Do you need receipts for the 50.00 dollars a month that the residents in the nursing home are allotted who are on Medicaid? Or is this to do with what they want without receipts.
Rose, I want to answer your question PMd to me here.
You asked if the $50 Mom receives can be used on tithing. I would say no. The $50 is for her needs. You can buy her new clothes, underwear, socks, shoes. By the time my Mom paid for her NH privately, she only had $186 in assets. So it would have taken a while to get her up to 2k.
Here are some examples listed on Medicaid site
"Examples of personal items for which PNA is intended are:
i. Small purchases, such as cosmetics, electric shavers, hair spray, special lotions or powders, clothes brushes, tobacco or candy; ii. Personal items, such as clothing, jewelry, watches, accessories, haircuts, beauty parlor services, newspapers or magazines; iii. Personalization of living area with items requested by the resident, such as bed-spread, rug, pictures, furniture, radio or TV; iv. Community contacts, such as home visits, transportation, trips to special events or places of interest, telephone calls, stationery, stamps or gifts; v. Hobbies, such as games, photographic materials, aquariums, plants or audio or video tapes."
It does mention gifts. Could tithing be a gift to the Church. There is a caseworker assigned to ur LO. Call and ask if tithing can be considered a gift.
For me I allowed the NH to become payee for Moms SS and sm pension once she was on Medicaid. The $50 comes out of her SS payment and is placed in a Personal Needs Acct (PNB). If the resident is of sound mind, they can go and withdrawal money when they want it and spend it anyway they want it. For a hair cut, to have their hair done, snacks out of the vending machine, etc. If they are not of sound mind a family member, maybe POA, can get permission to withdrawal funds but needs to show the receipt that they paid for the item for that resident.
If you are directly paying a residents SS every month to the NH, then you can deduct that $50 placing it in an acct with the residents name on it. This can be the acct that the asset cap is in, for my State thats 2k. In both cases, that $50 is part of the asset cap so you need to make sure you stay under the cap.
To answer your question, yes you save any receipts you have where that $50 and that asset cap are used in case there is ever a question. In the end, both become part of the residents estate. Neither go back to Medicaid.
My MIL is on Medicaid in LTC in MN. Medicaid takes all but $90 of her SS every month. Medicaid alots the amount, not the facility. I don't get a receipt for this, it is just left in her bank account. But then her PoA sends funds to her Resident Trust, which is managed by the facility and allows her to pay for extra services. The NH sends us a receipt and statements as to her in-house account.
You asked if the $50 Mom receives can be used on tithing. I would say no. The $50 is for her needs. You can buy her new clothes, underwear, socks, shoes. By the time my Mom paid for her NH privately, she only had $186 in assets. So it would have taken a while to get her up to 2k.
Here are some examples listed on Medicaid site
"Examples of personal items for which PNA is intended are:
i. Small purchases, such as cosmetics, electric shavers, hair spray, special lotions or powders, clothes brushes, tobacco or candy;
ii. Personal items, such as clothing, jewelry, watches, accessories, haircuts, beauty parlor services, newspapers or magazines;
iii. Personalization of living area with items requested by the resident, such as bed-spread, rug, pictures, furniture, radio or TV;
iv. Community contacts, such as home visits, transportation, trips to special events or places of interest, telephone calls, stationery, stamps or gifts;
v. Hobbies, such as games, photographic materials, aquariums, plants or audio or video tapes."
It does mention gifts. Could tithing be a gift to the Church. There is a caseworker assigned to ur LO. Call and ask if tithing can be considered a gift.
For me I allowed the NH to become payee for Moms SS and sm pension once she was on Medicaid. The $50 comes out of her SS payment and is placed in a Personal Needs Acct (PNB). If the resident is of sound mind, they can go and withdrawal money when they want it and spend it anyway they want it. For a hair cut, to have their hair done, snacks out of the vending machine, etc. If they are not of sound mind a family member, maybe POA, can get permission to withdrawal funds but needs to show the receipt that they paid for the item for that resident.
If you are directly paying a residents SS every month to the NH, then you can deduct that $50 placing it in an acct with the residents name on it. This can be the acct that the asset cap is in, for my State thats 2k. In both cases, that $50 is part of the asset cap so you need to make sure you stay under the cap.
To answer your question, yes you save any receipts you have where that $50 and that asset cap are used in case there is ever a question. In the end, both become part of the residents estate. Neither go back to Medicaid.