Question 1: In the state of NJ. Once on Medicaid the VA A & A goes down to $90. The PNA for NJ is $35. I have been told several times that the PNA with Medicaid and VA is $109 in NJ. Is this correct? If so...where does this figure come from? $35 and $90 is $125.
Question 2: Also if the VA is sending the $90 check to my mom and she also receives a small annuity direct deposit, both into her personal checking account, can I just retain the $109 in her account and send the nursing home the difference?
Question 3: I assume that the nursing home who gets her social security will pay for her secondary insurance and prescription co-pays and deductibles out of her ss then balance bill NJ state Medicaid. Is this correct?
Question 4: I am her POA and I maintain her account of $2000. Assuming I am able to keep the $109 per month in her account and spend it for personal needs before month end to get her under $2k, do I have to show the state what personal needs are spent on? It is her money isn't it personal?
I would probably be able to get some of these answers but my mom has been pending Medicaid since September 1, 2016 in the State of NJ. They are very, very far behind with no resolution in site. Since that time, my mom was at an assisted living medicaid pending for 3 months, in the hospital, now at rehab, then finally will stay for Medicaid bed at rehab facility which has nursing home beds for Medicaid patients.
I want to be proactive and not do anything wrong as I am now dealing with medicaid pending back billing the state from September on at 2 different facilities.
Thank you very much for your time.