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How is the transfer done? Do I move him or they do.

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My brother is in a nursing home, he can move around ok i want to move him to another home and he gets around ok with help sometimes i have POA
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I just typed a response to a similar question but searching yields no results.

If your brother is on Medicare, speak with the office (doctor or PA, or NP) who scripted for the placement, and explain why you want to move him. The doctor's office can provide documentation in the event Medicare challenges the move. I got a letter confirming my reason for the transfer and provided it to the place to which we moved. There was never a problem with Medicare paying for the subsequent placement.

The rejected nursing home arranged for the ambulance, conveniently affiliated with the hospital that owned 1/2 of the nursing home pursuant to a joint venture.

If I had to do it over, I would have requested a community ambulance, as the ambulance driver sped from one facility to another the entire time. I had to speed as well to keep up with him, as I wanted to ensure that my father arrived at the right place, safe and sound. I was annoyed at what I considered irresponsible driving - my father was stable and there was no need to speed, especially with no hazard lights blazing.

The safe thing to do is get your doctor's script, notify the existing home you intend to transfer, find out which ambulance they use and express interest in another ambulance service if you don't want the one they suggest.

It is your responsibility to move all his belongings though.
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If this is urgent, and he is in danger at the Nh, call an ambulance yourself and have him taken to an E.R. Now, adjust this advice to meet the actual needs of your brother, skip the nuclear option, dial it back a little, and what do you need to do?
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I am not sure, but try this: Meet with his doctor, who can order the transfer (find a bed), and order an ambulance to transfer the patient. Other types of medical transfer can be used, but the doctor's order will allow for insurance to pay.
In the meantime, pack his belongings and take a little bit home at a time, it is common for family to bring and take away items, such as laundry.
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Are you his Guardian? If so you ask the court about the move.
Is he on Medicaid? If so his caseworker would handle the move.
If he is a ward of the state, the state has to handle the move.
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How is a transfer done? do I move his belongings or do they
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