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My Mom is now dual Medicare/Medicaid she resides in a ALF does anyone out there know if Medicaid or Medicare provides for a visiting Nurse Practitioner? My Mom's doing pretty good but in the event of something like a UTI to avoid being transported to the ER?

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Thank you so much
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disregard this post already answered
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Thank you so much Joann the AL has put my Mom on hospice which both of us don't feel that she needs to avoid these types of situations she's still very independent
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JoAnn29 Mar 2, 2019
Hospice has criteria that Mom must have fell into or she wouldn't have it. Also, the AL had to have a doctors order to get Hospice to come in. She is entitled an aide. If she is getting an aid thru hospice than make sure her care plan has changed with the AL. That they aren't charging Mom for bathing when the hospice aid is doing it. A hospice nurse should be seeing Mom one or twice a week to check vitals, etc. She should be checking for UTIs. If Mom is getting incontinence supplies thru hospice, they are hers and not the ALs. This was a thread a while back when aids at an AL were using Depends that were for a hospice resident for other residents. It was suggested that the family member put the supplies in their car only, putting what the patient needed, at any particular time, in the room.

When Mom was in the hospital for a UTI, she was catherized to get every drop out. Elderly have a tendency not to be able to void completely. They are usually put on a broad spectrum antibiotic. But as someone has said here, a culture should be done to make sure the correct antibiotic is being used. If Mom is not on cranberry tablets ask the Hospice nurse about them. Mom was put on a probiotic while in an antibiotic because of yeast infections that can be caused by the antibiotic. It was continued after she had completed her antibiotic. My Mom went from Oct 2016 to Sept 2017, her passing, with no more UTIs.
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There should be an RN associated with the AL. Ask her if UTI testing is done if they expect a resident has one. Some ALs have their own Doctors. My Moms AL didn't so they received their orders from Moms PCP. They were able to run the test on site.

Is Mom required to use the ALs doctors? If so, their doctor may have his own NP. If you or the nurse felt Mom needed medical help then their doctor or NP will see Mom and bill Medicare and Medicaid.

If Mom still uses her own doctor than check with him if he would make a house call or send a NP. If he does, he will bill Medicare and Medicaid.

I just looked it up, seems Medicare only pays thru agencies. For that, a doctor would order homecare usually after a hospital stay. Once the homecare is not needed, the patient is discharged from the service. When on Medicaid, the provider is usually a health insurance company. My nephews is Blue Cross/Blue Shield. If Moms is set up like this, call them and see if they have agencies where a NP can be sent out when needed.
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