I've sent Mom's Medicaid application but they never replied after weeks now. What can we do for payment? - AgingCare.com

I've sent Mom's Medicaid application but they never replied after weeks now. What can we do for payment?

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Mom is in a SNF from PT and now moved to long term care. She will need all in a few days or they will charge.

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Anna...

1. Make certain your mother has less than $2,000 in countable assets before the end of the month. That is why the pre-need funeral arrangement was suggested...it is not a countable asset and hopefully brought her assets below $2,000. If she is over $2,000 in assets on July 30th she will be out of luck with respect to eligibility in July regardless of when an application is filed.

2. Income requirements vary by state. What state does your mother live in? Are you sure her income is under the limit if there is one in your state?

3. Medicaid benefits are retroactive to the first of the month your mother is financially and otherwise eligible.

4. Medicaid benefits can be retroactive up to three months. For example, an application filed by the last day in July may be approved for benefits beginning April 1
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5. Given #4 above, in the short run it does not matter when the application is filed.

6. In any event, the nursing home cannot discharge your mother without providing for "safe discharge" to another facility.

7. If they accept her as a long-term patient they must provide a 30 day discharge notice and then must arrange for safe discharge as noted above.

8. Nursing homes take an aggressive stance with respect to payor source and this is certainly understandable. Work with the facility, keep them updated, be nice, and everything should be fine. If you mother's case is not complicated, and it does not sound as though it is, Medicaid approval should come relatively quickly.
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Also for NH Medicaid in some states, the system is for the NH to fill out the individuals application (& do this alongside the dpoa) at the NH & collect all the documents (bank statements, funeral preneed, life insurance stuff, infome awards letters, etc) required by medicaid & then someone at the NH or their corporate office does a quick review of to determine IF they will accept mom as "Medicaid Pending"; and then the NH forwards the residents application, required documentation along with thier (the NH) bill to Medicaid to the state caseworker assigned to this NH.

Its my understanding that a NH does not have to accept resident as Medicaid Pending if in the review they find something that is an obvious red flag issue for Medicaid eligibility. Like house sold within last year or two.
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This may not be an option for you, budget-wise, but the best thing I ever did was hire an elder lawyer to do the Medicaid application. I still had to provide a ton of information (SS card, bank statements, etc), but they were on top if it. My mother was approved for 24/7 home care. We did have to pay privately for the few months that it took the application to go through.
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The part about NH charging you full rate per month if you don't fill out paperwork makes sense. That's NH going rate I assume. But what about the $900? Do they return the $900 after Medicaid approves? Is Medicaid retroactive to when she was admitted? Are they charging you $900 to do the paperwork? I know nothing about doing this. Just following along and trying to understand.
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Is the $ 900 your moms SS monthly income?
If so, mom must pay her SS (& any other monthly income like a retirement, pension, annuity in payout status) to the NH as her "SOC" (share of cost in medicaid speak) both while moms in NH as "medicaid pending" or later when she's approved for Medicaid.
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When I filed for Medicaid, I went to our local Social Service office. I had a lawyer because a house was involved. I was allowed to deduct the cost of the lawyer from Mom's money. I took everything I could think of with me. I even had five years of bank statements. I was given a list with what I had brought checked off and what I still needed to produce. I was in touch with the rep all the time by email. You have 60 days from time of filing to find a facility. If you haven't then u have to start all over. The facility your Mom is in should be able to help you with the application. Like said they are probably asking for her SS check for now. Don't expect these agencies to follow thru, you have to be on them.
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Yes according to my sibling the nursing facility told her if we didn't fill out the application for Medicaid and start the processing they will charge the full amount for a private pay which is over 4000 or if we go ahead and apply they will charge us the 900 until Medicaid is approved the nursing home is submitting the application for us so they are requesting all this information including her bank statements they told us so they can submit it to Medicaid if we knew it would have taken them this long we would have filled the application out ourselves 3weeks ago they stated they could probably get it approved faster since mom is under their care
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You must be very worried. But try not to stress about it, because it will all get sorted in the end.

What have you done so far about chasing up your mother's application?
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contacted the office for 3 weeks never got a reply then finally we were told to get a pre need funeral arrangement bank statements got the pre need getting bank statements with POA can they tell us they will charge Several thousands if we don't fill the app out if it is filled out the charge is 900 while pending
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I'm not sure that I really understand this. Are you saying that they are going to charge you several thousands if you don't fill the application for medicaid out? Are you saying that if you fill the application for medicaid out that they will charge $900 pending the outcome of the application? Medicaid, not the nursing home, is who should be looking at bank statements.
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