Can I get permanent care for my mom if she doesn't have Medicare?

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I live out of state and my brother has been my mother's primary caregiver. He is currently unavailable to care for my mom, and she needs 24-hour care. She can no longer make any decisions for herself and doesn't receive medicare benefits. I was recently contacted by the hospital and nursing home (where she would receive rehab care), and was told that I have to find permanent aftercare before they will admit her to rehab care.

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Why doesn't she have Medicare? Is she too young? Can she afford to self pay? If not, then she should apply for Medicaid.
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