My husband is on Medicaid at a skilled nursing facility. Question: does Medicaid offer at home care?

Have you contacted the provider of his Medicaid?

I think your DH is better where he is. You will never get the 24/7 care he is getting where he is. If he is a 2 person lift you will need 2 aides because one will not do it.

Medicaid at home is different than placement in a facility. A lot depends on your state and if home caregivers are available. You might get 1 person for a few hours maybe 2 to 3 times a week. The usual premise for Medicaid at home is for help with bathing and grooming or to watch someone. Everything may be already thrown out of the window once more than one person is needed, especially for a lift. You should talk with the social workers that you will be alone or with very little help prior to that discharge to determine the needs. However it looks like he will need long term care as they cannot release him as an unsafe discharge.

Have you spoken to the social worker at the rehab facility?

In some States, Medicaid will pay for round the clock aides. Others places, not. You need to talk to the SW at rehab and/or the local Area Agency on Aging to find out what might be covered.