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Can I move mom from a facility in one state to a facility in another state that takes medicare/medicaid?

My mom has dementia and is currently living at an assisted living facility in Connecticut that does not take medicare. She is quickly running out of money and will need to be moved to a facility that takes medicare/medicaid. I would like to move her closer to me in New York. Are there restrictions that I should be aware of prior to touring facilities in New York?
Status: Open    Aug 06, 2015 - 07:31 AM

Dementia

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Aug 20, 2015 - 01:34 PM

Your question is a great one.

The prior responder did justice and I will just add several additional points:

Medicare is typically synonymous with short term rehab only. This is because Medicare is finite in terms of how it is allocated to skilled nursing and rehab facilities for use in care and post-acute rehabilitation. Medicare will cover up to 100 days for in-patient therapy subsequent to a 3 night hospital admission.

However, rather than writing the facility a blank check, they make the reimbursement subject to certain goals and objectives which must be met. Loosely defined, the goal is for the patient to achieve "prior level of functioning."

However, inevitably, most patients will not go the distance utilizing all 100 days on one in-patient rehab stay. This is because they will either achieve their prior functioning level in advance, or they will demonstrate an inability to achieve it.

However, the salient point is that Medicare is NOT a long term payor source for long term skilled nursing placement.

The aforementioned rules apply, and can be applied - irrespective of what state your Mom is in once she achieves a qualifying stay under Medicare.

Conversely, Medicaid is an excellent long term payor source for skilled nursing care, for those who qualify.

In order to qualify for Medicaid in all states, the recipient must meet clinical criteria with respect to their ADL's (help with Activities of Daily Living), as well as financial criteria with respect to their cumulative assets.

Although the nuances in determining eligibility varies from state to state, there is allot of overlap and for the most part the requirements are very similar.

For example, in the State of NJ, eligibility is met when the individual is at or below $2000 in total assets. In other states, the amount allowed may be a tad higher or lower.

Transferring Medicaid from state to state, in the event that Mom is already a Medicaid recipient residing in a nursing home in her hometown state, is not that big a deal.

The process in not that convoluted and not as tedious as it was for you to apply for Medicaid on her behalf the first time around.

Fear not, this is infinitely doable and can be achieved with the right amount of perseverance!

Contact the Board Of Social Services in the county where she resides to request more information, or feel free to reach out to me via my contact information.

Godspeed and best of luck!

Judah Gutwein, LNHA
Regency Nursing Centers of NJ

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By megs93.md on Jun 03, 2016 - 12:42 PM | Like (0)  |  Report

Hi Judah,
Thank you for this great response. I am in the same situation as above. My mother is on Medicaid and in a Nursing Home in RI, I live in Maine and would like to move her closer. From what I read I need to contact SS in RI and they would be able to help with me information on relocating? What about the social worker at her current facility? Or would that be like a conflict in interest for them since they want the money?

Any more info would be truly helpful.
Meg

By Judah Gutwein, L.N.H.A. on Jun 08, 2016 - 09:30 AM | Like (0)  |  Report

Hi Meg!

Thanks for asking and it's my pleasure to help.
There is no conflict of interest for the S.W. in the current facility to help you with your relocation plans. In fact, he/she is duty bound to help you. This is a people's business and your Mom is a human being, not a widget to be used for financial gain.
No decent nursing home would employ a S.W. who would play games with families this way.
Please rest assured that you have every right to ask for and indeed demand their cooperation. Nursing facilities are heavily regulated, so they will not mess around with this stuff.
Proceed with confidence and Godspeed to you and yours!

Warm Regards,

Judah Gutwein, LNHA - Regency Nursing and Post-Acute Rehab Centers

By segerfamly on Jul 11, 2016 - 05:33 PM | Like (0)  |  Report

I'm facing a similar situation. Both my folks are living, mom has been in skilled care nursing facility for 2 years (dementia and lack of mobility) and is receiving Medicaid assistance. My dad is beginning to fail but still able to live on his own. I would like to move mom to a facility in our home town and dad has agreed to move into an independent living apartment located near the nursing home.
My question is, we have already completed a division of assets when mom applied for Medicaid. If we move them to a new state, will we have to divide assets again?
Additionally, moms name was removed from the deed to their home. If my dad sells the home, will they incur a penalty?

