Yes, but keep in mind that the prior NH will not welcome you back, if the new NH does not work out. The prior NH will replace the person with another Medicaid patient.
Cover, so just what are you asking? Or rather implying? Fee for a referral, lmao! I’m more likely to get back into my size six capris than for a MD to get a kickback on a patient that’s on Medicaid & Medicare. Mom was in a very large gerontology group. The MD medical director of her old NH #1 was part of this group when mom moved into NH #1 as was a different MD medical director of NH #2. All the docs save a couple were part time medical directors at NH throughout the region. They did referrals or gave suggestions for facilities both affiliated and not affiliated as part of their continuum of care.
The move wasn’t so much abt quality of care; it was more the place was an absolute clusterF for administration. Billing was always filled with errors. Likely Stark Law issues with pharmacy & equipment. Staff & Administrators leaving. Care was starting to become an issue. The SW leaving was it for me on finding a new place….. SW as they hold thier own licensing I’ve found are upfront & frank, if they are bailing it’s cause they know there’s problems on the horizon.
I wasn’t there when the team went over to do the look-see on mom. I did an authorization form at NH #2 to allow them to visit her and do vitals etc. as needed which is within my purview as DPOA & MPOA. They both signed in the visitors log at NH #1 just as any other visitor would. It was after lunch when they visited her in her room & when I went by to NH #2 to sign off on some move related paperwork EOD, that nurse was still there in her scrubs. I so doubt she changed clothes.
Yes IF it considered a lateral transfer. The new NH should be able to guide you as to how to accomplish this.
I moved my mom from NH #1 to NH #2 around mo 10 of her 1st year. She had cleared Medicaid at 5.5 mos and was current in her copay. I did NOT have the NH #1 as her representative payee for her SS etc., this was very important for us, see below. The new NH will need to find out if they can do the level of care needed for your elder first & foremost. For us, my moms old gerontologist suggested where to move her (it was a NH that one of her partners was medical director at). I called them and went over on my own to meet with admissions with my POA, copy of moms LTC Medicaid application and her awards letters from SSA & retirement. They looked it over & I Signed off a request for a level of care evaluation & for access to moms health chart at her old gerontologist. NH sent out a team of RN & their SW to visit mom at her NH. They called me from moms bedside to tell me all was good for a transfer. Then admissions at NH #2 called to schedule a move in date.
The move in date is ime very important….. mom was required as per Medicaid to do a copy of her incomes ea mo and pay by the 5th. Mom did not make the NH her rep payee. I paid by check - from her old checking account that I was signatory on and continued to get direct deposit of her mo income - her copay to NH #1 ea month and retained her PNA (personal needs allowance of $60 mo) in her checking account. So to deal w the copay, mom was scheduled to move in the first week of the incoming month. I sent a fax to NH#1 that mom was moving and when. There is no required 30 / 60 day notice of a move & penalty if not, if the resident is on Medicaid. Then the next month, I paid NH #1 a copay for the 4 days she was there and then paid NH#2 for the rest of the mo copay. Mom got paid on the 3rd.
The copay must happen. If the NH has been made rep payee for their SS, it will need to be changed. This likely will not be easy as SSA does not recognize POA but will instead want the elder to do what is needed to do the changes. I’d clearly ask billing at the new NH how easy / hard it will be to do a SSA payee switch to them. The old NH can be real foot dragging on this if they have a HQ in another state or if want to be a real dick about the move.
I & a local cousin started to move stuff out of moms closet ASAP, so that when she moved out it was basically just a suitcase. The new NH let me set up moms room the night before. It was pretty smooth. Still a lot to do, but smooth.
What never would have occurred to me, but NH #2 made a big point of was on mom’s medications and getting them. Their meds tend to come in 90 day blister packs that are held at the nurses station. Medicaid & Medicare will not pay for a second set. If they need a second set, it will be at private pay rates, could be a great deal of $. You need to get all your elders meds from old NH. I went prepared with ziplocs and a Sharpie marker. The floor nurse was pretty hostile on dealing w the meds… I don’t have anything to put them in… type of nonsense. Her expression when I pulled put the zippers was priceless. Again, you have to get all thier meds.
