everyone would win, am I correct? There is a program called Medicaid Waiver that covers some part (not sure if it's really 50%) of the price of the staying in private nursing homes. However, when I recently tried to apply for this program and move my Dad to a private facility it turned out that there is a waiting list, and, anyway, Medicaid only allows a few spots in the facility to be taken by people on a Medicaid Waiver program. What am I missing? Why Medicaid prefers to pay $8,000 for my Dad's very meager and, honestly, almost below the dignity living instead of saving at least half of this sum and allowing him to live in comfort?