My boyfriend and I are about to make a tough decision about what to do with his mother who lives out of state. She is quickly deteriorating from Vasculitis. She is now unable to care for herself. Can anyone say how difficult it is to transfer a hospital patients to another state so they can be closer to family?
These are the rates from Utah:
(a) Ground Ambulance - $696.00 per transport.
(b) Advanced EMT and EMT-IA Ground Ambulance - $919.00 per transport.
(c) Paramedic Ground Ambulance - $1,344.00 per transport.
(d) Ground Ambulance with Paramedic on-board - $1,344.00 per transport if:
(i) a dispatch agency dispatches a paramedic licensee to treat the individual;
(ii) the paramedic licensee has initiated advanced life support;
(iii) on-line medical control directs that a paramedic remain with the patient during transport; and
(iv) an ambulance service that interfaces with a paramedic rescue service and has an interlocal or equivalent agreement in place, dealing with reimbursing the paramedic agency for services provided up to a maximum of $286.68 per transport.
PLUS the mileage.
(4) Mileage Rate-(a) $31.65 per mile or fraction thereof.
Look at Igloo's answer on this thread. She gives the best advice!
Some people rent an RV to drive the person, so they can be comfortable for the whole trip.
He is only 69 and all of his family is here sister, aunt,cousin will medicare pay for transport
Wish you luck
Also keep in mind, Medicare is nationwide federal entitlement program but MedicAID is a state & federal joint program and administered by each state under each states rules and management. This can get tricky when you try to move them and on Medicaid....they need to establish new residency for the new state. Some of this is easy like a new drivers license and voter registration. Now if they had a home in the old state and qualified for MedicAID, it was all kum-ba-ya as the home was an exempt asset. But when they move to another state, the home is NO LONGER exempt property and is now a counted asset so has to be sold in order for them to get Medicaid in the new state. If you are not DPOA, you need to be in order to deal with all this. This can be a real nightmare to deal with if you don't have someone at each place to deal with the property. I did some outreach after Hurricane Katrina and this situation was very common for elderly who still had their homestead exempt property and found themselves moved to another state & ineligible and that was back in 2005 when most states were not facing severe financial shortfalls and lots more understanding on exemptions. My late MIL was in a NH in NOLA and some of the ladies had to move back to Louisiana NH even though they had no family there as they could not qualify for other states Medicaid because of still having a homestead in LA and family could not private pay.
Deb - $ 3,200 a month in just income is quite a lot and about $ 1,200 a month over Medicaid eligibility for income. Medicaid "asset" & "income" limits. If you & he find that he really needs Medicaid to pay for his health care and needs and if his assets are at the Medicaid limit and all that is keeping him from getting Medicaid is the extra $ 1,200 in income then you need to see an elder care attorney to do a "Miller Trust" or a "Qualified Income Trust". The trust allows the person to qualify for Medicaid even with too high income. Say a person gets 1K from SS & 2,500K from retirement every mo. Income=$3,500. Basically $ 1500 over ceiling for monthly income. No matter what is always is $1500 over. So this excess $ 1500 is what funds the trust and therefore income is now 2K and within the states income ceiling for Medicaid. The beneficiary of the trust is state's Medicaid program and upon death reverts to the state. Miller really has to be done by an attorney who does elder law as it needs to be flexible/adaptable and meet the criteria of each state's law on probate (death laws) & Medicaid rules. It is not a do it yourself project.
all those ??? you will have to sit and talk to your mother and then talk to soical worker in the hospital shes in now and go from there .
you can only do one thing at a time and it takes a while to get things done ,
i admired you for wanting your mom to be closer to you , bless you . wish you the best luck . keep in touch !