Dec 01, 2015 - 12:08 PM
I understand the emotional part of the desire to move your mom closer and to care for her in home and I am always fully supportive of families in your position. Before making the final decision you need to really understand the scope of care and answer the Medicaid question. Judging by your question, I would recommend not moving your mom. In fact, my first gut response was "NO!"
Caring for a parent with Alzheimer's is a 24/7/365 commitment. You don't ever get to take a day off. You need to be prepared to provide care for her mental health as well as physical. Over that time, her needs will increase. Because she is on Medicaid, there will be little assistance available, so you will also be supporting her financially. There are no breaks. Alzheimer's is a 24 hour job. It never stops and it never sleeps. It may be best for you to read up on care with a book like The 36 Hour Day. End of life care magnifies this in every way. I understand that I sound very gloom-and-doom, but memory care is not something to romanticize or deny.
Financially, I would give you the same exact advice. Be absolutely certain that the medicaid will not be impacted from state to state. Should you move your mom and find out that she is not qualified, you will be in the position of having to care for her at home.
Again, if you vet the situation thoroughly and feel you are capable and that the financial questions are all answered, I would then say go for it. Otherwise, maybe you could spend time with her where she is?
Dec 01, 2015 - 12:37 PM
Dec 01, 2015 - 12:46 PM
Also keep in mind she has care 24/7 in a nursing home. In home care 24/7 is usually the most expensive care one can buy. And with her disease, her care needs will more than likely increase as the disease progresses.
If she is a candidate for hospice, the hospice professionals are a big help to the patient and family as far as end of life expectations. It could be more important that the people she knows and loves be at her side in her last days more so than where she is physically located.
There are varying state laws as to someone who is approved for Medicaid in one stay who moves to another. It would be important to seek legal counsel from an elder care attorney who deals with Medicaid benefits as to how her benefits would be affected by a move out of state. Only in some states does Medicaid pay for in home care in addition to nursing home care and depending on the local funding for any given year.