My late mom was in a NH on Medicaid. She fell shattered a hip & then became “bedfast” and went onto hospice (MediCARE benefit) but remained on LTC Medicaid. Her NH had about 4 hospice groups that already were seeing residents at the NH. Mom went into the 1 “on call” for that week. I think you’re going to find there will be a set group of hospice that work with the NH & know NH staff and how to get equipment in/out, how dietary runs etc. You don’t need to remake the wheel so to speak.
if for whatever reasons the hospice group is less than stellar, mom or you as her dpoa can change the hospice company. It’s MediCARE so it’s a self directed benefit so her choice. It can be done but is a bit of a timing ballet to get done (this mainly due to swapping out of all equipment - like pneumatic bed- the old hospice got for the new hospice stuff). I did this for my mom within the first hospice approvals period & right before her every 90 day care plan meeting. This way the new hospice RN could be at the care plan meeting so everybody on the same page.
if for whatever reasons the hospice group is less than stellar, mom or you as her dpoa can change the hospice company. It’s MediCARE so it’s a self directed benefit so her choice. It can be done but is a bit of a timing ballet to get done (this mainly due to swapping out of all equipment - like pneumatic bed- the old hospice got for the new hospice stuff). I did this for my mom within the first hospice approvals period & right before her every 90 day care plan meeting. This way the new hospice RN could be at the care plan meeting so everybody on the same page.
Is Medicaid paying for SNF currently? I dont believe that it is a problem to have both services.
This link may clarify:
https://www.seniorliving.org/hospice/medicare-medicaid/
Apparently it varies by state.