littlemisskitty Asked December 2014
How does Title 19 work?
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In CT we were told to sign my grandma up for Title 19 and were told that it was a CT state assistance. Then we visited a nursing home and she said that to be part of a nursing home, you had to had title 19 already started and be pending and that it was national. How does Title 19 work? Is it national? Is every senior on it if they qualify? Anyone else have experience with Title 19 and how it works?
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One big part of Title 19 is that all states have to provide their programs under an overall federal guidelines BUT each state administers & manages their Title 19 uniquely and within how their state laws are done. A good example of this is the MERP program (estate recovery): all states have to have MERP in place in order to get the federal $ for Medicaid; but each states probate & intestate laws make a huge difference as to how MERP is done, like a claim against the estate rather than a lien on property.
So in a way everybody has told you something that is kinda correct!
Grannie needs to apply to the program that is in the state she is a resident of. So if she lives in Maine, then that's who she applies to. Now if you are wanting to get her moved to CT, you are going to have to do things to establish her residency in your state. This could be as simple as getting her a new bank account in your state and getting new legal done (DPOA, will, etc) and a new drivers license or ID. But if grannie owns a home & a car in the old state it is going to be more complicated as the property is exempt asset for the old state but not exempt for the new state.
Now some states have a higher NH participation rate for Medicaid. Like my moms in TX and there are lots of NH who take Medicaid. Because of this, there are good NH who have open & available beds so they accept residents medicaid pending as they need to fill their beds. The consumer actually has some choice of NH in parts of TX. But other states, not the case. Where I live (New Orleans), most of the better NH do not take residents as Medicaid Pending. Most are private pay. If they do have a few Medicaid beds those are always filled from a waiting list whose names are their existing long term private pay residents - nobody from off the street will ever make it to the top of the list for a Medicaid bed. This seems to be a common technique by NH. If I needed to find a Medicaid pending NH bed ASAP, I'd need to look at NH out in outlying parishes (county).
If you need to do new residency I'd suggest you start on this ASAP. A bank that has branches in ME & CT would be good. Decide on what for the new address. You can have all sent to you but consider having a private mail box rented for her. UPS stores have these but also there are often pack & ship places that do this. You go and open it & include grannie name on it. Then all her stuff gets changed to go to the new address. In a way this can be really good as it keeps all her paperwork centralized and easier to keep track of. Good luck in all this and keep a sense of humor going in dealing with Medicaid & state rules.