My mom was hospitalized for severe UTI (106.7 temp when ambulance arrived @home) for 2 weeks. During her stay, she developed pneumonia, was diagnosed with pulmonary hypertension (4xs normal), her open wounds became infected - she was completely bedridden at her released. Dr. moved her to RH (also a NH) w/Medicare to restore her mobility and provide wound care. She has been there for 93 days, (her last 7 are approved). I applied for her Medicaid a few weeks ago and we are awaiting their decision. Medicaid has not contacted the RH facility for assessment.
Today the RH called and wanted to make arrangements for her copayment ($3900). I was told by our attorney and the RH that I should wait to see what Medicare did, if she was approved it would come back & pick up that cost. In this same conversation, they (RH nurse) tells me that mom will not qualify for Medicaid because does not medically qualify because her memory was intact. Her wounds have healed, but still has a cath, cannot transfer w/o lift & assistance and cannot stand alone, much less walk. Pulmonary hypertension is unchanged. She is getting closer every day, but had a few setbacks along the way. She cannot go back home as she is today and my dad is not in a physical condition to assist her.
Is this a tactic the RH is using to get her copay now, instead of waiting for state to repay? They accept both Medicare & Medicaid. Or do most illnesses/conditions need to be accompanied by memory loss? Is it premature to "disqualify" my mom before Medicare even processes her application?