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If you get your pension payment on the 1st, Social Security payment on the 3rd and go to a nursing facility on the 10th (with full coverage Medicaid in Indiana) but paid your bills for the month already, is that an issue? Isn't your social security paid frim the month prior so it is usable?

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Did the NH or Medicaid caseworker make your mom or you aware of the Share of cost requirement? If not…..

Please pls realize that if your family member has outstanding debts and they file to go onto LTC Medicaid program to pay for their custodial care at a facility, that they now have a required Share of Cost / SOC or copay of basically almost all their income less a smallish Personal Needs Allowance / PNA that goes to the NH. The SOC starts the date of their filing for LTC Medicaid even if they are “Medicaid Pending”. A sticky in this is whether or not your State can actually require it to be paid at their entry to the NH or the NH has to wait till approval or disapproval determination by LTC Medicaid program (which could be 3-4 months) to be paid. The PNA varies by State with average of $50 or $60 a month and under Medicaid rules is only to be used for items for her needs at the NH not paid by LTC Medicaid so could be beauty shoppe, clothing or toiletries replacement.

If she was on Medicaid for health insurance, (so she is /was a “dual” as on MediCARE and MedicAID) that is an entirely different system than LTC Medicaid for eligibility. It’s Medicaid as health insurance.

Once LTC Medicaid filed, mom will have zero-none-nada of her old income (like SSA retirement income or that plus a pension) realistically to ever pay any of her old bills. If she actually does have debt, she will default on them unless you or other family members pay those debts due to the copay or SOC requirement.

I mention this because I’ve been on this forum a long time and this very issue tends to be glossed over by facilities and by Medicaid as well. Families get gobsmacked. Whatever the case, it’s on the applicant or their POA to make sure the SOC is paid and promptly.
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Reply to igloo572
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Why don't you call the SSA office in your area to ask this question?
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Reply to Geaton777
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