Moving them is a bit of a ballet, but is possible. Good luck.
If someone is granted Medicaid and they are in one nursing home can they transfer to another nursing home (same state) and still get Medicaid benefits ?
Fee for a referral, lmao! I’m more likely to get back into my size six capris than for a MD to get a kickback on a patient that’s on Medicaid & Medicare. Mom was in a very large gerontology group. The MD medical director of her old NH #1 was part of this group when mom moved into NH #1 as was a different MD medical director of NH #2. All the docs save a couple were part time medical directors at NH throughout the region. They did referrals or gave suggestions for facilities both affiliated and not affiliated as part of their continuum of care.
The move wasn’t so much abt quality of care; it was more the place was an absolute clusterF for administration. Billing was always filled with errors. Likely Stark Law issues with pharmacy & equipment. Staff & Administrators leaving. Care was starting to become an issue. The SW leaving was it for me on finding a new place….. SW as they hold thier own licensing I’ve found are upfront & frank, if they are bailing it’s cause they know there’s problems on the horizon.
I wasn’t there when the team went over to do the look-see on mom. I did an authorization form at NH #2 to allow them to visit her and do vitals etc. as needed which is within my purview as DPOA & MPOA. They both signed in the visitors log at NH #1 just as any other visitor would. It was after lunch when they visited her in her room & when I went by to NH #2 to sign off on some move related paperwork EOD, that nurse was still there in her scrubs. I so doubt she changed clothes.
I moved my mom from NH #1 to NH #2 around mo 10 of her 1st year. She had cleared Medicaid at 5.5 mos and was current in her copay. I did NOT have the NH #1 as her representative payee for her SS etc., this was very important for us, see below. The new NH will need to find out if they can do the level of care needed for your elder first & foremost. For us, my moms old gerontologist suggested where to move her (it was a NH that one of her partners was medical director at). I called them and went over on my own to meet with admissions with my POA, copy of moms LTC Medicaid application and her awards letters from SSA & retirement. They looked it over & I Signed off a request for a level of care evaluation & for access to moms health chart at her old gerontologist. NH sent out a team of RN & their SW to visit mom at her NH. They called me from moms bedside to tell me all was good for a transfer. Then admissions at NH #2 called to schedule a move in date.
The move in date is ime very important….. mom was required as per Medicaid to do a copy of her incomes ea mo and pay by the 5th. Mom did not make the NH her rep payee. I paid by check - from her old checking account that I was signatory on and continued to get direct deposit of her mo income - her copay to NH #1 ea month and retained her PNA (personal needs allowance of $60 mo) in her checking account. So to deal w the copay, mom was scheduled to move in the first week of the incoming month. I sent a fax to NH#1 that mom was moving and when. There is no required 30 / 60 day notice of a move & penalty if not, if the resident is on Medicaid. Then the next month, I paid NH #1 a copay for the 4 days she was there and then paid NH#2 for the rest of the mo copay. Mom got paid on the 3rd.
The copay must happen. If the NH has been made rep payee for their SS, it will need to be changed. This likely will not be easy as SSA does not recognize POA but will instead want the elder to do what is needed to do the changes. I’d clearly ask billing at the new NH how easy / hard it will be to do a SSA payee switch to them. The old NH can be real foot dragging on this if they have a HQ in another state or if want to be a real dick about the move.
I & a local cousin started to move stuff out of moms closet ASAP, so that when she moved out it was basically just a suitcase. The new NH let me set up moms room the night before. It was pretty smooth. Still a lot to do, but smooth.
What never would have occurred to me, but NH #2 made a big point of was on mom’s medications and getting them. Their meds tend to come in 90 day blister packs that are held at the nurses station. Medicaid & Medicare will not pay for a second set. If they need a second set, it will be at private pay rates, could be a great deal of $. You need to get all your elders meds from old NH. I went prepared with ziplocs and a Sharpie marker. The floor nurse was pretty hostile on dealing w the meds… I don’t have anything to put them in… type of nonsense. Her expression when I pulled put the zippers was priceless. Again, you have to get all thier meds.
Moving them is a bit of a ballet, but is possible. Good luck.