By jeffrey.champ on Aug 14, 2016 - 06:10 PM | Like (0)  |  Report

Hi,
This has been a very insightful thread! I, too, am considering moving my 70 yr old mother from a long term nursing facility in RI to where my family and I live in PA. She receives Medicaid in RI. Her income goes to the facility while she gets to keep $50/month. I have no idea how to make this happen. She cannot live on her own or in assisted living due to medical issues. I'm also concerned about how to get her from RI to PA. She cannot handle such a long drive or even a long flight. Any recommendations about what I need to do to make this happen would be GREATLY appreciated!

By breescoupons on Oct 13, 2016 - 10:17 AM | Like (0)  |  Report

Hi Judah, my mom had a stroke while she was in South Carolina with my sister, and then diagnosed with late-stage dementia.she had to go into a nursing home there in South Carolina.She doesn't want to live there. All of her family is here in Delaware. She hasn't been approved for long-term care yet, we've been trying since June for Medicare or Medicaid, I always get confused on which that is? She is low income, making less than $2,000 a Mo. and I am unable to take care of her due to my disability, my question is would I be able to have her transferred here before she is approved? She needs to come home where most of her family is,desperately!! She cries everyday when I call her, because she wants to come home. I am truly desperate to find out what I can do.

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Answers

Aug 10, 2015 - 02:47 PM

Medicare is the health insurance and Medicaid is financial aid. Some families intermix the two when in fact most assisted livings that I have ever worked with do not do anything specific with Medicare, a federal health insurance program that doesn't vary from one state to the next as far as use. However, Medicaid is managed by the individual states. Each state has their own guidelines as to what Medicaid pays for, especially in assisted living. If your Mom is living in an assisted living now it might be a good idea to speak to them directly about any sister communities they may have in NY or contacts that may help facilitate a move as well as provide you an 'in-house' contact to discuss your financial boundaries with.

It has been my experience that if a family is proactive in their search, honest with communication with the current facility, they are able to get access to better information and resources.

This might also be some helpful information for you for NY to think about.

http://www.nolo.com/legal-encyclopedi...

This article can also help you understand some of the acronyms that NY State uses for Assisted living type care, it was last updated in January 2015 so the information should be fairly current for your needs
http://www.wnylc.com/health/entry/150/

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By suzi.mcdonough on Sep 14, 2016 - 11:01 AM | Like (0)  |  Report

Hi Sarah, I am also in the same situation as my mom is in a nursing home in Iowa and I am in AZ. I want to desperately move her here as we just found out she has a mass in her chest and several in other parts of her body. I have been told for years by my aunt that if I move her to a Nursing Home here in AZ that she would have to wait a year to receive her Medicaid Benefits. I am so confused! Please give me some guidance; I want my mom to be here with her family!

By pjtitus on Oct 19, 2016 - 11:47 AM | Like (0)  |  Report

I am in the same situation. My mom is in Florida and has dementia and my dad is living in the house they shared with his first (ex) wife, after moving my mom out to the nursing home. He's a real peach. He obviously has moved on and I would like to get my mom out of there and move her to Massachusetts where my brother and I live so at least she could have visitors that care for her and will oversee what the nursing home is doing, as far as meds etc. I just don;t know how we would transport her here and also get her medicaid transferred here. They are still legally married and my dad and I have dual power of attorney over her already, with the same rights and duties over her. I hate that she is down there all by herself. :(

By freibergsclan on Nov 06, 2016 - 07:50 AM | Like (0)  |  Report

I need information with regard to moving my parents from NY to NJ for the purpose of placing them in a nearby nursing facility. They have been previously approved for Community Medicaid in NY, but after finding out they were required to relinquish their current medical/prescription drug insurance which my father received free in his retirement in favor of a NY state plan, we cancelled the Community Medicaid and lost the home health aides they provided. My father is currently on hospice because he refuses to take certain medications which will reduce toxicity levels in his body. He has Alzheimer's and has made his choice of enjoying the time he has left. My mother on the other hand has worsening dementia which has changed her personality for the worse. Both of my parents need supervision, someone to cook, and clean but we've gone through several home health aides because of mom's behavior and we are out of options to keep them in the home. They do have about enough assets to pay for 3 months (for both) at the facility before they need Medicaid. What steps do we have to take? Do you know if we will face the same issue with the medical insurance where we give up what they have that's free and have to pay for alternative, less comprehensive insurance? I'm not sure where to begin my research. Any direction would be appreciated.
Marie

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