under medicare as it does not meet the criteria for skilled nursing.These services provided were custodial in nature. Ok I get that, he was on medicaid at that point in time so I thought medicaid would pick up the bill. This letter informs me that the beneficiary (my father who is passed away) is responsible for payment to the nursing home services at issue. It also says that his representative which is myself, signed an Advance Beneficiary Notice. I was told all the papers I signed did not mean I was responsible for the bill. I paid a small fee of $45 a month to the nursing home, as that was all I was told I needed to pay after medicaid kicked in. He was there 2 1/2 months. It also said I am not required to take any action, only if I disagree. I don't disagree that he did not get any more skilled nursing as his life was failing, but It makes me a bit nervous for my mother who only has about $9000 in a savings acct. and lives on my dads social security. It also stated that the same letter was sent to the nursing home. Am I to assume that the nursing home will contact medicaid for payment???