Mom fell in March. Broke right pelvis in 4 places and broke 4 vertebrae. Stable breaks, so no surgery. In hospital a week then transferred to what was supposed to be a critical care rehab with 5x/week OT and PT. Long story - short they didn't do much of anything with her in that place. MAYBE PT 2x/wk and OT a few times/wk. Never saw the attending dr in person and only saw the pain dr once, and that was on day 2.
After 21 days, she was kicked out by some insurance snafu caused by the rehab place (because her insurance didn't put a limit on the approval). I lost the appeal to keep her in, God intervening because I didn't know how crappy they were. With COVID and her fragile state, we transported her home via EMS because after 21 days of "rehab" she's now bedridden where before the fall she was supervised assist. Now she's total assist.
She's weak as hell. more so that after her stroke 2 years ago and breaking her femur last year. She's bounced back before, but this time I don't think she will. Also, her will to live is worse than ever. I'll be shocked if she lasts 6 mos.
So, we're using all her money to pay for a private aide (2hrs/day) and incontinent supplies (she's not incontinent, she just can't get out of the bed to a potty chair) and OTC medicines that insurance won't cover (cause she has bedsores after being on her a$$ for a month).
The home therapists have gotten her to transition to her wheelchair by the end of the first week home, but I'm witnessing that this is done with extreme difficulty. It's painful and she can hardly bear weight on her right leg, which is also her Polio leg. She can't tolerate being in the wheelchair for more than 90 minutes because she can't hold her head up any longer than that. She's refusing to eat all her meals and drink her fluids. She's gone from 143lbs to 129lbs since she's been home. 143 is her normal weight and that was what the rehab said she weighed. Though idk how they weighed her since they didn't get her out of bed and their beds dont have scales.
We received notice that her name has moved to top of list to apply for Texas Star Plus Program, which incl applying for Medicaid. Going back 5 years to document "gifting" to/from her and her transfer/transactions of any assets is turning out to be a pain. The form asks about furniture or household items. etc, not just big ticket assets. Mom has gifted furniture to family, and my brothers and I have bought a lot of stuff for her. (is that stuff ours or hers?)
She has debt from a bed she no longer uses - do I report that? I know they want all this financial/transaction history so they can 1) qualify her with or without penalty, and 2) so they can seize whatever they can upon her death to recoup the govt expense.
Some items Mom has refused to let go of are family items passed to my dad, thus her since he's gone, and were to be passed on to the next generation. Some things are nice, but if I offered them on Ebay. Nextdoor or Facebook. we'd get peanuts for them. Is there a value threshold for reporting these items, gifted or not yet gifted?
Also, given her current condition, I feel like my time would be better spent investigating and planning for hospice care that may be needed sooner than later. If accepted, they SAY they'll pay for diapers, OTC supplies and custodial care aides to come to the house.
I'll believe it when I see it. I've been lied to about benefits only to find out these companies and orgs don't pay when the rubber hits the road.
Does Medicaid help with hospice expenses?
Is all this worth it?
Any experience/stories yall have had in applying for these type of programs and Medicaid would be appreciated. What would you do if it were your Mom and she is too tired to live, but not ready for hospice yet?