We are in Minnesota. We are bringing her here from Kansas. We found a place that seems nice. We had a long conversation about the ability for her to age in place. We understand there are situations where that might not be possible and she moves to a nursing home. So, can anyone say if they have had trouble moving to Medicaid in a Memory Care place after private pay runs out? Has anyone had experience with moving someone to a NH after their private pay runs out and their current place doesn't have a Medicaid bed available? Or, is there some sort of assurance that we can get from the MC place that they will keep her until a bed is available without expecting us to makeup the difference, which wouldn't be possible? Our biggest fear is that we have this great place that will deplete us of all her money and then when she really needs help/care, they say goodbye. What prevents them from doing that and kicking her out?
A facility such as this is not regulated by the laws that nursing homes are regulated by. It is a business. When your money goes, you go. And there may be SOME that allow you to stay, but anymore, it's rare as hen's teeth.
The ones to ask are in administration at your facility. If you do not have this in black and white, a signed contract, then you have nothing.
You need to find out if the facility accepts Medicaid or not. If NOT, then you need to start looking for a different place before it becomes an emergency situation (i.e., she has no money left).
This is the time to call and ask them directly if they accept Medicaid clients when the money runs out. Some places will avoid answering the question directly because they do not want to lose a chance to get your money now, but ask again until you get a YES or NO.
We will have to reapply-new facility Medicaid eligible placement-self paying for now with family assistance as we were desperate to get out of the bad place she was in-injuires, being unclean. We did not have time to wait to re do Medicaid as was covid start we grabbed the spot. You should get it in writing that facility will guarantee you a spot after X time or the money runs out, who will do the application-them or you time line etc. I have not done this-no guarantee it will work.
During my facility search I asked to be on wait list. None have called in the last 10 months-probably never will. Really great place says 2 year wait list. Medicaid rules say a facility can approve more medicaid beds but getting facility to actually do that?????
Most of what I have learned from my research as that the facility will want some assurance of your ability to self pay for a period of time 1-2 years worth. They wlll always give first choice Medicaid to current facility residents. I was told this a few times when we were told a bed was going to be available-but then a day or so later-poof the spot was "taken". Which sis did not have a huge amount in the bank to pay for high needs care. Sis needs full on nursing care was combative in the past-limited places will take on difficult cases. She is not combative now but having other behavior issues.
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