My friend's mother had a stroke and is currently in a rehab facility in Westhampton, NY. She is in the process of submitting documentation to the rehab facility's Medicaid Service Coordinator with a plan to transfer her mother to a skilled nursing facility once the rehab is complete. She hopes, at some point, to bring her mother back home. She has expressed a few concerns as to how things are being managed with the Medicaid process- some info the coordinator discovered in her search was completely false (eg., extremely large home expenses from a few yrs. ago that are supposedly tied to her mother's SS # are completely bogus). Any advice would be appreciated.
You need to be involved with the process. The Coordinator can help, but you need to be on top of it.
What Medicaid looks for is large amounts being given to others within the 5 yr look back. Ex: she gave money towards a down payment on a house to a child. She gave money to a grandson for college. If the large amount was spent for her needs, that does not count.
As I discussed in your other post, NYS has a complex set of regulations. If there is already misinformation, unexpained expenses and confusion that the review discloses it will hinder the approval process. If NYS Medicaid has any hint of misrepresentation they will deny the application.
BTW, is the patient your mother or a friend's mother? Your two posts describe the same medical issue for each mother. Or is it a erie coincidence that a stroke occured to both mothers?
This is before COVID. I made an appt to see Medicaid caseworker. He did the paperwork on the computer. (I had done enough for a nephew I pretty much knew what they may initially needed) I was given a list of info needed within 90 days. TG Mom kept her bank statements, she had 5 years of them. Everytime I did something on the list, it was emailed to the caseworker. Mom private paid 2 months, May and June. June I showed she was spent down and confirmed that all info was received. July her Medicaid started.
You need to be on top of Rehab. You have a right to know what is going on and that info is processed in a timely manner and accurate. Call Social Services in the County and ask to be transferred to Moms caseworker. Tell them Moms application is inaccurrate. I remember an original poster complaining it had been 6 month since the NH filed for Medicaid for a parent and money owed was rising. I told him Medicaid where I live only allows 90 days to get all paperwork needed to them to keep application opened.
Also, she should ask what will happen if her Mother qualifies for Medicaid but then is relocated to her home. Medicaid can provide some in-home aids but it may not be enough and it requires a lot of management due to turnover. Again, this may vary by state.